Our expert says:
Gout is actually more complicated to treat than most people think. There are various things you have to do: reduce inflammation ( with something like Dicloflam/Voltaren/Brufen), reduce the uric acid levels in the blood long term (with something like Puricos) and lowering the lactic acidity of the joint with something like Colchisine. Sometimes, when you start taking Puricos, it actually triggers an acute attack and then gradually gets better.
Puricos is best taken with enough fluids once or in divided dosages and you have to drink at least 2 litres of water a day. It does not help for the pain of gout but prevents gout attacks in future.
For acute gout the initial dose of Colchisine is 0,5 to 1 mg (1 to 2 tablets) by mouth, followed by 0,5 mg (1 tablet) every 2 hours until relief is obtained or gastro-intestinal symptoms ( diarrhoea) occur - maximum dosage is 10 mg in 3 days. You can also use 0.5 mg daily to prevent attacks. Colchisine helps for the acute
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