28 doctors weighed in:

Best gout treatment?

28 doctors weighed in
Dr. Marsha Davis
Internal Medicine
14 doctors agree

In brief: Depends

There are several really good treatments for gout.
If you are in an active flare, and your kidneys are good, and you are not at risk for an ulcer, indomethocin is very effective and inexpensive. Just be sure to take it with food. If you are not immunocompromised in any way Colchicine is another good treatment, and inexpensive too. If you develop diarrhea stop it right away. Prevention is best!

In brief: Depends

There are several really good treatments for gout.
If you are in an active flare, and your kidneys are good, and you are not at risk for an ulcer, indomethocin is very effective and inexpensive. Just be sure to take it with food. If you are not immunocompromised in any way Colchicine is another good treatment, and inexpensive too. If you develop diarrhea stop it right away. Prevention is best!
Dr. Marsha Davis
Dr. Marsha Davis
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Dr. Brian Flyer
Internal Medicine
8 doctors agree

In brief: Gout

There's acute gout which responds to Colchicine or non-steroidal anti-inflammatories (corticosteroids work, but aren't necessary unless you can't take the first two) the there's prevention of attacks, in which case we use allopurinol, which lowers uric acid levels.

In brief: Gout

There's acute gout which responds to Colchicine or non-steroidal anti-inflammatories (corticosteroids work, but aren't necessary unless you can't take the first two) the there's prevention of attacks, in which case we use allopurinol, which lowers uric acid levels.
Dr. Brian Flyer
Dr. Brian Flyer
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Dr. Chad Boomershine
Internal Medicine - Rheumatology
5 doctors agree

In brief: Lowering uric acid

Gout treatments lower uric acid and keep it less than 6 mg/dl.
Diet and exercise with weight loss can treat gout. Allopurinol and probenecid are inexpensive, but they don't work in everyone and can cause severe toxicity in some. Uloric is newer and more effective but also more expensive. Krystexxa (pegloticase) is newest, but is a very expensive IV infusion given every 2 weeks that can cause side effects.

In brief: Lowering uric acid

Gout treatments lower uric acid and keep it less than 6 mg/dl.
Diet and exercise with weight loss can treat gout. Allopurinol and probenecid are inexpensive, but they don't work in everyone and can cause severe toxicity in some. Uloric is newer and more effective but also more expensive. Krystexxa (pegloticase) is newest, but is a very expensive IV infusion given every 2 weeks that can cause side effects.
Dr. Chad Boomershine
Dr. Chad Boomershine
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Dr. Kenneth Smith
Internal Medicine
3 doctors agree

In brief: Gout

Best treatment is prevention limit protein 10oz daily stay well hydrated avoid alcohol .
Acute attack Colchicine nsaids. Chronic meds i tend to avoid especially for single attack unless to phaseout then start preventative medication immediately.

In brief: Gout

Best treatment is prevention limit protein 10oz daily stay well hydrated avoid alcohol .
Acute attack Colchicine nsaids. Chronic meds i tend to avoid especially for single attack unless to phaseout then start preventative medication immediately.
Dr. Kenneth Smith
Dr. Kenneth Smith
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Dr. Thomas Heston
Family Medicine
3 doctors agree

In brief: Timing

Depends on if it is an acute attack or between attacks.
Here's some good information on treatment options: http://sgoti.Ws/q6flj9 one of the best ways is to prevent an attack through a healthy diet and keeping your weight under control.

In brief: Timing

Depends on if it is an acute attack or between attacks.
Here's some good information on treatment options: http://sgoti.Ws/q6flj9 one of the best ways is to prevent an attack through a healthy diet and keeping your weight under control.
Dr. Thomas Heston
Dr. Thomas Heston
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Dr. Jeff Mcginnis
Internal Medicine & Pediatrics
3 doctors agree

In brief: Colchicine & uloric

6 mg taken 3 times a for a few days, then twice a day for a few days, and then once a day for a few days. If your uric acid level is high you can take uloric or Allopurinol on daily basis to prevent acute attacks.

In brief: Colchicine & uloric

6 mg taken 3 times a for a few days, then twice a day for a few days, and then once a day for a few days. If your uric acid level is high you can take uloric or Allopurinol on daily basis to prevent acute attacks.
Dr. Jeff Mcginnis
Dr. Jeff Mcginnis
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Dr. Pedro Hernandez
Internal Medicine - Geriatrics
2 doctors agree

In brief: Part 2 Acute Gout

Besides the multiple approaches to treat acute attacks of gout remember to hold or stop the Allopurinol until the pain goes away, because it may prolong the acute attack.
Other options are to use nsaids like indometacine high dosis( 50 mg aid, then tid then 25 mg tid) for three days but it causes more ulcers or gastritis comparing with other treatments. With any tx protect your stomach.

In brief: Part 2 Acute Gout

Besides the multiple approaches to treat acute attacks of gout remember to hold or stop the Allopurinol until the pain goes away, because it may prolong the acute attack.
Other options are to use nsaids like indometacine high dosis( 50 mg aid, then tid then 25 mg tid) for three days but it causes more ulcers or gastritis comparing with other treatments. With any tx protect your stomach.
Dr. Pedro Hernandez
Dr. Pedro Hernandez
Thank
Dr. Pedro Hernandez
Internal Medicine - Geriatrics
2 doctors agree

In brief: Acute gout

Colchicine is ok.
If pain is terrible may go up to 0.6mg (or 0.5) every hour until nausea, vomiting or diarrhea appears) for no more than 5 times in a row. Two prevent these symptoms drs recommend to take 4xd, 3xd then 2xd. Other choice is injections of depomedrol (methylprednisolone) ( or other cortisone) either im or better inside the affected joint if not better then add p.O. Cortisone like Medrol dose pak.

In brief: Acute gout

Colchicine is ok.
If pain is terrible may go up to 0.6mg (or 0.5) every hour until nausea, vomiting or diarrhea appears) for no more than 5 times in a row. Two prevent these symptoms drs recommend to take 4xd, 3xd then 2xd. Other choice is injections of depomedrol (methylprednisolone) ( or other cortisone) either im or better inside the affected joint if not better then add p.O. Cortisone like Medrol dose pak.
Dr. Pedro Hernandez
Dr. Pedro Hernandez
Thank
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