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Medicine to take for gout: Allopurinol Oral: Uses, Side Effects, Interactions, Pictures, Warnings & Dosing

Allopurinol Oral: Uses, Side Effects, Interactions, Pictures, Warnings & Dosing

Uses

Allopurinol is used to treat gout and certain types of kidney stones. It is also used to prevent increased uric acid levels in patients receiving cancer chemotherapy. These patients can have increased uric acid levels due to release of uric acid from the dying cancer cells. Allopurinol works by reducing the amount of uric acid made by the body. Increased uric acid levels can cause gout and kidney problems.

How to use Allopurinol

Take this medication by mouth as directed by your doctor, usually once daily. Take this medication after a meal to reduce stomach upset. If your dose is more than 300 milligrams a day, you will need to take several smaller doses during the day to get this amount (ask your doctor for directions).

It is best to drink a full glass of water with each dose and at least 8 more glasses (8 ounces each) of fluid a day. If your doctor has directed you to drink less fluid for other medical reasons, consult your doctor for further instructions. Your doctor may also instruct you on how to decrease acid in your urine (such as avoiding large amounts of ascorbic acid/vitamin C).

Dosage is based on your medical condition and response to treatment. Use this medication regularly to get the most benefit from it. To help you remember, take it at the same time(s) each day.

For the treatment of gout, it may take up to several weeks for this medicine to have an effect. You may have more gout attacks for several months after starting this medicine while the body removes extra uric acid. Allopurinol is not a pain reliever. To relieve pain from gout, continue to take your prescribed medicines for gout attacks (such as colchicine, ibuprofen, indomethacin) as directed by your doctor.

Tell your doctor if your condition lasts or gets worse.

Side Effects

Stomach upset, nausea, diarrhea, or drowsiness may occur. If any of these effects last or get worse, tell your doctor or pharmacist promptly.

Remember that this medication has been prescribed because your doctor has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.

Tell your doctor right away if you have any serious side effects, including: numbness/tingling of arms/legs, easy bleeding/bruising, unusual tiredness, signs of kidney problems (such as change in the amount of urine, painful/bloody urination), signs of liver disease (such as nausea/vomiting that doesn’t stop, loss of appetite, stomach/abdominal pain, yellowing eyes/skin, dark urine), unusual weight loss, eye pain, vision changes.

Allopurinol may rarely cause very serious (possibly fatal) skin reactions. Some people in certain ethnic groups (such as people of African, Asian, or Native Hawaiian/Pacific Islander descent) are at greater risk. Your doctor may order a blood test to measure your risk before you start this medication. If the blood test shows you are at greater risk, your doctor should discuss the risks and benefits of allopurinol and other treatment choices with you. Get medical help right away if you develop any symptoms of a serious skin reaction, including: skin rash/blisters/peeling, itching, or swelling. Ask your doctor or pharmacist for more details.

A very serious allergic reaction to this drug is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: fever, swollen lymph nodes, rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.

This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.

In the US – Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.

In Canada – Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.

Precautions

Before taking allopurinol, tell your doctor or pharmacist if you are allergic to it; or if you have had a severe reaction to it; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.

Before using this medication, tell your doctor or pharmacist your medical history, especially of: liver disease, kidney disease, diabetes, high blood pressure (hypertension), unusual diets (such as fasting).

This drug may make you drowsy. Alcohol or marijuana (cannabis) can make you more drowsy. Do not drive, use machinery, or do anything that needs alertness until you can do it safely. Alcohol may also decrease the effectiveness of this drug. Limit alcoholic beverages. Talk to your doctor if you are using marijuana (cannabis).

Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products).

During pregnancy, this medication should be used only when clearly needed. Discuss the risks and benefits with your doctor.

Allopurinol passes into breast milk. Consult your doctor before breast-feeding.

Interactions

Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (such as prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor’s approval.

Some products that may interact with this drug are: “blood thinners” (such as warfarin), capecitabine, didanosine.

Does Allopurinol interact with other drugs you are taking?

