1, colchicine: it is mainly used to treat the acute attack of gouty arthritis, and can also prevent the acute attack of recurrent gouty arthritis. Generally, it is used within 48 hours after the onset of the disease, with good effect and less adverse drug reactions, and can be used under the guidance of a doctor;
2. Non-steroidal anti-inflammatory drugs: commonly used drugs such as diclofenac sodium sustained-release tablets and etoricoxib tablets can effectively alleviate the symptoms of acute gouty arthritis, such as joint swelling and heat pain. However, such drugs have adverse reactions, such as gastrointestinal ulcers and bleeding, and we need to be alert to the adverse reactions of the cardiovascular system. If there are patients with active peptic ulcer, it should be forbidden to take such drugs, and those with renal insufficiency should be used with caution, and the specific medication should be in accordance with the doctor's advice;
3. Glucocorticoid: If the above drugs are ineffective, or there are clear drug contraindications and renal insufficiency, you can take glucocorticoid orally for a short time under the guidance of a doctor, or you can inject drugs into the joint cavity, and the treatment effect is good. Common drugs include dexamethasone acetate tablets and dexamethasone sodium phosphate injection.
There is no need to treat uric acid during acute attack, but if patients have already taken uric acid-lowering drugs, they don't need to stop taking them, so as not to make blood uric acid fluctuate, which may aggravate the condition or prolong the attack time. They should use drugs in strict accordance with the doctor's advice.