Dose of steroids in gout

      Acute gout is usually a self limiting condition with spontaneous recovery seen in 1-2 weeks. More prolonged recurrent acute attacks may not resolve without treatment (1).

Corticosteroids may be used if NSAIDs and colchicine cannot be used. They may be injected directly into the affected joint (called an intraarticular injection) or they can be given as pills or by intramuscular injection. People who have multiple affected joints or who cannot take NSAIDs or colchicine may be given oral steroids. There may be an increased risk of recurrent gout attack (called a rebound attack) in people taking oral corticosteroids for severe attacks but reducing the dose too quickly. For this reason, corticosteroid dosing should be reduced slowly over a period of at least 10 to 14 days.

Polycythemia (elevated red blood cell count) is a rare blood disease in which the body produces too many red blood cells. Causes of polycythemia are either primary (acquired or genetic mutations) or secondary (diseases, conditions, high altitude). Examples of primary polycythemia include:

  • Fatigue
  • Excessive sweating
  • Unintended weight loss
  • Gouty arthritis, usually in big toe
  • Shortness of breath
  • Headaches
  • Dizziness
  • Weakness
  • Feeling pressure or fullness on the left side of the abdomen where the spleen is located.
  • Vision problems
  • Heavy bleeding from minor cuts
  • Bleeding from the gums
  • Itching
  • Redness in the face
  • A burning feeling in the hands and feet

Complications of a high red blood cell count include blood clots, heart attack, stroke, enlarged liver and spleen, angina (heart pain), AML leukemia, and heart failure. Blood clots in the liver or kidney can cause sudden, intense pain. Treatment goals for patients with polycythemia are to manage symptoms and reduce the risk of complications like heart attack and stroke.

REFERENCE: NIH. National Heart, Lung, and Blood Institute. "What Causes Polycythemia Vera"? Updated: Mar 20, 2011.

• Diclofenac (brand names: Cataflam, Voltaren) • Etodolac (brand name: Lodine) • Fenoprofen (brand name: Nalfon) • Flurbiprofen (brand name: Ansaid) • Ibuprofen (2 brand name: Advil, Motrin) • Indomethacin (brand name: Indocin) • Ketoprofen (brand names: Orudis, Oruvail) • Meclofenamate • Meloxicam (brand name: Mobic) • Nabumetone (brand name: Relafen) • Naproxen (brand names: Anaprox, Naprelan, Naprosyn) • Oxaprozin (brand name: Daypro) • Piroxicam (brand name: Feldene) • Sulindac (brand name: Clinoril) • Tolmetin (brand name: Tolectin) •

An anti-gout diet includes drinking lots of water, eating foods low in purines, maintain a proper healthy weight, and avoiding alcohol. Foods known to be good for gout sufferers include blueberries, cherries (the cherry juice gout cure will be discussed later), soybeans, tofu, salmon and olive oil. Regular exercise will help reduce symptoms and improve the overall condition. Supplements that are good for gout include folic acid and vitamin c. We discuss the gout and vitamin c relationship in more detail later.

It is also important is to treat the symptoms as soon as possible. Immediate treatment will not allow the disease to progress, and the symptoms to worsen.

We will now go over some herbal remedies for gout including the cherry juice gout cure and the gout and vitamin c relationship.

Treatment
There are many treatment options available for gout. The problem with most gout medications though is that they do not work very well, are not safe to use long-term, or they have severe side effects. For example Nonsteroidal Anti-Inflammatory drugs can cause gastrointestinal bleeding, ulcers, high blood pressure, skin rashes, etc. COX-2 inhibitor drugs can adversely effect the kidneys, increase bleeding, increase the chances of heart attacks, and cause hallucinations. Steroids are not safe to use long-term and can have even more severe side effects.

For these reasons, many medical professionals believe that herbal remedies for gout are the best option. These natural treatments have no side effects, and for many people is the most effective treatment. Recommended Herbal Remedies For Gout

  • Naturasil Gout is a breakthrough herbal product that we have recently discovered. It works to eliminate the persistent pain, swelling, soreness, and warmth. It can help you get your life back to normal. Other herbal treatments that have shown some success include:
  • Gout and vitamin C - Taking supplemental amounts of vitamin C helps some people to reduce the uric acid in their blood. The exact relationship between gout and vitamin C is still unclear.
  • Cherry juice gout cure - Taking 2-3 teaspoons of black cherry juice a day helps some people. Why the cherry juice gout cure helps some people and not others is not entirely understood.






More than herbal remedies for gout on our natural remedies for gout page

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The most important determinant of therapeutic success is not which NSAID is chosen, but rather how soon NSAID therapy is initiated. In more than 90 percent of patients, complete resolution of the attack occurs within five to eight days of initiation of therapy. 18 Unfortunately, the use of NSAIDs is limited by side effects. NSAID therapy should be avoided in patients with peptic ulcer disease, low creatinine clearance, liver disease and poorly compensated congestive heart failure, and in patients receiving anticoagulation therapy. 19 , 20 Side effects of NSAIDs are also more pronounced in elderly patients. 21

Dose of steroids in gout

dose of steroids in gout

• Diclofenac (brand names: Cataflam, Voltaren) • Etodolac (brand name: Lodine) • Fenoprofen (brand name: Nalfon) • Flurbiprofen (brand name: Ansaid) • Ibuprofen (2 brand name: Advil, Motrin) • Indomethacin (brand name: Indocin) • Ketoprofen (brand names: Orudis, Oruvail) • Meclofenamate • Meloxicam (brand name: Mobic) • Nabumetone (brand name: Relafen) • Naproxen (brand names: Anaprox, Naprelan, Naprosyn) • Oxaprozin (brand name: Daypro) • Piroxicam (brand name: Feldene) • Sulindac (brand name: Clinoril) • Tolmetin (brand name: Tolectin) •

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