Gout — acute flare
- Treat promptly—do not wait for urate result
- NSAID, colchicine or glucocorticoid first-line
- Choice depends on kidney/GI/CV comorbidity
- Severe/polyarticular flare may need combination
- Continue established urate-lowering therapy
- Ice/rest can supplement drug treatment
- Infection must be excluded when uncertain
Use at a glance
- Treat promptly—do not wait for urate result
Treatment options
- NSAID, colchicine or glucocorticoid first-line
Other treatment options
- Continue established urate-lowering therapy
- Ice/rest can supplement drug treatment
Choosing treatment
- Choice depends on kidney/GI/CV comorbidity
- Severe/polyarticular flare may need combination
- Infection must be excluded when uncertain
Self-check
- Should acute gout-flare treatment wait for the urate result?
No; treat promptly. - What is first-line for an acute gout flare?
NSAID, colchicine or glucocorticoid.
Drugs used for this (4)
All clinical uses · Open Gout — acute flare in the interactive console ↗