Enter your medication into the WebMD interaction checker

Overdose

If someone has overdosed and has serious symptoms such as passing out or trouble breathing, call 911. Otherwise, call a poison control center right away. US residents can call their local poison control center at 1-800-222-1222. Canada residents can call a provincial poison control center.

Do not share this medication with others.

Lab and/or medical tests (such as uric acid blood levels, liver/kidney function, complete blood count) may be done while you are taking this medication. Keep all medical and lab appointments. Consult your doctor for more details.

If you are taking allopurinol to treat kidney stones, you may benefit from a special diet. Consult your doctor for more details.

If you miss a dose, take it as soon as you remember. If it is near the time of the next dose, skip the missed dose. Take your next dose at the regular time. Do not double the dose to catch up.

Store at room temperature away from light and moisture. Do not store in the bathroom. Keep all medications away from children and pets.

Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company.

Images

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This medicine is a white, round, scored, tablet imprinted with “AW”.

allopurinol 100 mg tablet

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allopurinol 300 mg tablet

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allopurinol 100 mg tablet

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This medicine is a white, round, scored, tablet imprinted with “AW”.

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This medicine is a white, round, scored, tablet imprinted with “AW”.

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This medicine is a white, round, scored, tablet imprinted with “AW”.

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Drug Survey

Are you currently using Allopurinol?

This survey is being conducted by the WebMD marketing sciences department.

Selected from data included with permission and copyrighted by First Databank, Inc. This copyrighted material has been downloaded from a licensed data provider and is not for distribution, except as may be authorized by the applicable terms of use.

CONDITIONS OF USE: The information in this database is intended to supplement, not substitute for, the expertise and judgment of healthcare professionals. The information is not intended to cover all possible uses, directions, precautions, drug interactions or adverse effects, nor should it be construed to indicate that use of a particular drug is safe, appropriate or effective for you or anyone else. A healthcare professional should be consulted before taking any drug, changing any diet or commencing or discontinuing any course of treatment.

Zyloprim Oral: Uses, Side Effects, Interactions, Pictures, Warnings & Dosing

Uses

Allopurinol is used to treat gout and certain types of kidney stones. It is also used to prevent increased uric acid levels in patients receiving cancer chemotherapy. These patients can have increased uric acid levels due to release of uric acid from the dying cancer cells. Allopurinol works by reducing the amount of uric acid made by the body. Increased uric acid levels can cause gout and kidney problems.

How to use Zyloprim

Take this medication by mouth as directed by your doctor, usually once daily. Take this medication after a meal to reduce stomach upset. If your dose is more than 300 milligrams a day, you will need to take several smaller doses during the day to get this amount (ask your doctor for directions).

It is best to drink a full glass of water with each dose and at least 8 more glasses (8 ounces each) of fluid a day. If your doctor has directed you to drink less fluid for other medical reasons, consult your doctor for further instructions. Your doctor may also instruct you on how to decrease acid in your urine (such as avoiding large amounts of ascorbic acid/vitamin C).

Dosage is based on your medical condition and response to treatment. Use this medication regularly to get the most benefit from it. To help you remember, take it at the same time(s) each day.

For the treatment of gout, it may take up to several weeks for this medicine to have an effect. You may have more gout attacks for several months after starting this medicine while the body removes extra uric acid. Allopurinol is not a pain reliever. To relieve pain from gout, continue to take your prescribed medicines for gout attacks (such as colchicine, ibuprofen, indomethacin) as directed by your doctor.

Tell your doctor if your condition lasts or gets worse.

Side Effects

Stomach upset, nausea, diarrhea, or drowsiness may occur. If any of these effects last or get worse, tell your doctor or pharmacist promptly.

Remember that this medication has been prescribed because your doctor has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.

Tell your doctor right away if you have any serious side effects, including: numbness/tingling of arms/legs, easy bleeding/bruising, unusual tiredness, signs of kidney problems (such as change in the amount of urine, painful/bloody urination), signs of liver disease (such as nausea/vomiting that doesn’t stop, loss of appetite, stomach/abdominal pain, yellowing eyes/skin, dark urine), unusual weight loss, eye pain, vision changes.

