How best to manage gout
Optimal gout management encompasses
nonpharmacologic therapy, symptom management
of acute attacks, and combination
anti-inflammatory and ULT prophylaxis for
patients with chronic gout.12,13 It is important
to work with patients to track and document
both the number and the severity of acute
attacks occurring over a 12-month period
so that those who qualify for ULT can begin
it without delay.12 It is important to discuss
treatment objectives and management of comorbidities,
as well.
Review the medications the patient is
taking, and consider eliminating prescription
drugs associated with hyperuricemia if the
risks outweigh the benefits.19-21 In many cases,
however, lifestyle modification—ie, eating
a heart-healthy diet, exercising regularly, and
losing weight—may do more to prevent gout
attacks and manage complications than stopping
medications that provide cardioprotection.6
The ACR divides food and beverages
How best to manage goutOptimal gout management encompassesnonpharmacologic therapy, symptom managementof acute attacks, and combinationanti-inflammatory and ULT prophylaxis forpatients with chronic gout.12,13 It is importantto work with patients to track and documentboth the number and the severity of acuteattacks occurring over a 12-month periodso that those who qualify for ULT can beginit without delay.12 It is important to discusstreatment objectives and management of comorbidities,as well.Review the medications the patient istaking, and consider eliminating prescriptiondrugs associated with hyperuricemia if therisks outweigh the benefits.19-21 In many cases,however, lifestyle modification—ie, eatinga heart-healthy diet, exercising regularly, andlosing weight—may do more to prevent goutattacks and manage complications than stoppingmedications that provide cardioprotection.6 The ACR divides food and beverages
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