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Patients who have multiple episodes of acute gout attacks per year or who have tophi on exam are candidates for uric acid lowering therapy.

Use of uric acid lowering agents will reduce the frequency of gout bozeman family health medicine and over time, reduce tophi formation, and diminish the risk of joint destruction. The following are indications for uric acid lowering medkcine. Uric acid is the end product of purine nucleic acid component of DNA metabolism and is produced normally by the body during tissue remodeling and breakdown.

Causes of hyperuricemia can be bozeman family health medicine into two major categories: decreased clearance of uric acid from this web page kidney and increased synthesis of uric acid. All patients should be encouraged to modify their lifestyle including limiting alcohol intake, encouraging weight loss where appropriate and decreasing food rich in purines. Co-morbid medical conditions should also be controlled including hypertension, diabetes and hyperlipidemia.

Probenecid may be given to patients with decreased clearance of uric acid mericine the kidney and bozean renal function. In general bozeman family health medicine use should be limited to patients under the age of Probenecid acts by inhibiting reabsorption of uric acid in the medicije tubules of the kidney. Starting dose is at mg to mg daily and increased to mg to mg as needed. Occasionally higher doses are needed.

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What kind of course prerequisites are required for acceptance into UMHS. What article source aid options are available to UMHS students. Read more about Hezlth. UMHS - St. Admissions: NY Office: admissions umhs-sk.