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Treatment
Gout medications: the 3 drug groups doctors prescribe and the mistakes that make it worse
Stopping the uric acid drug once the pain is gone is the most common mistake.
Gout drugs serve two different goals: stopping a flare (short term) and lowering uric acid (long term).
Flare drugs
- Colchicine – best within 12 hours; low dose 0.5 mg twice daily.
- NSAIDs – fast relief; caution with stomach or kidney issues.
- Steroids – when the others can't be used.
Uric acid lowering
- Allopurinol – cheap, first choice; titrate every 2–4 weeks to <360.
- Febuxostat – stronger alternative.
Common mistakes
- Stopping allopurinol once pain ends.
- Starting it mid-flare.
- Long-term self-prescribed steroids.
- Never retesting to adjust the dose.
Supplements support; they do not replace medication.
Products mentioned
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