Prophylaxis of Acute Arthritis at Initiation of Urate-Lowering Therapy in Gout Patients

Eliseev Ms, M. Chikina, Nasonov El
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引用次数: 2

Abstract

During the first months after the initiation of urate-lowering therapy in gout patients, the risk of exacerbation of arthritis considerably rises, which often results in discontinuation of the prescribed therapy by patients. The main way to avoid this risk is preventive prescription of colchicine, NSAIDs or glucocorticoids. Such prophylaxis of acute arthritis has been specified in a large number of the latest editions of various national and international guidelines; however, this tactics is rarely used in practice. The chapter includes the most significant studies on this problem.
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痛风患者开始降尿酸治疗时急性关节炎的预防
在痛风患者开始降尿酸治疗后的头几个月,关节炎恶化的风险显著增加,这通常导致患者停止处方治疗。避免这种风险的主要方法是预防性处方秋水仙碱,非甾体抗炎药或糖皮质激素。这种预防急性关节炎的方法在许多最新版本的国家和国际指南中都有详细说明;然而,这种策略在实践中很少使用。本章包含了对这一问题最重要的研究。
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The Gout Introductory Chapter: Gout Pharmacology of the Therapeutic Approaches of Gout Personalized Medicine of Urate-Lowering Therapy for Gout Prophylaxis of Acute Arthritis at Initiation of Urate-Lowering Therapy in Gout Patients
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