Allopurinol may rarely cause very serious (possibly fatal) skin reactions. Some people in certain ethnic groups (such as people of African, Asian, or Native Hawaiian/Pacific Islander descent) are at greater risk. Your doctor may order a blood test to measure your risk before you start this medication. If the blood test shows you are at greater risk, your doctor should discuss the risks and benefits of allopurinol and other treatment choices with you. Get medical help right away if you develop any symptoms of a serious skin reaction, including: skin rash/blisters/peeling, itching, or swelling. Ask your doctor or pharmacist for more details.

A very serious allergic reaction to this drug is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: fever, swollen lymph nodes, rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.

This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.

In the US – Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.

In Canada – Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.

Precautions

Before taking allopurinol, tell your doctor or pharmacist if you are allergic to it; or if you have had a severe reaction to it; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.

Before using this medication, tell your doctor or pharmacist your medical history, especially of: liver disease, kidney disease, diabetes, high blood pressure (hypertension), unusual diets (such as fasting).

This drug may make you drowsy. Alcohol or marijuana (cannabis) can make you more drowsy. Do not drive, use machinery, or do anything that needs alertness until you can do it safely. Alcohol may also decrease the effectiveness of this drug. Limit alcoholic beverages. Talk to your doctor if you are using marijuana (cannabis).

Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products).

During pregnancy, this medication should be used only when clearly needed. Discuss the risks and benefits with your doctor.

Allopurinol passes into breast milk. Consult your doctor before breast-feeding.

Interactions

Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (such as prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor’s approval.

Some products that may interact with this drug are: “blood thinners” (such as warfarin), capecitabine, didanosine.

Does Zyloprim interact with other drugs you are taking?

Enter your medication into the WebMD interaction checker

Overdose

If someone has overdosed and has serious symptoms such as passing out or trouble breathing, call 911. Otherwise, call a poison control center right away. US residents can call their local poison control center at 1-800-222-1222. Canada residents can call a provincial poison control center.

Do not share this medication with others.

Lab and/or medical tests (such as uric acid blood levels, liver/kidney function, complete blood count) may be done while you are taking this medication. Keep all medical and lab appointments. Consult your doctor for more details.

If you are taking allopurinol to treat kidney stones, you may benefit from a special diet. Consult your doctor for more details.

If you miss a dose, take it as soon as you remember. If it is near the time of the next dose, skip the missed dose. Take your next dose at the regular time. Do not double the dose to catch up.

Store at room temperature away from light and moisture. Do not store in the bathroom. Keep all medications away from children and pets.

Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company.

Images

Zyloprim 100 mg tablet

Color: whiteShape: roundImprint: ZYLOPRIM 100

This medicine is a white, round, scored, tablet imprinted with “ZYLOPRIM 100”.

Zyloprim 300 mg tablet

Color: peachShape: roundImprint: ZYLOPRIM 300

This medicine is a white, round, scored, tablet imprinted with “ZYLOPRIM 100”.

Selected from data included with permission and copyrighted by First Databank, Inc. This copyrighted material has been downloaded from a licensed data provider and is not for distribution, except as may be authorized by the applicable terms of use.

CONDITIONS OF USE: The information in this database is intended to supplement, not substitute for, the expertise and judgment of healthcare professionals. The information is not intended to cover all possible uses, directions, precautions, drug interactions or adverse effects, nor should it be construed to indicate that use of a particular drug is safe, appropriate or effective for you or anyone else. A healthcare professional should be consulted before taking any drug, changing any diet or commencing or discontinuing any course of treatment.

list of top 5 inexpensive and effective remedies for men, women according to KP

Gout is a systemic disease. The cause of the disease is a metabolic disorder, in which the concentration of uric acid in the blood increases, which leads to the deposition of uric acid crystals (urates) in the joints and soft tissues 1 .

At the same time, an increased content of uric acid in the blood does not always indicate gout. Hyperuricemia also accompanies a number of diseases, such as kidney disease, tumors, or blood diseases. This condition can be observed after excessive physical exertion or with the abuse of fatty foods. Only 10% of hyperuricemia states progress to gout.

