Gouty Arthritis - Gout

What are the treatments for the disease?

There are treatments for both the acute phase of gout and for preventing flare-ups of symptoms. For acute attacks, the anti-inflammatory medication colchicine is used to reduce the pain. Indomethacin and other nonsteroidal anti-inflammatory drugs, or NSAIDs, like ibuprofen, are also useful. Occasionally, pain medications may be prescribed.

After the acute attack has resolved, other medications can be used to minimize acute attacks of gout. Allopurinol blocks the body's production of uric acid and probenicid helps the kidneys eliminate excess uric acid.

A person with gout will also be advised to make the following lifestyle changes:

What are the side effects of the treatments?

Colchicine, nonsteroidal anti-inflammatory drugs, also called NSAIDs, and allopurinol may cause nausea, vomiting, diarrhea, abdominal distress, and allergic reactions.

What happens after treatment for the disease?

People who have gout can have recurrent episodes throughout their lives. These episodes are not always associated with increases in the uric acid level in the blood. Early treatment of acute gout attacks is important. This helps improve the quality of life and reduces the chances of any chronic changes in the joint.

How is the disease monitored?

The healthcare provider will describe how to monitor the disease. Most will want to know about the number of attacks, the length of each attack, and which joint is involved. The provider will also monitor uric acid levels and any side effects of the medications. Any new or worsening symptoms should be reported to the healthcare provider.