Changes To Codeine Availability
From 1 February 2018 codeine is no longer available without prescription. Previously sold in combination with other medicines like paracetamol, ibuprofen or aspirin for pain and cough relief, codeine in these combinations has little benefit. Codeine has been made prescription-only to protect the broader public from the risks of codeine misuse.
What Foods Are High In Purines And Why Should I Avoid Them
In your body, uric acid is made from the breakdown of chemicals called purines, which come from the foods we eat. Some foods have more purines than others. It’s important to eat a balanced diet and include a variety of healthy foods in your diet, but to avoid eating too many foods that are high in purines. Eating these foods can trigger an attack of gout.
Examples of foods that have high purine content are:
- seafood, such as mussels and other shellfish, crab, fish roe, whitebait and trout
- game such as venison and rabbit
- offal such as liver, kidneys, heart and sweetbreads
- meat and yeast extracts such as Marmite, Bovril and commercial gravy.
A number of vegetables such as such as asparagus, mushrooms, cauliflower and spinach are also rich in purines, but these appear less likely to trigger gout than shellfish and game meats.Most people taking medicines to reduce uric acid levels find they can still eat purine-rich foods without attacks of gout by being careful with how much they eat.
Who Can And Can’t Take Colchicine
Colchicine can be taken by most adults aged 18 and over.
It can sometimes be prescribed for children by a specialist doctor.
Colchicine is not suitable for some people. To make sure it’s safe for you, tell your doctor if you:
- have ever had an allergic reaction to colchicine or any other medicines
- have a severe blood disorder
- have severe kidney or liver problems
- have problems with your heart or digestive system
- are pregnant, think you might be pregnant or are trying for a baby
Women who could become pregnant will usually only be prescribed colchicine if they are using suitable contraception.
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How To Use Compression Stockings
Given they are meant to compress a limb, compression stockings are somewhat difficult to put on. The area between your heel and ankle is much larger than the circumference of your ankle, making it challenging to slip the stockings over your foot. There are a few tricks to making the process easier.
- Use rubber gloves to grab the stockings and pull them up.
- Rub lotion into your leg before putting on the stockings.
- Don’t put the stockings on right after a shower.
- Use both hands to gently pull the stockings into place.
How Do Otc Antidiarrheal Medicines Work
Loperamide slows down how fast things move through your intestines . This allows more fluid to be absorbed into your body. This helps you have less diarrhea and more formed stools.
Bismuth subsalicylate balances the way fluid moves through your intestines. It reduces inflammation. It keeps bacteria and viruses that cause diarrhea from growing in the stomach and intestines.
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What Are Some Typical Ingredients In Otc Diuretics
What is surprising is that there are a number of foods that already have a diuretic effect. And extracts of these foods are actually used in many of the MSN Top Ten OTC diuretics. You may be familiar with the diuretic effect of coffee or tea, but some others will almost certainly come as a surprise:
Sweet Relief Is On Its Way
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Arthritis is a debilitating and persistent condition. In 2012, an estimated 52.5 million people in the U.S. had arthritis or one of the rheumatic diseases. That number is expected to increase to nearly 80 million people by 2040. But there are plenty of over-the-counter treatment options including creams, lotions, gels, and oils with anti-inflammatory, anesthetic, and additional properties to relieve pain.
Topical medications for pain relief come in multiple formscreams, gels, patches, etc., says Dena Barsoum, MD, a physiatrist at HSS. Consider what body part you are applying it to and what form might work best for you. Its always important to look closely at the active ingredients in any medication you use. Over-the-counter medications sometimes have very flashy packaging and make grand claims about what they can do.”
However, there isnt a one-size-fits-all solution. Product formulas include distinct active ingredients so each individual should test what works best for their arthritis symptoms and lifestyle.
Here are a few of the best arthritis creams on the market.
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Am I At Risk Of Having Gout
Youre more likely to have a gout attack if you:
- are male
- have a family history of gout
- have elevated levels of uric acid in the blood
- drink too much alcohol
- eat a diet high in purines such as meat, sweetbreads, offal, shellfish, and fructose
- are overweight or obese
- use diuretics
- have type 2 diabetes, high blood pressure or high cholesterol these conditions can mean that your kidneys are less able to flush out the urates
- have kidney disease
Why Do I Get Gout
You might think that gout is caused by drinking too much beer and fizzy drinks and eating too much meat and shellfish. In fact, gout is caused by having too much of a chemical called uric acid in your blood.
Your body makes uric acid when you eat food. It is normal and healthy to have some uric acid in your body. Most people get rid of uric acid through their urine.
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Are There Any Side Effects
Most people do not experience side effects from allopurinol. Tell your doctor if you are concerned about any possible side effects.