The most characteristic sign of gout is the accumulation of urates in tissues and organs and the occurrence of acute attacks of pain in places of their accumulation.

What can cause gout? As with any disease, there are risk factors in the development of gout:

  • insulin resistance;
  • hypertension;
  • eating large amounts of red meat and offal;
  • abuse of alcohol, especially beer;
  • violation of the excretion of uric acid in diseases of the kidneys;
  • certain anticancer and tuberculosis treatments;
  • autoimmune diseases;
  • hereditary predisposition.

Gout usually affects the joints, which determines the clinical picture. As a rule, the pain is very strong, painful and chronic.

The main symptoms of gout are:

  • attacks of acute arthritis;
  • the formation of tophi – gouty nodes in places of the greatest accumulation of urates;
  • kidney damage.

The joints of the big toe are most commonly affected. Less commonly involved are larger joints: ankle, knee, elbow, wrist, hand joints.

Attack of pain often begins at night or in the morning. Redness and swelling of the joint appears, pain occurs, which intensifies as much as possible after 12-24 hours. Very often, the joint becomes hot to the touch and painfully reacts to the slightest touch.

Men over the age of 40 are most often affected by gout. They get sick 7 times more often than women 1 . The disease in women is mainly associated with changes in metabolism during menopause and is due to a decrease in estrogen levels. The fact is that estrogens directly affect the production of uric acid, reducing its concentration in the blood.

In addition, the diet of men and women is also different. In the diet of men there are a large number of provoking factors: red meat and offal, strong alcohol and beer. Excessive physical activity, stressful conditions also lead to an increased content of uric acid.

The course of gout in men and women also differs 1 . Features of gout in men:

  • the onset of the disease occurs at the age of 30-40 years;
  • the big toes and joints of the foot are more often affected.

Features of gout in women:

  • onset of the disease in old age and postmenopausal status;
  • the joints of the hands are more often affected;
  • more often tophi (gouty nodes) are formed.

KP list of top 5 inexpensive drugs for gout

Treatment of gout includes both drug and non-drug therapy 1 .

Non-drug therapies include: reducing the amount of meat and seafood in the diet, giving up alcohol, beer and smoking, weight loss in obesity, teaching the right way of life.

Medical treatment includes acute attacks of gout and antihyperuricemic therapy, which reduces the level of uric acid in the body, prevents the formation of urates and dissolves those that have already formed.

Important! All drugs have side effects and contraindications. Our material is an overview and does not serve as a guide to action.

Non-steroidal anti-inflammatory drugs (NSAIDs)

Non-steroidal anti-inflammatory drugs are used to relieve acute arthritis due to gout 1.2 . Patients may be prescribed various NSAIDs, including meloxicam, celecoxib, diclofenac, nimesulide.

They help block enzymes involved in the inflammatory response. This reduces pain, reduces swelling of the joints and improves their mobility. However, NSAIDs have a number of contraindications and side effects that limit their use. The most common side effects are associated with a negative effect on the gastrointestinal tract and cardiovascular system. The most safe for the gastrointestinal tract are NSAIDs of selective or selective action (meloxicam, celecoxib, etoricoxib and others).

Among contraindications to the use of NSAIDs, erosive and ulcerative diseases of the gastrointestinal tract, active bleeding and a tendency to them, the “aspirin triad” – attacks of bronchial asthma, polypous rhinosinusitis and hypersensitivity reactions when taking aspirin and other NSAIDs often appear.

Helps relieve the symptoms of gout.

Does not act on the underlying cause of the disease.

Colchicine preparations

Treatment with colchicine usually begins after an attack of gout 1.2 . This is a herbal preparation based on the autumn colchicum seed extract, which has the ability to “slow down” the accumulation of leukocytes in the focus of inflammation and slow down the formation of uric acid crystals. After oral administration, the drug has an anti-inflammatory and analgesic effect, so it can be used to stop gout attacks.

Contraindications : renal and hepatic insufficiency, hypersensitivity, marked depression of cerebral hematopoiesis, pregnancy and lactation.

