What is the first-line treatment for gout?

Allopurinol is strongly recommended as a first-line urate-lowering medication over all others for all patients. Allopurinol or febuxostat is strongly recommended over probenecid as a first-line treatment for patients with moderate-to-severe chronic kidney disease.

What is the safest medication for gout?

Your doctor may recommend colchicine (Colcrys, Gloperba, Mitigare), an anti-inflammatory drug that effectively reduces gout pain. The drug’s effectiveness may be offset, however, by side effects such as nausea, vomiting and diarrhea.

What is the safest gout medication?

Allopurinol is considered very safe to take for a long period of time. There are unlikely to be any long-term effects. What will happen if I stop taking it? If you stop allopurinol treatment suddenly, there is a high risk that gout may get worse or you will get serious side effects.

What are the treatment options for acute gout?

Acute gout may be treated with nonsteroidal anti-inflammatory drugs, corticosteroids, or colchicine. To reduce the likelihood of recurrent flares, patients should limit their consumption of certain…

How is gout treated in patients with tophi?

Treating gout with urate-lowering medications is strongly recommended for patients who have tophi (nodules that form from a mass of uric acid crystals at joints or in soft tissues), radiographic evidence (X-ray or other imaging) of damage due to gout, or two or more gout flares per year.

What is the best over the counter medicine for gout flare ups?

Drugs used to treat gout flares and prevent future attacks include: Nonsteroidal anti-inflammatory drugs (NSAIDs). NSAIDs include over-the-counter options such as ibuprofen (Advil, Motrin IB, others) and naproxen sodium (Aleve), as well as more-powerful prescription NSAIDs such as indomethacin (Indocin, Tivorbex) or celecoxib (Celebrex).

How can I Manage my gout and improve my quality of life?

How can I manage my gout and improve my quality of life? 1 Eat a healthy diet. Avoid foods that may trigger a gout flare,… 2 Get physically active. Experts recommend that adults be moderately physically active… 3 Go to effective physical activity programs. 4 Join a self-management education class, which can help you learn confidence…