{"id":3920,"count":8,"description":"Gout is caused by deposition of monosodium urate crystals in joints (most often the first metatarsophalangeal joint \u2014 \"podagra\") and soft tissues, secondary to chronic hyperuricaemia. Modern management has two parallel goals: (1) abort the acute flare with anti-inflammatory treatment, and (2) reduce serum uric acid to below 360 \u00b5mol\/L (300 \u00b5mol\/L in tophaceous gout) with long-term urate-lowering therapy. The MedsBase Gout Treatment catalogue carries both arms, supplied by <strong>WHO-GMP \u03c0\u03b9\u03c3\u03c4\u03bf\u03c0\u03bf\u03b9\u03b7\u03bc\u03ad\u03bd\u03bf\u03c5\u03c2 \u03ba\u03b1\u03c4\u03b1\u03c3\u03ba\u03b5\u03c5\u03b1\u03c3\u03c4\u03ad\u03c2<\/strong>.\n\n<strong>\u039f\u03be\u03b5\u03af\u03b1 \u03ad\u03be\u03b1\u03c1\u03c3\u03b7 \u2014 \u03b1\u03bd\u03c4\u03b9\u03c6\u03bb\u03b5\u03b3\u03bc\u03bf\u03bd\u03ce\u03b4\u03b7\u03c2 \u03b1\u03b3\u03c9\u03b3\u03ae.<\/strong> Three options work, choice based on contraindications. NSAIDs (high-dose for 5\u20137 days) are first-line in patients without renal impairment, peptic ulcer, heart failure, or anticoagulant therapy. Naproxen 500 mg BID, indomethacin 50 mg TID (the historical \"gold standard\" for acute gout), and ibuprofen 800 mg TID are common choices. We stock <a href=\"https:\/\/medsbase.com\/el\/brufen\/\">Brufen<\/a> (\u03b9\u03b2\u03bf\u03c5\u03c0\u03c1\u03bf\u03c6\u03b1\u03af\u03bd\u03b7), <a href=\"https:\/\/medsbase.com\/el\/inmecin-r\/\">Inmecin-R<\/a> (\u03b9\u03bd\u03b4\u03bf\u03bc\u03b5\u03b8\u03b1\u03ba\u03af\u03bd\u03b7 SR), <a href=\"https:\/\/medsbase.com\/el\/indicid-75-sr\/\">Indicid-75 SR<\/a>, \u03ba\u03b1\u03b9 <a href=\"https:\/\/medsbase.com\/el\/indoga\/\">Indoga<\/a> (\u03b9\u03bd\u03b4\u03bf\u03bc\u03b5\u03b8\u03b1\u03ba\u03af\u03bd\u03b7). \u0397 \u03ba\u03bf\u03bb\u03c7\u03b9\u03ba\u03af\u03bd\u03b7 1.2 mg \u03b1\u03c0\u03cc \u03c4\u03bf\u03c5 \u03c3\u03c4\u03cc\u03bc\u03b1\u03c4\u03bf\u03c2 \u03b1\u03ba\u03bf\u03bb\u03bf\u03c5\u03b8\u03bf\u03cd\u03bc\u03b5\u03bd\u03b7 \u03b1\u03c0\u03cc 0.6 mg \u03bc\u03af\u03b1 \u03ce\u03c1\u03b1 \u03b1\u03c1\u03b3\u03cc\u03c4\u03b5\u03c1\u03b1 (\u03ad\u03c0\u03b5\u03b9\u03c4\u03b1 0.6 mg BID \u03b3\u03b9\u03b1 2\u20133 \u03b7\u03bc\u03ad\u03c1\u03b5\u03c2) \u03b5\u03af\u03bd\u03b1\u03b9 \u03b7 \u03b5\u03bd\u03b1\u03bb\u03bb\u03b1\u03ba\u03c4\u03b9\u03ba\u03ae \u2014 \u03b9\u03b4\u03b9\u03b1\u03af\u03c4\u03b5\u03c1\u03b1 \u03c7\u03c1\u03ae\u03c3\u03b9\u03bc\u03b7 \u03cc\u03c4\u03b1\u03bd \u03c4\u03b1 \u039c\u03a3\u0391\u03a6 \u03b5\u03af\u03bd\u03b1\u03b9 \u03b1\u03bd\u03c4\u03b5\u03bd\u03b4\u03b5\u03af\u03ba\u03c4\u03bf\u03c5\u03bb\u03b1. \u0394\u03b9\u03b1\u03b8\u03ad\u03c3\u03b9\u03bc\u03b7 \u03c9\u03c2 <a href=\"https:\/\/medsbase.com\/el\/goutnil\/\">Goutnil<\/a> (\u03ba\u03bf\u03bb\u03c7\u03b9\u03ba\u03af\u03bd\u03b7 0.5 mg). \u03a0\u03b1\u03c1\u03b1\u03ba\u03bf\u03bb\u03bf\u03c5\u03b8\u03ae\u03c3\u03c4\u03b5 \u03b3\u03b9\u03b1 \u03b4\u03b9\u03ac\u03c1\u03c1\u03bf\u03b9\u03b1 (\u03b5\u03be\u03b1\u03c1\u03c4\u03ce\u03bc\u03b5\u03bd\u03b7 \u03b1\u03c0\u03cc \u03c4\u03b7 \u03b4\u03cc\u03c3\u03b7) \u03ba\u03b1\u03b9 \u03b1\u03c0\u03bf\u03c6\u03cd\u03b3\u03b5\u03c4\u03b5 \u03c3\u03b5 \u03c3\u03b7\u03bc\u03b1\u03bd\u03c4\u03b9\u03ba\u03ae \u03bd\u03b5\u03c6\u03c1\u03b9\u03ba\u03ae \u03ae \u03b7\u03c0\u03b1\u03c4\u03b9\u03ba\u03ae \u03b4\u03c5\u03c3\u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03af\u03b1. \u039f\u03b9 \u03c3\u03c4\u03c5\u03c0\u03c4\u03b9\u03ba\u03bf\u03af \u03ba\u03bf\u03c1\u03c4\u03b9\u03ba\u03bf\u03c3\u03c4\u03b5\u03c1\u03bf\u03b5\u03b9\u03b4\u03b5\u03af\u03c2 (\u03c0\u03c1\u03b5\u03b4\u03bd\u03b9\u03b6\u03bf\u03bb\u03cc\u03bd\u03b7 30\u201340 mg \u03b7\u03bc\u03b5\u03c1\u03b7\u03c3\u03af\u03c9\u03c2 \u03b3\u03b9\u03b1 5 \u03b7\u03bc\u03ad\u03c1\u03b5\u03c2) \u03b5\u03af\u03bd\u03b1\u03b9 \u03b7 \u03c4\u03c1\u03af\u03c4\u03b7 \u03b5\u03c0\u03b9\u03bb\u03bf\u03b3\u03ae \u03cc\u03c4\u03b1\u03bd \u03ba\u03b1\u03b9 \u03c4\u03b1 \u039c\u03a3\u0391\u03a6 \u03ba\u03b1\u03b9 \u03b7 \u03ba\u03bf\u03bb\u03c7\u03b9\u03ba\u03af\u03bd\u03b7 \u03b5\u03af\u03bd\u03b1\u03b9 \u03b1\u03bd\u03c4\u03b5\u03bd\u03b4\u03b5\u03af\u03ba\u03c4\u03b9\u03ba\u03b1 \u2014 \u03b4\u03b5\u03af\u03c4\u03b5 \u03c4\u03b7\u03bd \u03ba\u03b1\u03c4\u03b7\u03b3\u03bf\u03c1\u03af\u03b1 \u03a6\u03ac\u03c1\u03bc\u03b1\u03ba\u03b1 \u0391\u03bd\u03b1\u03ba\u03bf\u03cd\u03c6\u03b9\u03c3\u03b7\u03c2 \u03a0\u03cc\u03bd\u03bf\u03c5.