Gout Infusion Centers

With local infusion centers across the country, Gout patients requiring ongoing biologic infusions or injections relax in privacy and comfort during treatment.

Intentionally designed for Gout patients.

Private Suites

Guaranteed for all patients, with leather recliners and chairs for guests

On Your Schedule

Local centers offer flexible scheduling, including evenings and weekends

Goodbye Waiting

Greeted by name at check-in, patient suites are always ready when you arrive

Sit Back and Relax

In-room streaming options so you can catch up on your favorite shows

Caring for those with Gout.

Simply put, patients with Gout who need ongoing infusion or injection treatment deserve better options for when, where and how they receive care.

Located in the communities where people live and work, IVX Health serves those with complex chronic conditions like Gout by delivering high-quality, personalized care in a private, comfortable setting so patients can continue to live their best lives.

What is Gout? 

Gout is a form of arthritis characterized in the joints by sudden and severe attacks of pain, swelling, redness, and tenderness. 

How is Gout Diagnosed and Treated? 

There are several tools and tests used to diagnose gout such as: 

  • Joint fluid test: use of a needle to draw fluid from an affected joint to test for the presence of urate crystals, which cause gout 
  • Blood tests: used to measure levels of uric acid in the bloodstream 
  • X-ray imaging 
  • Ultrasounds 
  • Dual-energy computerized tomography (DECT): test using X-ray images at multiple angles to visualize urate crystals in joints. 

How Does IV Infusion Therapy for Gout Work? 

IV infusion for gout involves administering medication through an infusion pump that drips the medication into a catheter to a syringe and through a hollow needle into the patient’s bloodstream. Treatments are usually administered every two weeks, with each infusion lasting roughly 2 hours. 

Gout Therapies Administered at IX Health 

The following infusion and injection therapies are administered at IVX Health. 

Gout Management at IVX Health 

Each IVX Health patient receives excellent care from Advanced Registered Nurse Practitioners (ARNPs) and Registered Nurses (RNs). 

The benefits of receiving infusion treatments for gout at IVX Health include: 

  • Private suites 
  • Comfortable, leather recliners 
  • Enough room and plenty of seating for guests 
  • A friendly clinical staff 
  • Personalized service 
  • High-speed internet 
  • Complimentary beverages and snacks 
  • Flat-screen television sets provide a way for patients to stream their favorite movies and watch the shows they love 
  • Flexible scheduling options (including evening and weekend appointments) 

What to Expect During Treatment of Gout  

Step One 

Using a thin, very small catheter, one of IVX Health’s nurses creates an intravenous line (aka IV line) into the patient’s arm vein. 

Step Two 

After placing the IV line, the nurse connects it to tubing that leads up to the medication. The medication is then dispersed into the patients bloodstream over a specified period of time. 

During treatment, patients are continuously monitored by one of IVX’s nurses. If a patient requires assistance, he or she just needs to press the call button. 

There are times when a patient experiences a reaction to the medication he or she is receiving; therefore, patients need to recognize the symptoms associated with an allergic reaction. 

Signs of a potential allergic reaction include developing a headache, feeling nauseous, difficulty breathing and developing a rash. Patients experiencing these symptoms need to contact their nurse right away. 

How to Get a Referral for Gout IV Infusion Treatment 

Every referral must be accompanied by an order for treatment. 

Patient information should include: 

  • Name 
  • Current address 
  • Home and mobile phone number 
  • Insurance information 

Information the physician must include on the patient’s order for IV therapy to treat gout include: 

  • Patient’s name and DOB 
  • Order date 
  • Diagnosis 
  • Physician’s name and NPI# 
  • Office address, phone, and fax numbers 
  • Provider’s signature 

Supporting clinical documentation from the physician should include: 

  • Perform serum uric acid (sUA) test prior to each infusion 
  • Screen patients at risk for G6PD deficiency prior to starting therapy 
  • Patient had chronic gout and is an adult patient who has failed to normalize serum or has shown an inadequate response to conventional therapy 

Due to the complexity of treatment, prior authorization is often required. Prior authorization is the process of getting approval for treatment from the patient’s healthcare provider before beginning treatment. It’s important to check in with your healthcare provider to see if a prior authorization will be needed for your infusion or injection treatment at IVX Health. 

If you have gout, and you would like to learn more about the IV infusion therapy for gout available at IVX Health centers, contact us today. 

 

What is Gout?

