Gouty arthritis has been hidden pain need to consider the possibility of chronic gouty arthritis, clinically commonly used colchicine, non-steroidal anti-inflammatory drugs, glucocorticosteroids to alleviate the symptoms, and at the same time lowering uric acid treatment.
1. Colchicine: good effect within 48h, less adverse reactions, contraindications for hepatic and renal insufficiency, pregnant women, myeloproliferative hypoplasia and so on.
2. Non-steroidal anti-inflammatory drugs: it is the first-line drug for the treatment of gouty arthritis, commonly used diclofenac, etoricoxib, indomethacin and so on. Peptic ulcer, active bleeding, etc. are prohibited, and attention should be paid to cardiovascular system adverse reactions.
3. Glucocorticoid: mostly used in colchicine and NSAIDs are ineffective or contraindicated, commonly used in prednisone acetate, methylprednisolone, etc., need to pay attention to the occurrence of infection, metabolic abnormalities, hypertension and other adverse reactions.
4. Uric acid lowering treatment: chronic gouty arthritis in the anti-inflammatory pain at the same time need to actively lower uric acid treatment, commonly used drugs, including allopurinol, febuxostat, benzbromarone.
Drugs need to follow the doctor’s instructions to take, avoid self-application. It is recommended that gouty arthritis patients go to the hospital, under the guidance of the doctor standardized diagnosis and treatment.