Gout Pal Interactive

The third of the new rheumatologists guidelines for acute gout management states:

In patients with increased risk of peptic ulcers, bleeds or perforations, co-prescription of gastro-protective agents should follow standard guidelines for the use of NSAIDs and Coxibs (A).

In my article on better gouty arthritis treatment I paraphrased this as:

If you have an increased risk of peptic ulcers, bleeds or perforations, your doctor should also prescribe gastro-protective agents, following standard guidelines for the use of NSAIDs and Coxibs(A).

I’m lucky in that, according to the nurse who treated me when I was diagnosed with gout, I have a cast iron stomach. NSAIDs are not a problem, though I try to restrict them to when absolutely necessary.

But others are not so lucky, and even if you do not have an ulcer, you might be one of the many who cannot tolerate many anti-inflammatory drugs.

What was your first advice about the gastric problems associated with NSAIDs or Coxibs? Did you understand it? Did you follow the advice? Please share your experience here, or ask a question if you don’t understand what I’ve said.

The guidelines mught make more sense if you study my Acute Gout Management diagram.