Doctor insights on:
Benemid Gout Agent
Depends: It is not used in all cases of gout. When one has gout a 24 hr urine can be done to determine if one is an overproducer or underexcretor of Uric acid. If an underexcretor than probenecid could be given. It is usualy not given for an overproducer of Uric acid. Some will even given allopurinol to an underexcretor as they feel it is safer than the probenecid. There are other meds now like Uloric. ...Read more
Acute Gout: Sodium bicarbonate, (sodium bicarbonate) once it enters the stomach, turns into water and a carbon dioxide gas. The pH of blood is unaffected. Therefore, it has no realistic role as a treatment for gout! There are many effective strategies for acute gouty arthritis. See your rheumatologist. ...Read more
Yes, rarely: There are two different 'kidney' concerns with allopurinol. There are some people who have an allergic reaction to this medication at the kidney level but not necessarily any other symptoms... This is called interstitial nephritis. It is also a medication that is cleaned out of the body by the kidneys and therefore as the kidney function becomes less, the dosing needs to be decreased. ...Read moreSee 1 more doctor answer
Two options: Colchicine may control the acute attacks while other medicines are started to lower uric acid levels which will ultimately prevent gout. One choice would be uloric which is a daily pill. If that fails, Krystexxa (pegloticase) is an an option. Krystexxa (pegloticase) is more powerful than other drugs but is given by intravenous infusion every two weeks. ...Read moreSee 2 more doctor answers
Yes......: However there are other medicines that may be better. Treatment of an acute gouty flare is different that that for prevention of these. See your primary care doctor to see what medicine or combinations of medicine is best for you. ...Read more
Which anti-inflammatory is more effective for hallux pain - voltaren, exxiv (etoricoxib), ipobrufen, arthrotec, (diclofenac and misoprostol) other? Uric acid is normal, no swell.
It may be...: Again, this is a question for the treating specialist, most likely a rheumatologist. When treating a disorder like ra, there are a variety of medications that have been effective; as with everything else in medicine, no one size fits all, and the right drug or combo for each must be assessed over time by a specialist. ...Read moreSee 1 more doctor answer
Why're non-steroidal anti-inflammatory drugs such as meloxicam considered contraindicated in renal disease?
Second line.: While Enbrel (etanercept) can be used alone, it works better in tandem with methotrexate. It is given by subcutaneous injection once per week, the dose being dependent on body size. It is also indicated for psoriatic arthritis and spondylitis. Most insurers want the patient to have been on lesser drugs. These would include incomplete response to mtx, sfz, and ho-q. It binds to tnf-alpha, which caues inflamm. ...Read moreSee 1 more doctor answer