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Acute Gout Attack Treatment
Acute Gout Attack Treatment
13
Pharmacology
Professional
09/02/2012

Additional Pharmacology Flashcards

 


 

Cards

Term
Dosing for colchicine
Definition

1.2mg orally (this is two 0.6 mg tablets) followed by 0.6 mg in 1 hour (new recommendation is to not exceed a total of 1.8 mg - or 3 doses)

Term
Brand name for colchicine
Definition
Colcrys
Term
Brand name for indometachin
Definition
Indocin
Term
Brand name for Naproxen
Definition
Naprosyn
Term
Brand name for Sulindac
Definition
Clinorii
Term
Brand name for Celecoxib
Definition
Celebrex
Term
Which is the DOC NSAID for acute gout attacks?
Definition

Indomethacin was 1st NSAID approved and is the traditional DOC, however, it is more toxic thatn ibuprofen (increase risk for GI toxicity) and has psyciatric side effects including confusion, depression, psychosis.

Term
[image]
Definition
Statement. Not a question.
Term
Colchicine is a substrate of?
Definition

CYP 3A4;  if using a moderate 3A4 inhibitor, the maximum dose is 2 tablets (x1) - and wait at least 3 days prior to an additional dose.

Term
Precaution of taking colchicine with statins?
Definition

Myopathy and rhabdomyolysis have been reported in patients taking colchicine with a statin or fibrate. Try not to use with gemfibrozil and have patients monitor muscle pain/soreness.

Term
How to take colcichine when having an acute gout attack.
Definition

At the first sign of an attack, take 2 tablets. You can take 1 more tablet in one hour. Do not use more than this amount.

 

Taking too much colchicine can lead to serious side effects.

Term
Should one stomach upset be concerned about colchine?
Definition

Colchicine causes significant GI upset. One should not take the 2nd dose (during a gout attack) if one has an upset stomach, nausea or diarrhea.

Term
How long should one wait before doing a round of colchicine treatment?
Definition

Wait at least 3 days before initiating another course of colchicine therapy.

 

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