Gout / Uric Acid

Gout is a type of arthritis caused by the buildup of uric acid crystals in the joints. Treatment for gout generally involves medication to manage pain and inflammation, as well as long-term management to lower uric acid levels and prevent future attacks. Here's a rundown of common gout medications:

  1. Pain and Inflammation Relief:

    • Nonsteroidal Anti-Inflammatory Drugs (NSAIDs): Examples include ibuprofen (Advil, Motrin) and naproxen (Aleve). They help reduce pain and inflammation.
    • Colchicine: This medication can help relieve pain and reduce inflammation if taken early during an attack.
    • Corticosteroids: Prednisone or other corticosteroids may be prescribed if NSAIDs and colchicine are not effective or suitable.

  2. Uric Acid Lowering Medications:

    • Allopurinol: Helps reduce uric acid levels by inhibiting the production of uric acid. It’s used for long-term management to prevent gout attacks.
    • Febuxostat: Similar to allopurinol, it lowers uric acid levels but is often used if allopurinol isn’t tolerated or effective.
    • Probenecid: Increases the excretion of uric acid through the kidneys, which can help lower uric acid levels in the blood.

  3. Other Medications:

    • Lesinurad: Often used in combination with allopurinol or febuxostat to enhance uric acid excretion.
    • Pegloticase: Used in severe cases where other medications haven’t been effective. It breaks down uric acid in the blood.

Managing gout also involves lifestyle changes, such as diet modifications (reducing purine-rich foods like red meat and seafood), drinking plenty of water, and maintaining a healthy weight. Always consult a healthcare provider to determine the most appropriate treatment for your specific condition.