If pain persists after taking medication for gout, it may be related to inappropriate use of medication or poor response to medication, and symptoms may be improved by adjusting the type of medication and improving lifestyle.
Acute attack of gout requires rapid control of arthritis symptoms, such as patients still have pain after taking medication, may be related to improper use of drugs or poor response to drugs. Anti-inflammatory drugs such as colchicine, or non-steroidal anti-inflammatory drugs such as ibuprofen should be used during acute attacks of gout. Uric acid-lowering therapy is not recommended except for patients who are already using uric acid-lowering drugs, as fluctuations in blood uric acid will aggravate the pain symptoms.
Patients may also respond poorly to medications if they have applied the above medications but still have pain. Patients can take oral glucocorticosteroids such as prednisone in combination. Refractory acute gout can also apply IL-1 blockers, such as anabolic acid, under the guidance of a doctor. In addition, patients should rest in bed, elevate the affected limbs, local cold compresses, can reduce synovial exudate and relieve inflammatory pain.
Gout patients who still have pain after taking medication are advised to go to the rheumatology and immunology department of the hospital in a timely manner, and take medication under the guidance of specialists to avoid delays.