Relieve the pain with NSAIDs
When I got my first gout attack and was diagnosed with the disease, my doctor prescribed me NSAIDs and Coclchicine so I can walk again normally from the pain. That is the only time I used them, because I think I was limping for like 2-3 weeks when I first was diagnosed with gout. My other attacks weren’t as painful and long in duration, only lasting a few days.
So what are NSAIDs (pronounced En-sedz)?
The acronym stands for “Non-steroidal anti-inflammatory drugs” and that are many different types of these drugs. Did you know that we have been using NSAIDs to treat diseases since 1763? They are painkillers that reduce inflammation in the affected area like your toe or knee from your gout attack, working in reducing the levels of pain and are usually recommended as an initial treatment for gout. NSAIDs are also used to relieve arthritis. Steroids may be taken by mouth or by injection into the bloodstream or muscle.
NSAIDs used often to treat gout include the following:
- Diclofenac (brand name Voltarol)
- Indometacin (usually the first choice of physicians)
- Etoricoxib (brand name Arcoxia)
- Ibuprofen (you can buy this in pharmacies under brand name Advil, Motrin)
- Ketoprofen ( brand names Orudis, Oruvail)
- Naproxen ( brand names Naprosyn, Arthoxen)
- Etodolac (brand name Lodine)
- Fenoprofen (brand name Nalfon)
- Tolmetin (brand name Tolectin)
- Nabumetone (brand name Relafen)
- Meloxicam (brand name Mobic)
- Sulindac (brand name Clinoril)
On a side note, Aspirin is a NSAID but not recommended for gout. Studies have shown that aspirin can raise the levels of uric acid in the blood. Corticosteroids can also be used and Prednisone is the most commonly prescribed and is often used in people who are unable to take non-steroidal anti-inflammatory drugs (NSAIDs) or colchicine. Use of NSAIDs usually relieves the symptoms of a gout attack within 48 hours.
Actually, a 2018 study published in The Annals of Emergency Medicine concluded that there is no significant difference between corticosteroids and nonsteroidal anti-inflammatory drugs (NSAIDs) for short-term pain relief, long-term pain relief, time to resolution of pain, or the need for additional analgesics.
New research shows that a steroid pill may be as good as a nonsteroidal anti-inflammatory drug (NSAID) for treating painful gout.
What are the side effects of NSAIDS?
As with any drug, there are side effects that can be experienced by different individuals like nausea, vomiting, diarrhea, constipation, tiredness, headaches and can irritate the lining in your stomach which can cause bleeding in the stomach and/or ulcers especially if you are elederly. People with reduced kidney function or those with conditions such as stomach ulcers or bleeding should avoid using NSAIDs. Make sure to consult your doctor before using NSAIDs to treat gout. When used effectively and in the appropriate doses, NSAID drugs can be very effective against gout attacks. I’d like to hear from your experiences, please don’t forget to add your comments.
Posted by Spiro Koulouris