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Treatment works by targeting this process at two levels: Acute relief medications (NSAIDs, colchicine, corticosteroids) act directly on the inflammation, reducing pain and joint swelling within hours to days

Pretreatment with Dihexa does not affect the amount of fluorescently tagged gentamicin that enters hair cells, indicating that Dihexas protection is likely mediated by intracellular events and not by inhibiting aminoglycoside entry

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