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Gout

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
Antigout drugs mechanism   reduce inflammatory process,or prevent synthesis of uric acid  
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Inhibit xanthine oxidase, the enzyme responsible for the conversion of hypoxanthine and xanthine to uric acid   Allopurinol (Zyloprim), febuxostat (Uloric)  
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The only drugs that act on the pathophysiological cause of gout   Allopurinol (Zyloprim), febuxostat (Uloric)  
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Goal is to have uric acid less than   6mg/dL  
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Binds to microtubular proteins to interfere with the function of the mitotic spindles and inhibit the migration of granulocytes to the inflamed area   Colchicine  
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actions decrease the inflammatory response to the deposited urate crystals   Colchicine  
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not uricosuric and does not prevent gout from progressing to chronic gouty arthritis   Colchicine  
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Increase the rate of uric acid secretion   uricosuric drugs  
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uricosuric drugs   probenicid, sulfinpyrazone  
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Sulfa based and should not be used in the case of sulfa allergy   uricosurics  
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contraindicated in patients taking drugs requiring xanthine oxidase (Imuran, mercaptopurine, theophylline)   Febuxostat (Uloric)  
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associated with maculopapular skin rash, scaly, exfoliative, drug should be discontinued   Allopurinol (Zyloprim)  
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induces reversible malabsorption of B12   colchicine  
🗑
Antigout drugs mechanism   reduce inflammatory process,or prevent synthesis of uric acid  
🗑
Inhibit xanthine oxidase, the enzyme responsible for the conversion of hypoxanthine and xanthine to uric acid   Allopurinol (Zyloprim), febuxostat (Uloric)  
🗑
The only drugs that act on the pathophysiological cause of gout   Allopurinol (Zyloprim), febuxostat (Uloric)  
🗑
Goal is to have uric acid less than   6mg/dL  
🗑
Binds to microtubular proteins to interfere with the function of the mitotic spindles and inhibit the migration of granulocytes to the inflamed area   Colchicine  
🗑
actions decrease the inflammatory response to the deposited urate crystals   Colchicine  
🗑
not uricosuric and does not prevent gout from progressing to chronic gouty arthritis   Colchicine  
🗑
Increase the rate of uric acid secretion   uricosuric drugs  
🗑
uricosuric drugs   probenicid, sulfinpyrazone  
🗑
Sulfa based and should not be used in the case of sulfa allergy   uricosurics  
🗑
contraindicated in patients taking drugs requiring xanthine oxidase (Imuran, mercaptopurine, theophylline)   Febuxostat (Uloric)  
🗑
associated with maculopapular skin rash, scaly, exfoliative, drug should be discontinued   Allopurinol (Zyloprim)  
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induces reversible malabsorption of B12   colchicine  
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treatment of acute gouty attacks   colchicine initial dose 1.2mg, followed by 0.6 mg one hour later, symptoms usually resolve in 24-48 hours  
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preventive therapy with colchicine   0.6mg/day 3-4x/week if pt has fewer than one attack per year; 0.6 daily for more frequent attacks  
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drug of choice for h/o urinary calculi, renal insufficiency, chronic tophaceous gout, or high levels of serum urate   allopurinol, mild 200-300 mg/day; moderate 400-600mg/day. Minimum dose 100-200; Maximum dose, 800. Doses > 300 must be divided  
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best for pts who overproduce uric acid   allopurinol (Zyloprim), febuxostat (Uloric)  
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best for pts who undersecrete uric acid   probenecid  
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toxicity seems more likely when allopurinol is given concomitantly with   thiazide diuretics  
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