If you do experience side effects, a reduction in dose may minimise these so that you can continue to take the medicine. Your doctor will advise on any dose changes that are necessary.
Most common possible side effects
- The most common side effects are nausea or vomiting. These can be reduced if you eat little and often. If you are sick, drink plenty of liquid.
Less common or rare possible side effects
There are some rare but potentially serious side effects with allopurinol.
- Skin problems: Allopurinol can cause a rash or flaking skin. Very rarely, severe skin rash and mouth ulceration can occur. If any of these occur contact your doctor straight away.
- Tiredness: Drowsiness can occur. If it makes you feel sleepy, avoid driving or operating machinery.
- Liver: Allopurinol can inflame the liver. Blood tests can pick this up if it occurs. The dose of allopurinol may need to be reduced or it may need to be stopped if problems occur. Contact your doctor immediately if you notice yellowing of the skin and/or whites of the eyes.
- Other: Headache, dizziness, taste disturbances, high blood pressure, feeling generally unwell, and hair loss can occur.
Long term side effects
Allopurinol can be taken for long periods to manage gout. There seems to be no long-term side effects.
How Can I Self
The methods of managing an acute attack of gout differ from the ongoing methods for managing gout. If youve been diagnosed with gout, youll benefit in the long term from making healthy changes to your lifestyle, such as:
- maintaining a healthy body weight. If you do need to lose weight, make sure your weight loss is gradual as crash diets can increase uric acid levels
- drinking alcohol in moderation and avoiding binge drinking
- drinking plenty of water, and staying hydrated
- avoiding, or eating in moderation, foods that are high in purines. Talk with a dietitian for tips and advice
- exercising regularly aim to complete at least 30 minutes of physical activity most days of the week
- working closely with your GP to prevent further attacks and actively manage your condition.
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Natural Medications For Gout
Natural gout treatments such as Urcinol, Goutwell, Uricinex, Goutrex, Gout Care, Puricil and burdock do not require a prescription and are generally considered safe with no or minimal side effects.
Urcinol, a natural herbal based supplement helps to reduce pain and reduces uric acid levels.
Goutwell is an herbal supplement that optimizes uric acid metabolism, reduces pain and inflammation and improves blood circulation.
Uricinex addresses redness and swelling of the effected joint while balancing uric acid levels.
Goutrex is an all natural supplement used in treating high uric acid levels, while reducing pain and swelling.
Gout Care is a natural herb blend that controls over production of uric acid so as to ward off future attacks of gout.
Puricil is a botanical blend of all natural ingredients that work to relieve stiffness, inflammation, swelling and intense pain associated with gout, while keeping future attacks at a minimum. Puricil stimulates digestion, breaks down foods and also eliminates uric acid and other potent toxins.
Burdock root powder helps to remove toxins through sweat glands. It is used for arthritic conditions to reduce joint swelling.
Treatment Of A Gout Attack
Australian guidelines recommend treatment with non-steroidal anti-inflammatory drugs for an attack of gout. These work to reduce inflammation and pain. Examples include indomethacin , naproxen sodium and etoricoxib .
If NSAIDs cant be tolerated or the person has a history of ulcers then they may try:
- Colchicine .
- Corticosteroids given by mouth or injected into the joint.
Resting the joint and applying ice packs may also help with pain and inflammation. When the affected joint is a big toe, a box or cage to keep the bedclothes off the toe may be helpful.
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Primor Sulfadimethoxine & Ormetoprim In : 1 Ratio
This antibiotic is available by vet prescription only. It is an oral, sulfa-based antibiotic that comes in tablet form. It is used to treat gut-related infections such as Coccidiosis. Tablets are scored by weight, so it is easy to get the correct dosage, which is twice the appropriate weight dosage on day one, and then by weight for the next nine days.
How Are Gout Attacks Treated
See your doctor as soon as you have an attack. With effective treatment the attack may be controlled within 1224 hours and treatment need not be continued after a few days. There are also things you can do to help relieve the pain:
- rest until your symptoms improve
- raise the inflamed joint and put an ice pack on it
- do not exercise during an acute attack
- take pain relief medicines, for example non-steroidal anti-inflammatory drugs such as naproxen or diclofenac can be very effective in reducing pain and inflammation. If you are unable to take NSAIDs, medication such as colchicine or prednisone can help reduce the pain of gout.
- to get the best results, take your NSAIDs as soon as possible at the first sign of an attack, and continue until the pain and swelling goes down.
Read more about medicines for gout
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Best Pain Medication For Goats
In most cases, goats that are experiencing pain can be treated with non-steroidal anti-inflammatory drugs , and you can often use the same over the counter medications you would use for your own pain relief.
For instance, many goat farmers swear by regular Aspirin, and it is often the first thing a veterinarian will recommend as well. An interesting thing about Aspirin and other low dosage medications, because goats metabolize medications quickly, you can dose them more frequently than the manufacturers recommended dosage.
