How is gout treated?
Acute attacks of gout are generally treated with colchicine and NSAIDs. Colchicine is most effective when used within 48 hours of an attack. Indomethacin and naproxen are NSAIDs commonly given. For patients who are unable to take NSAIDs (stomach ulcer, kidney disease, taking blood thinners), corticosteroids are an option. Resting the affected joint and applying cold compresses to the area also may help alleviate pain. Efforts to normalize blood uric acid levels should be considered for patients who have repeated gout attacks, unusually high levels of serum uric acid, or tophi or kidney stones. Probenecid helps the kidneys eliminate uric acid. Allopurinol blocks production of uric acid and is most often the agent selected to normalize blood levels. Drinking alcohol should be reduced or stopped. Diets that restrict foods rich in purines (substances found in meat and certain types of seafood or high fructose beverages) may help in difficult cases.