Gout is a type of arthritis that can cause sudden, intense pain, redness, and tenderness in the joints, often affecting the big toe but also potentially involving the ankles, knees, elbows, wrists, and fingers. It occurs when urate crystals build up in the joints due to elevated uric acid levels in the bloodstream. Uric acid is a byproduct formed during the breakdown of purines, which are found in certain foods and drinks like red meat, shellfish, and alcohol.

When the body produces too much uric acid or struggles to eliminate it, crystals can form and deposit in the joints, leading to painful flare-ups. These episodes can be triggered by various factors, including diet, dehydration, stress, and certain medications. It’s important to understand gout so that you can manage it effectively and prevent chronic pain and joint damage.

Fortunately, there are ways to help control uric acid levels and reduce the frequency and severity of attacks. Making lifestyle changes, adjusting your diet, and working with medications can make a significant difference. If you have gout, remember that you’re not alone—collaborating with your healthcare provider to create a personalized management plan can lead you towards a more comfortable and fulfilling life.

What causes Gout?

Understanding the factors that lead to elevated uric acid levels is essential for managing and preventing gout, ultimately ensuring a healthier and happier life for our patients. Let’s explore these contributing factors with care:

  1. Diet: Consuming foods high in purines, such as red meat, seafood, and fructose-sweetened beverages, can lead to increased uric acid levels. By moderating your intake of these foods, you can help maintain a balanced diet while keeping uric acid levels within a healthy range. 
  2. Obesity: Carrying excess weight can elevate uric acid production and hinder its elimination from the body. For those struggling with obesity, it’s important to recognize that it isn’t always just a lack of exercise; seeking a doctor’s support can be crucial. Adopting a nutritious diet and engaging in regular physical activity can significantly improve overall health and help manage uric acid levels. 🏃‍♂️
  3. Medical Conditions: Certain conditions, such as untreated high blood pressure, diabetes, metabolic syndrome, and kidney diseases, can impede the body’s ability to process uric acid effectively, leading to accumulation. Addressing and managing these conditions is crucial for controlling uric acid levels.
  4. Medications: Some medications, including diuretics for hypertension, low-dose aspirin, and immunosuppressants, may affect uric acid excretion. It is important to have open discussions with your healthcare provider about your medications to ensure proper management and balance of uric acid levels.
  5. Family History: Genetics can influence your risk of developing gout. If there is a family history of this condition, being proactive in managing your uric acid levels becomes even more important. Remember, family history does not dictate your future; informed choices can make a significant difference.
  6. Gender and Age: Gout is more prevalent in men aged 30 to 50 due to naturally higher uric acid levels. Additionally, postmenopausal women may face an increased risk as estrogen levels, which help regulate uric acid, decline after menopause. While age and gender are important factors, knowledge and proactive measures can empower you in your health journey.

Symptoms of Gout

Gout symptoms can be intense and often come on suddenly, catching many people off guard. But don’t worry, being aware of the signs can lead to early intervention and relief! Key symptoms to watch out for include:

  1. Intense Joint Pain: Severe pain that typically starts in the big toe but can also manifest in other joints such as ankles, knees, elbows, wrists, and fingers.
  2. Lingering Discomfort: Even after the most intense pain subsides, discomfort in the affected joint can linger from a few days to a few weeks, making daily activities challenging.
  3. Inflammation and Redness: The affected joints often become swollen, red, and tender to the touch, sometimes appearing shiny.
  4. Limited Range of Motion: The inflammation can cause a noticeable decrease in the mobility of the affected joint, making it hard to move.

Stages of Gout

Understanding the stages of gout is crucial for effective management!

  1. Asymptomatic Hyperuricemia: During this stage, uric acid levels are elevated, but there are no visible symptoms. However, silent damage to the joints may be occurring.
  2. Acute Gout Attack: This stage is characterized by the sudden onset of severe joint pain and inflammation, often occurring at night and reaching peak intensity within 24 hours.
  3. Intercritical Gout: These are the asymptomatic periods between acute attacks. Without treatment, another attack is likely to occur.
  4. Chronic Tophaceous Gout: This advanced stage involves persistent symptoms with the formation of tophi, which are large urate crystal deposits that can cause joint deformity and damage.

Long-Term Impact

If left untreated, gout can lead to serious complications, including chronic pain, joint deformity, and decreased quality of life. The continuous build-up of urate crystals can damage the joints permanently. Early diagnosis and proactive treatment are crucial to managing symptoms and preventing these long-term consequences.

