Intense gout pain during taking febuxostat is related to fluctuation of blood uric acid, usually there is no need to stop febuxostat, and the symptoms can be improved by general treatment and medication.
1. General treatment: gout attacks during treatment with uric acid-lowering drugs such as febuxostat are mostly related to fluctuations in blood uric acid levels, and usually do not need to stop taking the drug. Patients need to rest in bed, the affected joints should be kept braked, elevate the affected limbs; at the same time, continue to low purine diet, limit alcohol; cold compresses can be applied to the painful parts to improve the symptoms.
2. Medication: If gout attack occurs during uric acid lowering treatment, colchicine can be taken, or anti-inflammatory and analgesic non-steroidal anti-inflammatory drugs, such as ibuprofen, etoricoxib and so on. Patients who are not well treated with the above drugs or with other contraindications can apply glucocorticoid drugs to improve their symptoms under the guidance of a doctor, commonly used drugs such as prednisone, dexamethasone, and so on.
Take febuxostat during the gout severe pain patients, it is recommended to go to the regular hospital as soon as possible, under the guidance of the doctor standardized treatment. The drug should be used according to the doctor’s instructions, do not self-medicate.