Medication Dosing For Gout
_________________________
A - Acute Gouty Attack Treatment
>>>>>>>>>>>>>>>>>>>>>>>>>>>>
1- Colchicine ( Colcrys )
- 1.2mg then 0.6mg 1 hour later then 0.5 mg once or twice daily until attack resolves
2- NSAIDs
- Naproxen : 750mg intially followed by 250mg every 8 hours
- Indomethacin : 50mg three times daily until Pain Tolerable then reduce dose until attack resolves .
- Sulindac : 200mg Twice Daiy
- Celecoxib ( Celebrex ) : 800mg once Daily followed by 400mg
once daily then 400 mg twice daily for 1 week
*Only used in certain Patients when NSAIDs are Contraindicated or Not Tolerated
4- Corticosteroids
- Prednisone 0.5 mg /kg per day for 5-10days Or
- Methylprednisolone dose pack..Option for One or Two Large Joints : Intra-Articular Corticosteroids
...........*..................*...............*..........*
B- Urate -Lowering Therapy :
>>>>>>>>>>>>>>>>>>>>>>>
1- Allopurinol ( Zyloprim )
-Starting dose :100mg Daily (50mg daily in stage 4 CKD )
-Gradually Titrate dose every 2-5 Weeks to Appropriate Maximum Dose (800mg Daily with normal renal Function ) or until Goal urate level reduced .
- Maintance Dose : can be higher than 300mg daily
2- Febuxostat (Uloric )
- Starting Dose : 40mg Once Daily
- May Increase Dose to 80mg Once Daily
- More Expensive Than Allopurinol and no Generic is Available
1 Comments
Here is a great herbal doctor who cured me of Hepatitis B. his name is Dr. Imoloa. I suffered Hepatitis B for 11 years, I was very weak with pains all over my body my stomach was swollen and I could hardly eat. And one day my brother came with a herbal medicine from doctor Imoloa and asked me to drink and I drank hence there was no hope, and behold after 2 week of taking the medicine, I started feeling relief, my swollen stomach started shrinking down and the pains was gone. I became normal after the completion of the medication, I went to the hospital and I was tested negative which means I’m cured. He can also cure the following diseases with his herbal medicine...lupus, hay fever, measles, dry cough, diabetics hepatitis A.B.C, mouth ulcer, mouth cancer, bile salt disease, fol ate deficinecy, diarrhoea, liver/kidney inflammatory, eye cancer, skin cancer disease, malaria, chronic kidney disease, high blood pressure, food poisoning, parkinson disease, bowel cancer, bone cancer, brain tumours, asthma, arthritis, epilepsy, cystic fibrosis, lyme disease, muscle aches, cholera, fatigue, muscle aches, shortness of breath, alzhemer's disease, acute myeloid leukaemia, acute pancreatitis, chronic inflammatory joint disease, Addison's disease back acne, breast cancer, allergic bronchitis, Celia disease, bulimia, congenital heart disease, cirrhosis, constipation, fungal nail infection, fabromyalgia, (love spell) and many more. he is a great herbalist man. Contact him on email; drimolaherbalmademedicine@gmail.com. You can also reach him on whatssap- +2347081986098.
ReplyDelete