Coincidentally, my recent posts about gout remedies for pain relief requires another – this time it is diclofenac for gout.
Diclofenac is one of many NSAIDs (Non-Steroidal Anti-Inflammatory Drugs) that are suitable for any kind of inflammatory pain. As they fight inflammation, they are often prescribed for gout.
It seems to me, that the selection of a NSAID has more to do with a doctor’s prescribing habits than anything else. In essence, this is bound to happen. There is limited research into comparing NSAIDs as they are all quite similar. If doctors find something that presents more benefits than problems, they are likely to stick with it. So if diclofenac works, then there is little point switching to something else.
I also believe that trying to champion one NSAID for gout over another completely misses the point. It is far more important to plan a gout treatment program that recognizes the part that NSAIDs play. The NSAID must be a temporary solution to cover the months that gout patients are at risk until their uric acid is reduced to a safe level – 5 mg/dL (0.30mmol/L), or below. The NSAID might be part of a combination relief that supports colchicine. It might, in turn, need support from other compatible pain-blocking analgesics.
So, if all NSAIDs are similar, is there any point in discussing diclofenac for gout?
I believe there is a need to discuss diclofenac for gout patients because the dosage is vital. In some countries, diclofenac is available Over The Counter (OTC – non-prescription), often under the Voltaren brand. But it does not matter where you buy from – dosage is vital.
If your dose is insufficient for gout (as many OTC doses are where it is available) you do not get relief. If you overdose, you die.
As with other specific pain relief products that I have started new discussion topics for, I am happy to clarify the role of pain relief in your gout treatment plan. But, though dosage is vital for gout pain, guidelines are not clear.
Personally, I am familiar with ibuprofen, but I have no experience of diclofenac in the context of gout pain relief. As with other types of gout remedies for pain, I would love to hear what your doctor is prescribing for you.
Though I am particularly interested in prescribed doses, please feel free to discuss any aspect of diclofenac for gout here.