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Multi-Centre Trial of Naproxen and Phenylbutazone in Acute Gout

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Purine Metabolism in Man—II

Abstract

There are three drugs in general use in the treatment of acute gout. Colchicine has been in intermittent use since Byzantine times but requires frequent administration and its gastrointestinal side effects too often terminate the treatment before the attack. Phenylbutazone is as effective as colchicine (Freyberg, 1962; Gutman, 1965) and untoward reactions occurring during the treatment of acute gout are rare (Smyth and Percy, 1973), although gastro-intestinal intolerance and fluid retention are predominant among the side effects that occasionally limit its usefulness. Indomethacin in adequate dosage has been shown to be as effective as phenylbutazone (Smyth and Percy, 1973) but unpleasant side effects are not infrequent (Boardman and Hart, 1965). There is therefore need for further exploration of safe and rapid therapy in acute gout, particularly as the sufferers are often relatively young and active members of the community.

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© 1977 Plenum Press, New York

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Sturge, R.A., Scott, J.T., Hamilton, E.B.D., Liyanage, S.P., Dixon, A.S.J., Engler, C. (1977). Multi-Centre Trial of Naproxen and Phenylbutazone in Acute Gout. In: Müller, M.M., Kaiser, E., Seegmiller, J.E. (eds) Purine Metabolism in Man—II. Advances in Experimental Medicine and Biology, vol 76B. Springer, Boston, MA. https://doi.org/10.1007/978-1-4684-3285-5_44

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  • DOI: https://doi.org/10.1007/978-1-4684-3285-5_44

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4684-3287-9

  • Online ISBN: 978-1-4684-3285-5

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