How to Diagnose Gout

Medical History and Physical Examination

A thorough medical history and physical examination play a vital role in diagnosing gout. Your physician will take the time to gather information about your symptoms, family history, dietary habits, and any potential triggers that may have contributed to your condition.

Diagnostic Tests

To confirm a diagnosis of gout, several gentle diagnostic tests may be performed:

  1. Blood Tests: These tests check uric acid levels in your bloodstream. While elevated levels can suggest gout, it’s important to know that not everyone with high uric acid will experience the condition.
  2. Joint Fluid Test: This involves a careful extraction of fluid from the affected joint to look for urate crystals under a microscope, helping to confirm the diagnosis of gout.
  3. Imaging Techniques: X-rays, ultrasound, or dual-energy CT scans can gently show any joint damage, inflammation, or crystal deposits, providing further insight into your situation.

Distinguishing Gout from Other Conditions

It’s important to distinguish gout from other types of arthritis, like rheumatoid arthritis and osteoarthritis, to ensure you receive the right treatment. Each condition has its unique characteristics, and an accurate diagnosis is crucial for effective care. Gout often appears as sudden, intense pain in specific joints, while other types of arthritis may show a more gradual onset with broader joint involvement. Remember, you’re not alone in this journey, and there’s support available to help you manage your health.

Standard Treatment Options for Gout

Medications 

We’re passionate about providing the best care for our patients with gout. Several medications can help manage gout and alleviate its symptoms, ensuring you live a more comfortable life:

  1. NSAIDs: Nonsteroidal anti-inflammatory drugs like ibuprofen and naproxen are commonly used to reduce pain and inflammation. These medications are usually taken as needed during gout flare-ups.
  2. Colchicine: This medication is particularly effective in reducing gout pain and inflammation. It works best when taken at the first sign of a gout attack.
  3. Corticosteroids: Drugs such as prednisone and other corticosteroids can control severe inflammation. They can be taken orally or injected directly into the affected joint for quicker relief.
  4. Uric Acid-Lowering Medications: Medications like allopurinol, febuxostat, probenecid, and lesinurad help lower uric acid levels in the blood, preventing future gout attacks and the formation of urate crystals in the joints.

Alternative Treatments 

We are dedicated to exploring all avenues for your best health. Some individuals find relief with alternative treatments, which can complement traditional medical approaches:

  1. Acupuncture: This ancient Chinese practice involves inserting thin needles into specific points on the body to relieve pain and improve overall health. Some people with gout find acupuncture helps reduce pain and inflammation.
  2. Herbal Supplements: Certain herbal supplements, such as turmeric and bromelain, are believed to have anti-inflammatory properties that may help manage gout symptoms. Always consult with a healthcare provider before starting any new supplement.
  3. Dietary Supplements: Supplements like cherry extract and vitamin C have been studied for their potential to lower uric acid levels and reduce the frequency of gout attacks. Including these supplements as part of a balanced diet may offer additional benefits.

By combining medications, lifestyle changes, and alternative treatments, we are committed to helping individuals with gout manage their condition and improve their quality of life.

Biologic Options for Gout at IVX

Understanding the Need for Biologics

Biologic drugs are derived from living organisms and target specific components of the immune system to reduce inflammation. In the context of gout, these specialized medications can inhibit the action of interleukin-1 (IL-1), a protein involved in the inflammatory process and pain associated with gout attacks.

Biologics are a remarkable type of medication derived from living organisms. They target specific parts of the immune system that drive inflammation in gout, offering a beacon of hope for those affected. At IVX, we’re proud to offer leading biologics that make a real difference in our patients’ lives including: 

  • KRYSTEXXA®: a groundbreaking biologic therapy for chronic gout patients unresponsive to conventional treatments, converting uric acid into easily eliminated allantoin, reducing uric acid levels, preventing painful urate crystals, and significantly enhancing quality of life. 

Final Thoughts

Understanding gout is the first step towards effective management and a better quality of life. By recognizing the causes, symptoms, and treatment options, gout sufferers and healthcare professionals can collaborate to create personalized treatment plans. Remember, gout is manageable with the right approach, and you don’t have to face it alone. Explore more resources and connect with our community for additional support. 

By following the guidelines and insights provided in this blog post, you are taking a proactive step towards managing gout effectively. For personalized advice and ongoing support, don’t hesitate to consult with healthcare professionals and join our dedicated gout support community. We’re here for you every step of the way! 

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