What is the treatment of a gouty attack?
Initial treatment for a gouty attack is usually with a nonsteroidal anti-inflammatory medications (NSAIDs). These medications, such as over the counter Motrin, or more potent prescription versions, are not always well tolerated by some patients. In those who cannot use NSAIDs, a steroid medication can also be used, either injected or oral. Another medication, colchicine, is very effective in the immediate treatment of a gouty attack, but often causes nausea and stomach upset, so many patients do not tolerate this drug. Future attacks of gout can be prevented by taking a medication called allopurinol. This medication is started after the gout attack has ended (usually after a few days).
How can I prevent gout?
Individuals often learn what causes their own gout attacks. As previously discussed, certain foods with high concentrations of purines can be avoided. Drinking alcohol should be moderated. Prescription and non-prescription medications should be reviewed with your doctor (it is important that you not discontinue a medication without consulting your doctor, as an untreated condition such as high blood pressure may be worse than a gouty attack). Other common causes of a gouty attacks include dehydration, injury to a joint, surgery, and a febrile illness. Prevention should focus on avoidance of these situations. If surgery is needed, discuss with your doctor whether prophylactic medication to prevent a gouty attack is appropriate.
