What is the pain reliever for gouty arthritis?

OTC or Rx: If your looking for over-the-counter, higher doses of Ibuprofen (600 to 800 mg = 3 or 4 tabs, 3 x day) will help. Aleve (naproxen) or Naproxen (500 mg = 2 tabs, twice a day) is also fine. There are better prescription medications, but you will need to see your doctor about those.

Ibuprofen: Over the counter antiinflammitories are the best place to star, presuming that you have no stomach issues that would make taking these an issue. Advil or aleve (naproxen) are good choices, however if the attack is severe, prescription items such as steroids are much more effective.

Depends: One can take an antiinflammatory to reduce the. Inflammation i n an acute attack. Examples are indocin, or naprosyn. But, if arthritis has already set in, then tylenol (acetaminophen) may work. The idea is to control the gout so repeated attacks and arthritis does not set in. Keep in mind pain from an attack does not mean necessarily that arthritis has set in.