Two options. Colchicine may control the acute attacks while other medicines are started to lower uric acid levels which will ultimately prevent gout. One choice would be uloric which is a daily pill. If that fails, Krystexxa (pegloticase) is an an option. Krystexxa (pegloticase) is more powerful than other drugs but is given by intravenous infusion every two weeks.
Depends. You could try uloric, although a cross reactive allergy is possible. The next step if the gout was bad enough is pegloticase. You can also try losartan although the effect is mild (0.5 mg/dl). This also assumes you've already done all the lifestyle modifications like avoiding the wrong foods and drinks, exercise, weight loss, controlling comorbid diseases (psoriatic arthritis), etc.