From injectable to oral options, treatments for gout in Encinitas, CA ease attacks, prevent flares
Relief from the pain, stiffness, swelling, and inflammation caused by gout often involves medications. The choice of medication that board-certified rheumatologist Dr. Peter Lloyd may prescribe depends, partly, on your current health status and personal preferences. Treatments for gout in Encinitas, CA at Dr. Lloyd’s office, Seaside Rheumatology and Wellness Center, may address both acute attacks and help to prevent future flare-ups. The effective intervention also helps to reduce the risk of complications, such as tophi, which is a build-up of urate crystals around the joints.
Gout medications commonly include prednisone and other corticosteroids. These drugs control inflammation and pain. While corticosteroids may be taken by mouth, Dr. Lloyd can also precisely inject them into the affected joints. He uses ultrasound guidance to accurately administer the medication, and for added comfort. Generally, corticosteroids may be prescribed, for patients who are not candidates for NSAIDs or colchicine, as side effects may include mood disturbances, elevated blood sugar levels, and hypertension.
Non-Steroidal Anti-Inflammatory Drugs include over-the-counter options such as Advil and Aleve, as well as more powerful prescription NSAIDs like Celebrex. Higher doses may effectively halt acute attacks, whereas lower daily doses prevent future attacks.
Marketed and sold under the trade names Colcrys and Mitigare, colchicine is a proven pain reliever; however, its effectiveness at easing discomfort must be balanced with side effects such as nausea and diarrhea. These side effects are most pronounced in larger doses. Dr. Lloyd may prescribe a lower daily dose after acute attacks are resolved, and to prevent future flares.
As you can see, while there are many medications to potentially address the sudden attacks of pain and inflammation, there are trade-offs. Dr. Lloyd will discuss the benefits and risks with you to determine the best options for your needs. Additionally, he may discuss still other drugs to prevent advanced and recurrent gout, kidney stones, and other severe complications. These drugs are designed to block uric acid production or improve the ability of the kidneys to remove uric acid.
A multi-faceted approach
“Wellness” is in our center’s name. Since gout is often linked to a host of lifestyle (especially dietary) factors, Dr. Lloyd looks at the whole “you” when making recommendations. He may suggest “gout-fighting” foods, such as those that are low in purine. Researchers have found low-purine foods sources, such as cherries, lower levels of uric acid, and reduce the frequency of gout attacks.Back to Gout Page