Another option is to use a time-release formula. In addition to Aspirin and other NSAIDS, check out the following medications you can use to treat pain in your goats.
What The Experts Say
It is advised to look at the ingredients list of a cream to see if it is formulated with topical anesthetics which can help numb the affected area and lessen pain. If you are someone with extremely sensitive skin, it may be beneficial to look for an arthritis cream that caters to sensitive skin and is less irritative. The side effects list can show you what symptoms you may be subjected to after using the cream. If you already suffer from any of those conditions, it is advised to consult your doctor prior to use. Niket Sonpal, M.D., an internist practicing in New York City
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Important Information About Gout Medication
If you are taking medication to lower uric acid, you need to take it every day, whether you are having an attack or not.
Treatment is important to reduce gout attacks and avoid permanent joint damage. However, as all medicines have side effects, discuss medication choices with your doctor by asking:
- what are the benefits of gout medication?
- what are the risks of this medication?
- what are the side effects?
Always let your doctor or pharmacist know what medicines you are taking to avoid interactions. It is also a good idea to discuss if you want to stop or change the dose of your medications.
What Happens If Gout Is Left Untreated
If gout is not treated, it can cause permanent damage to your joints and harm your kidneys. Attacks will happen again and more joints will be affected. Lumps can grow on your elbows, hands and feet. The lumps can become sore and swollen and they may cause skin ulcers. The natural padding between the bones will start to wear away and the joints will become sore and stiff. Kidney stones can form and cause pain and damage to your kidneys.
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Acute Gout Flares: What Else You Can Do
While your prescription gout medication should quickly treat your joint pain, swelling and redness, there are things you can do on your own in addition to taking your medicine:
Ice it. Treat your swollen joint with topical ice for a short period of time if you need a little extra relief. Ice can ease pain and swelling. Wrap ice or an ice pack in a soft towel or cloth before placing it on your skin. Dont place ice directly onto your joint, even if its inside a plastic bag.
Elevate it. If your big toe or foot is affected, prop it up on pillows while you rest on the sofa. Keep your joint elevated above the level of your heart for the best effect.
Give it a rest. Its OK to take it easy for a day or two while your symptoms are at their worst. Rest if you can. Try not to use your affected joint until your medications can reduce the inflammation. Gout flares often get worse if you try to ignore them and stress your affected joint.
Other Medicines That Might Interact With Nsaids
See cards on aspirin, ibuprofen and diclofenac for further interactions.
- Other NSAIDs the risk of bleeding is increased.
- Medicines for cardiovascular disease the risk of kidney damage is increased. This includes medicines for high blood pressure like beta blockers, ACE inhibitors and sartans.
- Blood-thinning medicines like warfarin the risk of bleeding is increased.
- Alendronate the risk of stomach ulcers is increased.
- Methotrexate .
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Prostate Medication And Surgery
Because of the relationship between the prostate and the bladder, some men are prescribed medication to relax the muscle within the prostate gland or reduce the size of the prostate. This may improve their lower urinary tract symptoms but is less effective in improving nocturia.
In some cases, transurethral resection of the prostate is recommended to improve the symptoms of benign prostatic enlargement when it affects bladder function . The surgery unblocks the bladder outlet by cutting away parts of the prostate. However, unless you have urinary symptoms during the day was well, TURP is unlikely to improve nocturia.
When To Get Help For A Gout Flare
It’s always a good idea to let your doctor know that you are having a flare. Sometimes, you may need to follow up to make sure your treatment plan is working or if your symptoms don’t improve. Call your doctor if:
This is your first flare-up. There are several other conditions, such as a joint infection, that have some of the same symptoms as gout attacks.
You have a highfever and chills. Gout attack symptoms may include a mild fever, but a higher temperature may be a sign of an infection.
Your symptoms don’t get any better after 48 hours or don’t end after about a week. If you don’t start to feel somewhat better after a few days, call your doctor. They may suggest a different treatment. Most gout attacks will go away by themselves in several weeks, even without treatment.
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Know Your Uric Acid Level And Aim For It To Be Less Than 036 Mmol/l
- If you have two or more attacks of gout per year, medication to lower the uric acid level in the blood is recommended along with regular blood testing.
- The goal of treatment is to reduce the blood uric acid level below 0.36 mmol/L.
- If this low level is maintained, the gout crystals gradually dissolve, and gout attacks will be prevented.
- If you are prescribed medications to reduce the uric acid, take these every day, even when you are feeling well.
- The most common medication for this is allopurinol which stops uric acid forming.
- This medicine must be taken long term, often for years, to lower your uric acid into the normal range, and keep it there.
- Once this occurs, further attacks of gout will be prevented, as long as the medicine is continued.