Gout common misconceptions: a misconception: hormones are fiercer than tigers, the choice needs to be careful 1, many people talk about hormones, hormones have many side effects, such as obesity, high blood pressure, high blood fat, diabetes, osteoporosis, cataracts, stomach bleeding, etc., so many people think that “hormones are fiercer than tigers”, can not be used. It is worth noting that these side effects of hormones are caused by long-term use. In the acute stage of gout, if you need to use hormones for a short period of time under the guidance of a rheumatologist, generally speaking, it does not affect our body much, so there is no need to worry about it. 2, hormones are not a conventional weapon for anti-inflammatory pain relief in the acute stage of gout, but are used as the ultimate weapon, just like the atomic bomb. So what kind of gout patients need to use hormones? Generally speaking, when non-steroidal anti-inflammatory drugs or colchicine are ineffective or intolerable, or acute gout with severe and recurrent attacks, or advanced stage and already have impairment of body function such as impaired kidney function, short-term use of hormones is possible for such patients. Second misconception: the use of colchicine 1, the use of low doses of colchicine in the acute phase of gout is considered less effective side effects (domestic and international guidelines for the diagnosis and treatment of gout recommend the use of colchicine 0.5 mg three times a day in the acute phase), and the use of toxic doses that used to be eaten until diarrhea is like “quenching thirst” has been eliminated. 2. Do I need colchicine in the non-acute stage? Most people think that it is not necessary. It is true that the first task of gout remission is to lower uric acid treatment, but it is necessary to use colchicine prophylactic anti-inflammatory during gout remission. The so-called prophylactic anti-inflammation means taking 0.5 mg of colchicine daily along with uric acid-lowering medication. Because, after taking uric acid-lowering drugs, the blood uric acid level drops suddenly, which can easily trigger an acute attack of gout. Adding a small dose of colchicine can not only reduce the acute attack of gout, but also reduce the repeated fluctuations of uric acid, which is more conducive to the continuous and smooth reduction of uric acid to meet the standard. Three misconceptions: superstition “gout spirit” and other fake drugs Gout acute attacks often seriously affect the quality of life, and the treatment of gout is a long process, many patients will rush to the doctor and deceived, superstition a fake drug called “gout spirit”, gout patients Nine out of ten have eaten it. In the online input “gout spirit” three words, a pop-up close to 500,000 related results, some claiming to be 100% authentic Hong Kong production, some claiming to be pure precious herbal manufacturing, but “gout spirit” State Food and Drug Administration has not approved the production or import of the so-called “gout spirit”. Gout Spirit”, in other words, “Gout Spirit” is a veritable fake drug. The national professional drug test results found that these so-called expensive herbal ingredients, but contains: dexamethasone, diclofenac sodium and other anti-inflammatory painkillers, hormones, etc., so “gout spirit” will be effective, but the cost is painful and irreversible. The four misconceptions: pain is treated not pain is not treated Clinically, we often encounter such a class of “good scars forget the pain” patients, in the acute attack of gout will actively cooperate with the treatment, but in remission period immediately stop medication, as early as the doctor’s instructions to forget to the “ninth cloud”. The patient will continue to eat and drink. Only when the blood uric acid is controlled to the standard, can we fundamentally control the reoccurrence of gouty arthritis and prevent the related diseases caused by hyperuricemia. If we only “treat the pain, no pain, no treatment” is “treating the symptoms but not the root cause”, and cannot control the uric acid level fundamentally, future gout attacks will become more and more frequent, and the resulting long-term harm is often very serious, such as joint deformity, uric acid nephropathy, stroke Therefore, the treatment of gout is a long-term project, and there is a long way to go. Five misconceptions: gout attacks in the process of lowering uric acid 1, there is a common phenomenon: patients after taking uric acid-lowering drugs, but gout attacks, many patients will think that the uric acid-lowering drugs “trouble”, so “angry” to stop the uric acid-lowering drugs, in fact, this is In fact, this is completely wrong, and the consequence is that gout continues to attack for a long time. 2. Gout relapses or worsens during uric acid-lowering treatment, which is an effective response to uric acid-lowering drugs. Gout patients use uric acid-lowering drugs after the uric acid drops quickly, the urate crystals in the patient’s body will dissolve into urate particles, like “snowman melting”. The urate particles that fall off the urate crystals are deposited on other joints in the body, causing pain, which is the process of the drug taking effect. What we should do at this time is to use a combination of colchicine or anti-inflammatory drugs to prevent the recurrence of gout. If the blood uric acid level can be maintained at 360umol/L (300umol/L for patients with obvious gout stones), the gout stones deposited in the body will gradually dissolve and disappear, and no more attacks will occur, thus achieving the possibility of curing gout.