When gout decided to
display its fury, there is this tempting sensation; a desire to rub the
affected joint. You know that the rubbing will not take the pain away, but
somehow this sensation wins and make you rub and rub and rub! What if I tell
you that with the proper medication, this rubbing can remove the pain?
This article aims to
explain Voltaren Gel for gout. Does it work? Will it reduce the pain and
inflammation? Or maybe it is just another of those useless meds for gout? Read
on to find out more.
Voltaren
Voltaren is a brand
name for diclofenac, a type of NSAID or Non-Steroidal Anti-Inflammatory Drug.
You have probably deduced it from the name itself – that Voltaren is used to
treat inflammation and pain. With that thought in mind, one can arrive to the
conclusion that Voltaren can indeed be used for gout. After all, the primary
suffering gout attacks give is the unbearable pain alongside the irritating
inflammation.
Voltaren is usually
taken orally but in the case of Voltaren gel, it is used topically. This means
that if you want to use Voltaren gel for gout, you simply have to apply it to
the affected joint. Very comparable to a magic elixir right? Wrong.
Voltaren Gel for Gout
The actual performance
of Voltaren gel does not live up to its heroic-sounding name. The truth is, it
is quite better compared to other NSAIDs in a sense that induces less side
effects but is usually outperformed due to the fact that its base is sodium
salt and not potassium salt. Many other NSAIDs use potassium salt which is way
faster. Hence, if you somehow decided to use Voltaren Gel for gout, the
flare-up will not immediately subside but you can expect less stomach damage.
Wait, did I just mention stomach damage?
All NSAIDs can cause
damage to the gastrointestinal tract as the epithelium of the stomach is thinned.
There are not exemptions to this. ALL NSAIDs can and WILL inflict such damage
to the stomach. This has something to do with the mechanism which it utilize in
order to relieve pain.
Voltaren gel treats
pain and inflammation by removing the capability of the body to feel the pain
and ignite the inflammation. Voltaren
disrupts cyclooxygenase.
Cyclooxygenase
This enzyme is
responsible for converting arachidonic acid into prostaglandins. While this
string of text seems quite complex, it is actually simple. I will explain it in
human language.
When something
undesirable happens, such as when uric acid crystallizes in the joints, cells
die. When cells die, they release arachidonic acid. By itself, arachidonic acid
is useless unless it is converted into prostaglandins. Prostaglandins are
responsible for a variety of things such as raising your body temperature,
making you more sensitive to pain and inducing inflammation. In short, you owe
your gout flare-ups to the prostaglandins! Don’t be too harsh on them though.
It is a survival
If cyclooxygenase is
disrupted, the conversion of arachidonic acid into prostaglandins is disrupted
as well. This means goodbye to gout attack! Unfortunately, this can also mean
goodbye to your precious stomach. A specific type of cyclooxygenase called
cox-1 is responsible for maintaining the epithelium of the stomach. If
disrupted, it can lead to the degradation of the epithelium. Say Hi to Ulcer
and gastrointestinal bleeding. The degree of epithelium degradation inflicted
by diclofenac is not as worse as that of other NSAID because it avoids cox-1.
No cox-1 inhibition means no epithelium destruction which then means no stomach
problems!
Conclusion
Based on its
mechanism, applying Voltaren Gel for gout makes sense. It deforms
cyclooxygenase which will give you pain and inflammation. However, its effects
are limited because it is in topical form and because it uses sodium salt for
its base. Unfortunately, Voltaren gel will only be a TEMPORARY solution. It
will never lower uric acid. Hence, you can never expect that it will cure your
gout. Why settle for something that will NOT cure your gout? The side effects
are truly not worth it. Look for something that will treat your gout once and
for all! Eliminate acidosis and cure your
gout!
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