Therapeutic challenges in the management of gout in the elderly.

@article{citeulike:3135872, abstract = {Gout is the most common inflammatory arthritis in the elderly population. Management in the elderly requires special consideration. Physiologic changes associated with aging and co-morbidities make the elderly prone to adverse effects of drugs otherwise successfully used in younger counterparts. Use of colchicine, non-steroidal anti-inflammatory drugs, and urate-lowering therapies may be restricted in those with limited renal reserve. Corticosteroids are safe alternatives for short-term use in acute gout. Elderly patients need laboratory monitoring for side effects more frequently than usual. Non-pharmacologic measures such as dietary modifications, regular exercise, and ice therapy should be considered vital adjunctive treatments. A brief review of future therapies is also discussed.}, address = {Department of Geriatrics, University of Arkansas for Medical Sciences, Little Rock, USA.}, author = {Singh, H. and Torralba, K. D. }, citeulike-article-id = {3135872}, issn = {1936-5764}, journal = {Geriatrics}, keywords = {geriatric, gout}, month = {July}, number = {7}, posted-at = {2008-08-19 10:14:19}, priority = {2}, title = {Therapeutic challenges in the management of gout in the elderly.}, url = {http://view.ncbi.nlm.nih.gov/pubmed/18593209}, volume = {63}, year = {2008} }

TY - JOUR ID - citeulike:3135872 L3 - citeulike-article-id:3135872 N2 - Gout is the most common inflammatory arthritis in the elderly population. Management in the elderly requires special consideration. Physiologic changes associated with aging and co-morbidities make the elderly prone to adverse effects of drugs otherwise successfully used in younger counterparts. Use of colchicine, non-steroidal anti-inflammatory drugs, and urate-lowering therapies may be restricted in those with limited renal reserve. Corticosteroids are safe alternatives for short-term use in acute gout. Elderly patients need laboratory monitoring for side effects more frequently than usual. Non-pharmacologic measures such as dietary modifications, regular exercise, and ice therapy should be considered vital adjunctive treatments. A brief review of future therapies is also discussed. IS - 7 JF - Geriatrics SN - 1936-5764 AD - Department of Geriatrics, University of Arkansas for Medical Sciences, Little Rock, USA. TI - Therapeutic challenges in the management of gout in the elderly. VL - 63 KW - geriatric KW - gout AU - Singh, H AU - Torralba, KD PY - 2008/07// UR - http://view.ncbi.nlm.nih.gov/pubmed/18593209 ER -