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Suggest Treatment For Gout In Big Toe

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Posted on Wed, 4 Feb 2015
Question: I have sn outbreak of gout in the big toe. What is the cure
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Answered by Dr. Panagiotis Zografakis (24 minutes later)
Brief Answer:
colchicine, NSAIDS, corticosteroids

Detailed Answer:
Hello,

Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) are the mainstay of treatment. Patients with peptic ulcer disease or chronic kidney disease are excluded. Other relative contraindications include an uncontrolled blood pressure, liver disease, hypersensitivity to NSAIDs etc

Colchicine can be used alternatively but it has a very narrow therapeutic range which means that it is easy to experience side effects.

Corticosteroids can also be used either intraarticularly or by mouth (prednisone). ACTH can be given alternatively to corticosteroids.

In any case, septic arthritis has to be excluded because it is a very serious situation that may present like gout.

I hope I've helped!
Your doctor is the most suitable person to guide your treatment, taking into account your medical history and data from the clinical examination.

Kind Regards!
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Above answer was peer-reviewed by : Dr. Raju A.T
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Answered by
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Dr. Panagiotis Zografakis

Internal Medicine Specialist

Practicing since :1999

Answered : 3818 Questions

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Suggest Treatment For Gout In Big Toe

Brief Answer: colchicine, NSAIDS, corticosteroids Detailed Answer: Hello, Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) are the mainstay of treatment. Patients with peptic ulcer disease or chronic kidney disease are excluded. Other relative contraindications include an uncontrolled blood pressure, liver disease, hypersensitivity to NSAIDs etc Colchicine can be used alternatively but it has a very narrow therapeutic range which means that it is easy to experience side effects. Corticosteroids can also be used either intraarticularly or by mouth (prednisone). ACTH can be given alternatively to corticosteroids. In any case, septic arthritis has to be excluded because it is a very serious situation that may present like gout. I hope I've helped! Your doctor is the most suitable person to guide your treatment, taking into account your medical history and data from the clinical examination. Kind Regards!