How to Treat Gout in Elderly Patients
Jul 25, 2019
Source: Cainiu Health
Dr. Wang Hui
Introduction
How should gout be treated? Gout is divided into two phases: the acute flare-up phase and the chronic remission phase. During the acute phase, treatment primarily focuses on antipyretic and analgesic therapy. In the chronic remission phase, the treatment strategy is determined based on serum uric acid levels: pharmacological therapy is recommended when uric acid exceeds 480 µmol/L, whereas lifestyle and dietary modifications are the mainstay of management when uric acid levels are below 480 µmol/L.
How should gout be treated? It is divided into two phases: the acute attack phase and the chronic remission phase.
During the acute attack phase, treatment primarily focuses on antipyretic and analgesic therapy. Clinically, colchicine is commonly used, along with other antipyretic and analgesic medications.
In the chronic remission phase, treatment decisions are based on serum uric acid levels.
If serum uric acid exceeds 480 µmol/L (8 mg/dL), pharmacological therapy is indicated. Commonly prescribed medications include allopurinol or benzbromarone.
If serum uric acid remains below 480 µmol/L, management relies on dietary intervention. This involves adopting a low-purine diet—avoiding foods high in purines, such as legumes and organ meats (e.g., liver, kidney), which are strongly discouraged for gout patients. Additionally, patients should maintain adequate hydration, consuming approximately 2,000 mL of water per day.
