Hello, the treatment of gout mainly includes drugs to control acute episodes (non-steroidal anti-inflammatory drugs, colchicine, glucocorticoids) and hypouric acid drugs. The hypouric acid drugs are divided into drugs to inhibit the synthesis of uric acid (allopurinol, febupropathione) and drugs to promote the excretion of uric acid (probenecid, phenylbromarone). When the urine pH is below 6.0, the urine should be alkalized. Urine pH 6.2-6.9 is beneficial to dissolution of uric acid crystals and excretion from urine. Urine pH > 7.0 is easy to form calcium oxalate and other calculi. Urine pH should be measured during alkalization of urine. If patients who have not used hypouric acid drugs before, general treatment can be carried out in the acute phase, such as bed rest, elevation of affected limbs, local cold compress, large amount of drinking water, colchicine or non-steroidal anti-inflammatory drugs (indomethacin or ibuprofen, etc.). After 2 weeks of pain control, hyaluronic acid was administered. However, if gout recurs after the use of hypouric acid drugs, it is generally not necessary to discontinue the use of hypouric acid drugs in the acute phase.
Each drug has its corresponding indications and contraindications, and the choice of specific drugs needs to be judged by specialists according to the actual situation. If a drug treatment fails to meet the blood uric acid control standard, then combined drug treatment may be considered. Pay attention to the possible side effects during use.
In addition, no studies have shown that cold compress can treat gout.