\n\n<strong>\u0398\u03b5\u03c1\u03b1\u03c0\u03b5\u03af\u03b1 \u03bc\u03b5\u03af\u03c9\u03c3\u03b7\u03c2 \u03bf\u03c5\u03c1\u03b9\u03ba\u03ce\u03bd \u2014 \u03b3\u03b9\u03b1 \u03c7\u03c1\u03cc\u03bd\u03b9\u03b1 \u03b4\u03b9\u03b1\u03c7\u03b5\u03af\u03c1\u03b9\u03c3\u03b7.<\/strong> \u0395\u03bd\u03b4\u03b5\u03af\u03be\u03b5\u03b9\u03c2: \u2265 2 \u03be\u03b5\u03c3\u03c0\u03ac\u03c3\u03bc\u03b1\u03c4\u03b1 \u03b1\u03bd\u03ac \u03ad\u03c4\u03bf\u03c2, \u03bf\u03c5\u03c1\u03b9\u03ba\u03ae \u03b1\u03c1\u03b8\u03c1\u03af\u03c4\u03b9\u03b4\u03b1 \u03bc\u03b5 \u03c4\u03bf\u03c6\u03bf\u03cd\u03c2, \u03bf\u03c5\u03c1\u03b9\u03ba\u03ae \u03bd\u03b5\u03c6\u03c1\u03bf\u03bb\u03b9\u03b8\u03af\u03b1\u03c3\u03b7 \u03ae \u03c7\u03c1\u03cc\u03bd\u03b9\u03b1 \u03bd\u03b5\u03c6\u03c1\u03b9\u03ba\u03ae \u03bd\u03cc\u03c3\u03bf\u03c2 \u03c3\u03c4\u03b1\u03b4\u03af\u03bf\u03c5 \u2265 3 \u03bc\u03b5 \u03c5\u03c0\u03b5\u03c1\u03bf\u03c5\u03c1\u03b9\u03c7\u03b1\u03b9\u03bc\u03af\u03b1. \u0397 \u03b1\u03bb\u03bb\u03bf\u03c0\u03bf\u03c5\u03c1\u03b9\u03bd\u03cc\u03bb\u03b7 (\u03b1\u03bd\u03b1\u03c3\u03c4\u03bf\u03bb\u03ad\u03b1\u03c2 \u03be\u03b1\u03bd\u03b8\u03b9\u03bd\u03b9\u03ba\u03ae\u03c2 \u03bf\u03be\u03b5\u03b9\u03b4\u03ac\u03c3\u03b7\u03c2) \u03b5\u03af\u03bd\u03b1\u03b9 \u03c0\u03c1\u03ce\u03c4\u03b7\u03c2 \u03b3\u03c1\u03b1\u03bc\u03bc\u03ae\u03c2 \u2014 \u03be\u03b5\u03ba\u03b9\u03bd\u03ae\u03c3\u03c4\u03b5 \u03bc\u03b5 100 mg \u03b7\u03bc\u03b5\u03c1\u03b7\u03c3\u03af\u03c9\u03c2 (50 mg \u03c3\u03b5 \u03a7\u039d\u0394), \u03b1\u03c5\u03be\u03ae\u03c3\u03c4\u03b5 \u03ba\u03b1\u03c4\u03ac 100 mg \u03ba\u03ac\u03b8\u03b5 2\u20134 \u03b5\u03b2\u03b4\u03bf\u03bc\u03ac\u03b4\u03b5\u03c2 \u03bc\u03b5 \u03c3\u03c4\u03cc\u03c7\u03bf \u03bf\u03c5\u03c1\u03b9\u03ba\u03cc \u03bf\u03c1\u03cc &lt; 360 \u00b5mol\/L. \u039f\u03b9 \u03c0\u03b5\u03c1\u03b9\u03c3\u03c3\u03cc\u03c4\u03b5\u03c1\u03bf\u03b9 \u03b1\u03c3\u03b8\u03b5\u03bd\u03b5\u03af\u03c2 \u03c7\u03c1\u03b5\u03b9\u03ac\u03b6\u03bf\u03bd\u03c4\u03b1\u03b9 300\u2013600 mg \u03b7\u03bc\u03b5\u03c1\u03b7\u03c3\u03af\u03c9\u03c2. \u0394\u03b9\u03b1\u03c4\u03af\u03b8\u03b5\u03c4\u03b1\u03b9 \u03c9\u03c2 <a href=\"https:\/\/medsbase.com\/el\/zyrik\/\">Zyrik<\/a> (\u03b1\u03bb\u03bb\u03bf\u03c0\u03bf\u03c5\u03c1\u03b9\u03bd\u03cc\u03bb\u03b7). \u03a3\u03c5\u03bd\u03b9\u03c3\u03c4\u03ac\u03c4\u03b1\u03b9 \u03b4\u03bf\u03ba\u03b9\u03bc\u03ae HLA-B*5801 \u03c3\u03b5 \u03c0\u03bb\u03b7\u03b8\u03c5\u03c3\u03bc\u03bf\u03cd\u03c2 \u039a\u03b9\u03bd\u03ad\u03b6\u03c9\u03bd, \u039a\u03bf\u03c1\u03b5\u03b1\u03c4\u03ce\u03bd \u03ba\u03b1\u03b9 \u03a4\u03b1\u03ca\u03bb\u03b1\u03bd\u03b4\u03ce\u03bd \u03c0\u03c1\u03b9\u03bd \u03b1\u03c0\u03cc \u03c4\u03b7\u03bd \u03ad\u03bd\u03b1\u03c1\u03be\u03b7 (\u03ba\u03af\u03bd\u03b4\u03c5\u03bd\u03bf\u03c2 \u03c3\u03bf\u03b2\u03b1\u03c1\u03ce\u03bd \u03b4\u03b5\u03c1\u03bc\u03b1\u03c4\u03b9\u03ba\u03ce\u03bd \u03b1\u03bd\u03b5\u03c0\u03b9\u03b8\u03cd\u03bc\u03b7\u03c4\u03c9\u03bd \u03b5\u03bd\u03b5\u03c1\u03b3\u03b5\u03b9\u03ce\u03bd). \u0397 \u03c6\u03b5\u03b2\u03bf\u03c5\u03be\u03bf\u03c3\u03c4\u03ac\u03c4\u03b7 (\u03b5\u03bd\u03b1\u03bb\u03bb\u03b1\u03ba\u03c4\u03b9\u03ba\u03cc\u03c2 \u03b1\u03bd\u03b1\u03c3\u03c4\u03bf\u03bb\u03ad\u03b1\u03c2 \u03be\u03b1\u03bd\u03b8\u03b9\u03bd\u03b9\u03ba\u03ae\u03c2 \u03bf\u03be\u03b5\u03b9\u03b4\u03ac\u03c3\u03b7\u03c2 \u2014 \u03c7\u03c1\u03ae\u03c3\u03b9\u03bc\u03b7 \u03cc\u03c4\u03b1\u03bd \u03b7 \u03b1\u03bb\u03bb\u03bf\u03c0\u03bf\u03c5\u03c1\u03b9\u03bd\u03cc\u03bb\u03b7 \u03b5\u03af\u03bd\u03b1\u03b9 \u03b1\u03bd\u03b5\u03ba\u03c4\u03ae \u03ae \u03b1\u03bd\u03b5\u03c0\u03b1\u03c1\u03ba\u03ae\u03c2) \u03b4\u03b9\u03b1\u03c4\u03af\u03b8\u03b5\u03c4\u03b1\u03b9 \u03c9\u03c2 <a href=\"https:\/\/medsbase.com\/el\/hyloric\/\">Hyloric<\/a>. \u0397 \u03bc\u03b5\u03bb\u03ad\u03c4\u03b7 CARES \u03b1\u03bd\u03ad\u03b4\u03b5\u03b9\u03be\u03b5 \u03c3\u03ae\u03bc\u03b1 \u03b8\u03bd\u03b7\u03c3\u03b9\u03bc\u03cc\u03c4\u03b7\u03c4\u03b1\u03c2 \u03b1\u03c0\u03cc \u03ba\u03b1\u03c1\u03b4\u03b9\u03b1\u03b3\u03b3\u03b5\u03b9\u03b1\u03ba\u03ac \u03b1\u03af\u03c4\u03b9\u03b1 \u2014 \u03b1\u03be\u03b9\u03bf\u03bb\u03bf\u03b3\u03ae\u03c3\u03c4\u03b5 \u03c4\u03bf\u03bd \u03ba\u03b1\u03c1\u03b4\u03b9\u03b1\u03b3\u03b3\u03b5\u03b9\u03b1\u03ba\u03cc \u03ba\u03af\u03bd\u03b4\u03c5\u03bd\u03bf \u03c0\u03c1\u03b9\u03bd \u03b1\u03c0\u03cc \u03c4\u03b7\u03bd \u03b1\u03bb\u03bb\u03b1\u03b3\u03ae \u03b1\u03c0\u03cc \u03b1\u03bb\u03bb\u03bf\u03c0\u03bf\u03c5\u03c1\u03b9\u03bd\u03cc\u03bb\u03b7. \u0397 \u03c0\u03c1\u03bf\u03b2\u03b5\u03bd\u03b5\u03c3\u03af\u03b4\u03b7 (\u03bf\u03c5\u03c1\u03b9\u03ba\u03bf\u03bf\u03c5\u03c1\u03b9\u03ba\u03ae \u2014 \u03b1\u03c5\u03be\u03ac\u03bd\u03b5\u03b9 \u03c4\u03b7\u03bd \u03ad\u03ba\u03ba\u03c1\u03b9\u03c3\u03b7 \u03bf\u03c5\u03c1\u03b9\u03ba\u03ce\u03bd \u03b1\u03c0\u03cc \u03c4\u03b1 \u03bd\u03b5\u03c6\u03c1\u03ac) \u03b4\u03b9\u03b1\u03c4\u03af\u03b8\u03b5\u03c4\u03b1\u03b9 \u03c9\u03c2 <a href=\"https:\/\/medsbase.com\/el\/bencid\/\">Bencid<\/a>. \u03a7\u03c1\u03ae\u03c3\u03b9\u03bc\u03b7 \u03c3\u03b5 \u03c5\u03c0\u03bf\u03b5\u03ba\u03ba\u03c1\u03b9\u03c4\u03ad\u03c2 \u03bc\u03b5 eGFR &gt; 50; \u03b1\u03bd\u03c4\u03b5\u03bd\u03b4\u03b5\u03af\u03ba\u03c4\u03b5\u03c4\u03b1\u03b9 \u03c3\u03b5 \u03b9\u03c3\u03c4\u03bf\u03c1\u03b9\u03ba\u03cc \u03bf\u03c5\u03c1\u03bf\u03bb\u03b9\u03b8\u03af\u03b1\u03c3\u03b7\u03c2.\n\n<strong>\u03a0\u03c1\u03bf\u03c6\u03cd\u03bb\u03b1\u03be\u03b7 \u03be\u03b5\u03c3\u03c0\u03b1\u03c3\u03bc\u03ac\u03c4\u03c9\u03bd \u03ba\u03b1\u03c4\u03ac \u03c4\u03b7\u03bd \u03ad\u03bd\u03b1\u03c1\u03be\u03b7 \u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03af\u03b1\u03c2 \u03bc\u03b5\u03af\u03c9\u03c3\u03b7\u03c2 \u03bf\u03c5\u03c1\u03b9\u03ba\u03ce\u03bd.<\/strong> \u0397 \u03ad\u03bd\u03b1\u03c1\u03be\u03b7 \u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03af\u03b1\u03c2 \u03bc\u03b5\u03af\u03c9\u03c3\u03b7\u03c2 \u03bf\u03c5\u03c1\u03b9\u03ba\u03ce\u03bd \u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03bd\u03b1 \u03ba\u03b9\u03bd\u03b7\u03c4\u03bf\u03c0\u03bf\u03b9\u03ae\u03c3\u03b5\u03b9 \u03c4\u03bf\u03c6\u03bf\u03cd\u03c2 \u03ba\u03b1\u03b9 \u03bd\u03b1 \u03c0\u03c1\u03bf\u03ba\u03b1\u03bb\u03ad\u03c3\u03b5\u03b9 \u03be\u03b5\u03c3\u03c0\u03ac\u03c3\u03bc\u03b1\u03c4\u03b1 \u03b3\u03b9\u03b1 6 \u03bc\u03ae\u03bd\u03b5\u03c2. \u0397 \u03c0\u03c1\u03bf\u03c6\u03c5\u03bb\u03b1\u03ba\u03c4\u03b9\u03ba\u03ae \u03ba\u03bf\u03bb\u03c7\u03b9\u03ba\u03af\u03bd\u03b7 0.5 mg \u03bc\u03af\u03b1 \u03ae \u03b4\u03cd\u03bf \u03c6\u03bf\u03c1\u03ad\u03c2 \u03b7\u03bc\u03b5\u03c1\u03b7\u03c3\u03af\u03c9\u03c2 \u03b3\u03b9\u03b1 \u03c4\u03bf\u03c5\u03c2 \u03c0\u03c1\u03ce\u03c4\u03bf\u03c5\u03c2 6 \u03bc\u03ae\u03bd\u03b5\u03c2 (\u03ae \u03c0\u03c1\u03bf\u03c6\u03cd\u03bb\u03b1\u03be\u03b7 \u03bc\u03b5 \u039c\u03a3\u0391\u03a6) \u03bc\u03b5\u03b9\u03ce\u03bd\u03b5\u03b9 \u03c4\u03b7\u03bd \u03b5\u03c0\u03af\u03c0\u03c4\u03c9\u03c3\u03b7 \u03be\u03b5\u03c3\u03c0\u03b1\u03c3\u03bc\u03ac\u03c4\u03c9\u03bd \u2014 \u03b4\u03b9\u03b1\u03ba\u03cc\u03c8\u03c4\u03b5 \u03bc\u03cc\u03bb\u03b9\u03c2 \u03c4\u03b1 \u03bf\u03c5\u03c1\u03b9\u03ba\u03ac \u03c6\u03c4\u03ac\u03c3\u03bf\u03c5\u03bd \u03c3\u03c4\u03bf \u03c3\u03c4\u03cc\u03c7\u03bf \u03ba\u03b1\u03b9 \u03b4\u03b5\u03bd \u03c5\u03c0\u03ac\u03c1\u03c7\u03bf\u03c5\u03bd \u03be\u03b5\u03c3\u03c0\u03ac\u03c3\u03bc\u03b1\u03c4\u03b1 \u03b3\u03b9\u03b1 3\u20136 \u03bc\u03ae\u03bd\u03b5\u03c2.\n\n<strong>\u03a0\u03ce\u03c2 \u03bd\u03b1 \u03b5\u03c0\u03b9\u03bb\u03ad\u03be\u03b5\u03c4\u03b5.<\/strong> \u03a0\u03c1\u03ce\u03c4\u03bf \u03be\u03ad\u03c3\u03c0\u03b1\u03c3\u03bc\u03b1 \u03c7\u03c9\u03c1\u03af\u03c2 \u03c0\u03b1\u03c1\u03ac\u03b3\u03bf\u03bd\u03c4\u03b5\u03c2 \u03ba\u03b9\u03bd\u03b4\u03cd\u03bd\u03bf\u03c5 \u2192 \u039c\u03a3\u0391\u03a6 \u03b3\u03b9\u03b1 5\u20137 \u03b7\u03bc\u03ad\u03c1\u03b5\u03c2, \u03c7\u03c9\u03c1\u03af\u03c2 \u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03af\u03b1 \u03bc\u03b5\u03af\u03c9\u03c3\u03b7\u03c2 \u03bf\u03c5\u03c1\u03b9\u03ba\u03ce\u03bd \u03b1\u03ba\u03cc\u03bc\u03b7. \u0395\u03c0\u03b1\u03bd\u03b1\u03bb\u03b1\u03bc\u03b2\u03b1\u03bd\u03cc\u03bc\u03b5\u03bd\u03b1 \u03be\u03b5\u03c3\u03c0\u03ac\u03c3\u03bc\u03b1\u03c4\u03b1 (\u2265 2\/\u03ad\u03c4\u03bf\u03c2) \u2192 \u03be\u03b5\u03ba\u03b9\u03bd\u03ae\u03c3\u03c4\u03b5 \u03b1\u03bb\u03bb\u03bf\u03c0\u03bf\u03c5\u03c1\u03b9\u03bd\u03cc\u03bb\u03b7 100 mg \u03b7\u03bc\u03b5\u03c1\u03b7\u03c3\u03af\u03c9\u03c2 \u03bc\u03b5 \u03c3\u03c4\u03b1\u03b4\u03b9\u03b1\u03ba\u03ae \u03b1\u03cd\u03be\u03b7\u03c3\u03b7 + \u03c0\u03c1\u03bf\u03c6\u03cd\u03bb\u03b1\u03be\u03b7 \u03bc\u03b5 \u03ba\u03bf\u03bb\u03c7\u03b9\u03ba\u03af\u03bd\u03b7. \u0391\u03c0\u03bf\u03c4\u03c5\u03c7\u03af\u03b1 \u03ae \u03b4\u03c5\u03c3\u03b1\u03bd\u03b5\u03be\u03af\u03b1 \u03c3\u03c4\u03b7\u03bd \u03b1\u03bb\u03bb\u03bf\u03c0\u03bf\u03c5\u03c1\u03b9\u03bd\u03cc\u03bb\u03b7 \u2192 \u03c6\u03b5\u03b2\u03bf\u03c5\u03be\u03bf\u03c3\u03c4\u03ac\u03c4\u03b7 (\u03b1\u03be\u03b9\u03bf\u03bb\u03bf\u03b3\u03ae\u03c3\u03c4\u03b5 \u03c4\u03bf\u03bd \u03ba\u03b1\u03c1\u03b4\u03b9\u03b1\u03b3\u03b3\u03b5\u03b9\u03b1\u03ba\u03cc \u03ba\u03af\u03bd\u03b4\u03c5\u03bd\u03bf). \u03a5\u03c0\u03bf\u03b5\u03ba\u03ba\u03c1\u03b9\u03c4\u03ae\u03c2 (24\u03c9\u03c1\u03b7 \u03bf\u03cd\u03c1\u03b7\u03c3\u03b7 \u03bf\u03c5\u03c1\u03b9\u03ba\u03ce\u03bd &lt; 600 mg) \u03c7\u03c9\u03c1\u03af\u03c2 \u03bf\u03c5\u03c1\u03bf\u03bb\u03b9\u03b8\u03af\u03b1\u03c3\u03b7 \u2192 \u03b5\u03be\u03b5\u03c4\u03ac\u03c3\u03c4\u03b5 \u03c4\u03b7\u03bd \u03c0\u03c1\u03bf\u03b2\u03b5\u03bd\u03b5\u03c3\u03af\u03b4\u03b7 \u03c9\u03c2 \u03b5\u03bd\u03b1\u03bb\u03bb\u03b1\u03ba\u03c4\u03b9\u03ba\u03ae \u03ae \u03c3\u03c5\u03bc\u03c0\u03bb\u03b7\u03c1\u03c9\u03bc\u03b1\u03c4\u03b9\u03ba\u03ae. \u039f\u03c5\u03c1\u03b9\u03ba\u03ae \u03b1\u03c1\u03b8\u03c1\u03af\u03c4\u03b9\u03b4\u03b1 \u03bc\u03b5 \u03c4\u03bf\u03c6\u03bf\u03cd\u03c2, \u03b1\u03bd\u03b8\u03b5\u03ba\u03c4\u03b9\u03ba\u03ae \u03bd\u03cc\u03c3\u03bf\u03c2 \u03ae \u03b5\u03bd\u03b4\u03b5\u03af\u03be\u03b5\u03b9\u03c2 \u03b3\u03b9\u03b1 \u03c0\u03b5\u03b3\u03bb\u03bf\u03c4\u03b9\u03ba\u03ac\u03c3\u03b7 \u2192 \u03c0\u03b1\u03c1\u03b1\u03c0\u03bf\u03bc\u03c0\u03ae \u03c3\u03b5 \u03c1\u03b5\u03c5\u03bc\u03b1\u03c4\u03bf\u03bb\u03cc\u03b3\u03bf.\n\n<strong>\u03a3\u03b7\u03bc\u03b1\u03bd\u03c4\u03b9\u03ba\u03cc.