Herbal composition of the product, anti-inflammatory and analgesic effect.

May not be suitable for everyone.

Glucocorticosteroid hormones

GCS are synthetic hormonal preparations with anti-inflammatory, anti-allergic and immunosuppressive effects. They are indicated for use in a wide range of diseases, including acute and chronic inflammatory joint pathologies: psoriatic and gouty arthritis, humeroscapular periarthritis, osteoarthritis, bursitis. They can be in the form of tablets and injections: intramuscular, intravenous and intraarticular 1 .

Corticosteroid therapy is more commonly used in patients with monoarthritis who cannot be treated with colchicine and NSAIDs 1 .

Among contraindications to the use of corticosteroids may be hypersensitivity, lactation period, systemic mycosis and others.

Treat the symptoms of gout if the previous groups of remedies are not suitable.

The cause of the disease is not affected.

Monoclonal antibodies to interleukin-1

Representatives of this group are preparations based on canakinumab. They may be used to relieve attacks of acute arthritis in patients for whom other drugs are contraindicated or if they have not been effective 1 .

This agent reduces the severity of inflammatory reactions associated with excessive production of interleukin-1 (a protein involved in the inflammatory response). In an attack of gouty arthritis, the drug helps relieve pain, swelling and inflammation 3 .

Contraindications : acute infectious diseases, hypersensitivity, pregnancy, breastfeeding, children under 4 years of age.

Also helps in relieving the symptoms of the disease, if other remedies are contraindicated.

The level of uric acid is not affected, so they are only part of complex therapy.

Medicines to lower uric acid levels in the body

These medicines are indicated for those who have a persistent increase in blood uric acid levels in combination with chronic arthritis, tophi and gout attacks with a frequency of 2 times a year or more. The drug of choice is allopurinol, which helps to reduce the content of uric acid in the blood and urine and its accumulation in organs and tissues 1.4 .

Contraindications : hypersensitivity, acute attack of gout, pregnancy, lactation, severe disorders of the liver and kidneys 5 .

Febuxostat is another drug that can be used in patients with mild to moderate renal impairment 1 .

Contraindications : pregnancy and lactation, hypersensitivity, severe renal and hepatic insufficiency, age up to 18 years 6 .

Helps regulate uric acid levels in the body.

May be indicated for persistent elevations of uric acid, often contraindicated in acute attacks.

How to choose drugs for gout

The choice of a drug for gout depends directly on the stage of the disease and requires a mandatory consultation with a doctor. Some drugs are incompatible with diuretics, others are contraindicated in an acute attack of the disease. Self-administration of the drug can cause increased pain and worsening of the condition. Do not self-medicate, entrust the choice of the drug to the doctor.

Currently, gout is often combined with pathology of the kidneys and the cardiovascular system, obesity. It also requires an integrated approach to the treatment of the disease.

Popular questions and answers

The most common questions about the treatment of gout are answered by general practitioner Mikhail Lystsov.

How to quickly get rid of gout pain?

– If you experience gout pain, seek medical attention immediately. In this case, you can take a non-steroidal anti-inflammatory drug or a drug previously prescribed by a doctor. But self-administration of antigout drugs is unacceptable.

Which foods are good for removing uric acid?

– Uric acid levels are reduced by foods low in protein and purines. These include dairy products, lean meat (especially chicken), vegetable oils, fruits and vegetables. It is recommended to drink more liquid to stimulate the kidneys.

Which doctor should I contact for gout?

– If you are experiencing symptoms of gout for the first time, you should consult a general practitioner. He will conduct an inspection and the necessary research. When the diagnosis is confirmed, the rheumatologist will deal with the treatment.

