1) Try to get an accurate diagnosis if possible.
HOWEVER, these suggestions are accurate and helpful with any inflammatory attack and can be followed, regardless of a firm diagnosis. Blood testing can be very misleading. Arthrocentesis, or joint aspiration, is the only secure method of evaluating any crystallized deposits in the joints.
2) Take the right anti-inflammatory medications. Continue reading “What can you do to alleviate Gout symptoms?”
Uloric (Febuxostat) was FDA approved in 2009 as a means to treat Gout, a form of arthritis. The FDA has since concluded that there is an increased risk of heart-related death and death from all causes from Uloric and now requiring a boxed label warning.
The makers of Uloric (Febuxostat) are also recommending that health care professionals reserve prescribing it only to patients that have failed to achieve relief from Allopurinol or those that were unable to tolerate Allopurinol.
The makers of Uloric, Takeda Pharmaceuticals, were forced to include a “precaution” about possible cardiovascular events in patients at the time of release but has since been updated to the most prominent warning, a boxed warning. Sadly, Takeda Pharmaceuticals was able to manufacture and sell Uloric in the US without any complication warning on the drug’s label for years.
A safety trial was conducted to compare the risks posed by both Allopurinol and Uloric. 15 deaths from heart-related causes per 1,000 patients taking Uloric was observed over a year’s time compared to 11 deaths from heart-related causes per 1,000 treated with Allopurinol. Additionally, 26 deaths from any cause, per 1,000 patients, was observed with Uloric use over that year compared to 22 deaths per 1,000 from Allopurinol. This trial, known as the CARE trial, suggested that Uloric was connected to significantly higher risk for fatal cardiovascular events like heart attacks, strokes, and unstable anginas.
The FDA has been fully aware of these potential complications as early as 2009 and even attempted to minimize the heart problems that Uloric could cause by only approving 40mg and 80mg doses as opposed to the 80mg and 120mg doses that Takeda Pharmaceuticals had requested. Sadly, it took until 2018 for the FDA to require the box label warning based on the results of the postmarket trial that was conducted (CARES).
Uloric (Febuxostat) has also been linked to abnormal liver function. People taking Uloric were shown to have three times higher than normal levels of transaminase. While it remains unlcear as to whether Uloric directly heightens those levels, physicians who prescribe Uloric are supposed to conduct a baseline liver test panel prior to starting Uloric and then continue to monitor for any changes.
Uloric (Febuxostat) has also been linked to severe and potentially fatal allergic reactions. Stevens-Johnson syndrome being one of these observations. Approximately one in 10 people who develop this syndrome fall victim and die from the disease.
The deceptive and faulty marketing that has allowed for years of uninformed use regarding the risk of cardiovascular events has led to numerous lawsuits against Takeda Pharmaceuticals.
Learn More Uloric (Febuxostat)
Learn More About Other Prescription Drugs for Gout
A Careful and Healing Gout Diet
Medical News Today: It is safe for people to walk with gout. In fact, doing joint friendly activities such as walking can help improve gout-related pain.
Gout is a form of arthritis that usually affects the big toe joint, but it can also affect the lesser toes, ankles, and knees. It normally affects one joint at a time.
People with gout may find it difficult to carry out physical activity, or they may be worried that physical activity will make their gout worse.
This article will examine whether or not it is safe to walk with gout. It will also cover how to manage, treat, and prevent this condition.
Continue reading “Is it OK to walk with gout?”
Author: Zi-yun Chen,Lu-wen Ye,Li Zhao,Zhao-jia Liang,Ting Yu,Jie Gao
Publication: Medical Hypotheses
Date: April 2020
Elevated blood uric acid (UA) levels have been positively associated with the severity of periodontitis. It thus brings out a hypothesis that hyperuricemia, a pathological elevation of blood UA, might be a risk factor for periodontitis. Namely, periodontitis individuals with Hu might acquire more severe periodontal destruction compared to those without Hu. To support the hypothesis, four aspects of evidences are proposed.
Continue reading “Hyperuricemia as a potential plausible risk factor for periodontitis”
(HealthDay)—Rates of in-hospital cardiac procedures continued to increase in people with gout and rheumatoid arthritis (RA) from 1998 to 2014, although they decreased for the general population, according to a study published online Feb. 25 in Therapeutic Advances in Musculoskeletal Disease.Jasvinder A. Singh, M.B.B.S., M.P.H., and John Cleveland, M.D., both from the University of Alabama at Birmingham, used data from the U.S. National Inpatient Sample (1998 to 2014) to examine the frequency of seven common cardiac and orthopedic procedures in hospitalized people with gout and RA compared to the general population.
