after the first gout flare- intercritical gout..what happens
no symptoms
drugs causing GOUT
cyclosporines, loop diuretics, thiazides, saliculates
first line, acutre gout attacke
NSAIDS, colchicine, corticosteroids
SE of colchicine
bone marrow suppression NVD, GI se,(avoid in renal and hepatic impairment)
what are the urate lowering therapies
allopurinol, febuxostat
given along with ULT
colchicine, NSAIDS, corticosteroids for the first 3-6 montnths (concomittant anti-inflamm prophylaxis therapy)
SE of allopurinol
AHS, risk factor of HLA-B*5801, renal impair, thiazide
SE febuxostat
CVD-related deaths, but okay for renail impaired
drug that cause hyperuricemia
LEVODOPA
colchicine, cyp metabolism
colchicine cyp3a4 substrate