Sources:

  1. Gout. Clinical guidelines, 2018. https://ma.cfuv.ru/docs/251196/%D0%9A%D0%A0%20%D0%9F%D0%BE%D0%B4%D0%B0%D0%B3%D1%80%D0 %B0.pdf
  2. Russian Medical Journal of April 29, 2021. New guidelines from the American College of Rheumatology for the management of gout (2020). Comments on some positions. Gromova M.A., Tsurko V.V.0014
  3. https://grls.rosminzdrav.ru/Grls_View_v2.aspx?routingGuid=6ceeb413-7b4d-4731-b2ad-bd24b0133793
  4. Gout. New in clinical guidelines. Julia Prozherina, Irina Shirokova.
    https://cyberleninka.ru/article/n/podagra-novoe-v-klinicheskih-rekomendatsiyah/viewer.
  5. https://grls.rosminzdrav.ru/Grls_View_v2.aspx?routingGuid=61ed3cf0-a173-4240-b9d8-8aa083bc59af
  6. https://grls.rosminzdrav.ru/Grls_View_v2.aspx?routingGuid=4fd91799-a529-43c5-a56b-cb94b56215ae

Faces of gout: buy medicines for the treatment of gout

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Painkillers for gout

When choosing drugs for gout, doctors always take into account their complex and comprehensive action. Such medicines must meet a number of requirements. They should, in the shortest possible time, alleviate the condition of patients and stop the pain syndrome, prevent the development of new attacks and prevent complications. The selection of drugs should be carried out exclusively by a doctor based on the results of differential diagnosis and the identification of etiological factors of the disease.

In the treatment of gout are used as part of complex therapy. So, in the case of a short therapeutic course, they are prescribed to eliminate pain and inflammation during attacks. Then non-steroidal drugs are usually prescribed. Sometimes intramuscular corticosteroids may be prescribed – such therapy is strictly individual and is developed only when indicated. As for long courses, they involve the appointment of larger-scale drugs, the action of which is aimed at reducing the amount of uric acid with its further excretion. They can also be prescribed prophylactically to prevent attacks of the disease.

Today medicines for gout are available in the form of injection ampoules, capsules and tablets, tinctures and various decoctions.

Pharmacodynamics of drugs in the treatment of gout

The key pharmacological action is to reduce the content of uric acid in the body with further elimination of inflammatory reactions. If the attacks are caused by infectious processes, antibiotics must be used for therapy. They not only stop inflammation, but also relieve pain and transfer the disease to a subacute stage.

Other drugs may complement the main treatment. Their action is aimed at solving the following clinical problems:

  • final elimination of pain syndrome;
  • removal of puffiness and redness;
  • temperature normalization;
  • elimination of toxins;
  • elimination of inflammatory plaques.

To ensure the maximum effectiveness of the agents in question, the maximum return of active substances to the tissue is important. Injectable forms have the greatest effect: when it enters the bloodstream, the drug is quickly distributed to the affected tissues and organs. In the case of external use (tinctures, compresses, ointments), the action of the funds is limited only to the place of application, therefore, in case of gout, it is recommended to rub all joints, and not just those in which pain is localized.

Medicines for gout have a number of contraindications. These are, first of all:

  • risks of allergic reactions to the drug components;
  • pregnancy and lactation;
  • glucose-galactose malabsorption.

As for side effects, they are manifested by fever, convulsions, alopecia, headaches, dyspepsia, insomnia and other disorders.

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  1. Haupt Pharma Livron (France)

  2. Heel (Nichchina)

  3. Menarini-Von Heyden (Nimechchina)

  4. Pharmaselect (Austria)

  5. Salutas Pharma (Nimechchina)

  6. Scan Biotek (India)

  7. Xantis Pharma Limited (Cyprus)

  8. kraina, Kiev)

  9. Monfarm (Ukraina, Monastyrishche)

  10. Not found

  11. Suppositories

  12. Tablets

Prescription

Brand

  1. Bol -Ran

  2. Colchicine

  3. Podafeb

Designated

  1. For loam, brush and mud

Pack quantity

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  2. 10 900 05
  3. 20

  4. 28

  5. 60

  6. 100

  7. Not found0014

  8. Alopurinol

  9. Colchicine

  10. Paracetamol

  11. Podafeb

  12. 9022 0

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    What are the best products in the category Faces for gout?

    The most popular products of the category Lips for gout?

    What is the price for Gout faces?

    Variety of all products in the category Faces of gout vary from 71.