<\/strong> Lifestyle measures matter: reduce alcohol (especially beer), reduce fructose-sweetened drinks, weight loss, hydration, low-purine diet, vitamin C 500 mg daily, dairy intake. Continue urate-lowering therapy through acute flares \u2014 stopping precipitates further flares. Avoid loop and thiazide diuretics where possible (raise urate). Aspirin 75\u2013100 mg has minor effect; cardiovascular indication usually outweighs urate concern. Acute monoarthritis with fever needs joint aspiration to exclude septic arthritis \u2014 gout can mimic but cannot be assumed.\n\nAll MedsBase Gout Treatment products ship from <strong>WHO-GMP \u03c0\u03b9\u03c3\u03c4\u03bf\u03c0\u03bf\u03b9\u03b7\u03bc\u03ad\u03bd\u03bf\u03c5\u03c2 \u03ba\u03b1\u03c4\u03b1\u03c3\u03ba\u03b5\u03c5\u03b1\u03c3\u03c4\u03ad\u03c2<\/strong> \u03bc\u03b5 \u03b4\u03b9\u03b1\u03ba\u03c1\u03b9\u03c4\u03b9\u03ba\u03ae \u03c3\u03c5\u03c3\u03ba\u03b5\u03c5\u03b1\u03c3\u03af\u03b1 \u03ba\u03b1\u03b9 \u03ba\u03b1\u03bb\u03cd\u03c0\u03c4\u03bf\u03bd\u03c4\u03b1\u03b9 \u03b1\u03c0\u03cc \u03c4\u03b7\u03bd <a href=\"https:\/\/medsbase.com\/el\/medsbase-re-shipment-assurance-policy\/\">\u03a0\u03bf\u03bb\u03b9\u03c4\u03b9\u03ba\u03ae \u0395\u03b3\u03b3\u03cd\u03b7\u03c3\u03b7\u03c2 \u0395\u03c0\u03b1\u03bd\u03b1\u03c0\u03bf\u03c3\u03c4\u03bf\u03bb\u03ae\u03c2<\/a>.","link":"https:\/\/medsbase.com\/el\/gout-treatment\/","name":"\u0398\u03b5\u03c1\u03b1\u03c0\u03b5\u03af\u03b1 \u039f\u03c5\u03c1\u03b9\u03ba\u03bf\u03cd","slug":"gout-treatment","taxonomy":"product_cat","parent":3223,"meta":[],"menu_order":0,"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/el\/wp-json\/wp\/v2\/product_cat\/3920","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/el\/wp-json\/wp\/v2\/product_cat"}],"about":[{"href":"https:\/\/medsbase.com\/el\/wp-json\/wp\/v2\/taxonomies\/product_cat"}],"up":[{"embeddable":true,"href":"https:\/\/medsbase.com\/el\/wp-json\/wp\/v2\/product_cat\/3223"}],"wp:post_type":[{"href":"https:\/\/medsbase.com\/el\/wp-json\/wp\/v2\/product?product_cat=3920"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}