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I have been suffering from gout for several years with a uric acid level of 7.20. What are the treatment options?

Asked by Male, 48 ยท 19 days ago

Uric acid-lowering medications such as allopurinol or febuxostat are used to treat long-term gout with a uric acid level of 7.2 in order to prevent further episodes. NSAIDs or colchicine can lessen pain and inflammation during flare-ups, and lifestyle modifications like abstaining from alcohol and red meat and drinking plenty of water are also crucial.
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  1. Lifestyle Modifications

    • Reduce purine-rich foods (e.g., red meat, seafood), limit alcohol, and stay hydrated.
    • Focus on weight management and regular exercise to minimize flare-ups.
  2. Medications for Acute Gout Attacks

    • Use NSAIDs like ibuprofen or naproxen for pain and inflammation.
    • Colchicine can reduce attack severity; corticosteroids may be used if needed.
  3. Long-term Uric Acid Lowering Therapy

    • Consider allopurinol or febuxostat to lower uric acid levels, especially with levels at 7.20 mg/dL.
    • Regular monitoring and dose adjustments are crucial to prevent side effects.
  4. Regular Monitoring and Follow-up

    • Periodic blood tests for uric acid and kidney function are important.
    • Engage with a rheumatologist or primary care physician for ongoing management.
  5. Additional Considerations

    • Manage comorbid conditions like hypertension or diabetes that can affect gout.
    • Educate on recognizing early signs of flare-ups and when to seek medical help.

Answered 19 days ago

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