Continue reading “In-hospital cardiac procedures up for those with gout, rheumatoid arthritis”
Largest ever study on subject uses data from more than 620,000 patients in UK health system
Date: August 28, 2019
Source:University of Limerick
Summary: Patients with gout are at increased risk of chronic kidney disease and kidney failure, according to new research.
Patients with gout are at increased risk of chronic kidney disease and kidney failure, according to new University of Limerick (UL), Ireland led research.
In one of the largest and most detailed studies ever conducted, patients recruited in general practice with a diagnosis of gout were more than twice as likely to develop kidney failure than those without, according to the study led by researchers at University of Limerick’s (UL) Graduate Entry Medical School (GEMS).
Continue reading “Gout ‘more than doubles’ risk of kidney failure”
Date:November 25, 2019
Source: California Institute of Technology
Summary: Scientists have developed an easier way to mass-produce highly sensitive sweat sensors that can detect a variety of low-concentration compounds related to health conditions.
There are numerous things to dislike about going to the doctor: Paying a copay, sitting in the waiting room, out-of-date magazines, sick people coughing without covering their mouths. For many, though, the worst thing about a doctor’s visit is getting stuck with a needle. Blood tests are a tried-and-true way of evaluating what is going on with your body, but the discomfort is unavoidable. Or maybe not, say Caltech scientists.
Continue reading “Wearable sweat sensor detects gout-causing compounds”
Let us better help you better understand this condition – despite the tons of misinformation that circulates on the internet.
Why are blood test results misleading when it comes to a Gout diagnosis?
Blood tests can reveal the concentration of uric acid in your system. However, while you are under an attack your blood could potentially read quite normal. Over 60% of patients presenting with acute gouty arthritis symptoms have uric acid levels of <8mg/dl. Measuring serum uric acid levels while under an attack may not be too helpful in a diagnostic sense. Why? The crystals relentlessly jabbing at your joints are NOT in a soluble form at that time.
Continue reading “Gout Questions and Answers”
The shear number of variables involved with recurrent Gout attacks is nothing short of overwhelming. The search can have you running in 50 different directions to try and determine what triggered the attack. What food did I eat? Did I drink enough water? Could it be my medication? Did I hurt myself? Am I too stressed out right now? The list goes on and on. How about the weather? Does the weather factor into the risk? Evidently, it does, and there are studies to prove it.
Boston University School of Medicine conducted a study to test the suspected effects of humidity and temperature on the changes of recurrent gout attacks. This took place over a two-day control period noting temperature, barometric pressure, humidity, and precipitation for each person’s zip code. Adjustments were made for alcohol consumption, purine intake, and diuretic use. The study linked volume depletion, or extracellular fluid volume contraction (ECF) to the risk of recurrent Gout attacks. High temperatures and extreme degrees of humidity, in both directions, were associated with higher risk of gout attacks. High ambient temperature and low humidity yields the greatest association by some 40% compared with moderate temperature and relative humidity. “Our data indicate that both high temperature and high humidity are associated with an increased risk of recurrent gout attacks,” explains Yuquing Zhang, D.Sc., Professor of Medicine and Epidemiology, Boston University School of Medicine; Boston, Massachusetts and an investigator in the study. “Thus, when it’s hot and humid, those with gout should consider drinking more fluids to avoid potentially painful gout attacks.”
Even though there is a proclivity for the distal joints to be affected more due to colder temperatures, the study did not seem to show any correlation between colder weather and higher risk of an attack. Volume depletion, not to be confused with dehydration, and metabolic acidosis are driving forces behind a decrease in uric acid excretion and an increase in uric acid production. Acidosis also affects uric acid solubility allowing for crystal formation. The distal joints tend to carry a lower blood pH making them more susceptible to uric acid crystallization.
High humidity disrupts the body’s ability to regulate its temperature. The evaporative cooling process related to sweating becomes less effective and, in turn, causes the body temperature to rise and perspire in an attempt to cool. The combination of high temperatures and high humidity naturally increase the risk for dehydration. Our beverage selection in this circumstance is crucial. Some may replace this loss with water, but some tend to grab a sugary or beer related option, wreaking even more havoc on the attempts to remain gout attack free. Many do not realize that low humidity can also lead to dehydration by way of increased evaporation from the skin and mucous membranes. This poses an even greater risk due to the fact that it may “feel” cooler further keeping us from replacing this loss by drinking more water as it would require. Think about this when it comes to flying on an airplane. Despite the temperature feeling comfortable, the cabin tends to be very dry. Many experience attacks during travel, and this happens to be one of a many components that add to that risk.
In conclusion, it has been determined that both high temperature and the extremes of humidity are associated with an increased risk of recurrent gout attacks. Under such weather conditions, people with gout should aim to increase fluid intake to replace volume depletion.
Avoiding Gout while traveling
Why does Gout attack mostly at night?
Gout and Higher Risk of Death