Musculoskeletal disorders

Gout

(Gouty arthritis)

About Gout

Gout is a common, painful form of arthritis. It causes swollen, red, hot and stiff joints.

Gout happens when uric acid builds up in your body. Uric acid comes from the breakdown of substances called purines. Purines are in your body's tissues and in foods, such as liver, dried beans and peas, and anchovies. Normally, uric acid dissolves in the blood. It passes through the kidneys and out of the body in urine. But sometimes uric acid can build up and form needle-like crystals. When they form in your joints, it is very painful. The crystals can also cause kidney stones.

Often, gout first attacks your big toe. It can also attack ankles, heels, knees, wrists, fingers, and elbows. At first, gout attacks usually get better in days. Eventually, attacks last longer and happen more often.

You are more likely to get gout if you

  • Are a man
  • Have family member with gout
  • Are overweight
  • Drink alcohol
  • Eat too many foods rich in purines

Gout can be hard to diagnose. Your doctor may take a sample of fluid from an inflamed joint to look for crystals. You can treat gout with medicines.

Pseudogout has similar symptoms and is sometimes confused with gout. However, it is caused by calcium phosphate, not uric acid.

NIH: National Institute of Arthritis and Musculoskeletal and Skin Diseases

Symptoms of Gout
  • Painful, swollen, red, hot joints
  • Joint stiffness
  • Usually affects your big toe first, but can also affect ankles, heels, knees, wrists, fingers, and elbows

Top Medications for Gout according to our users

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All Medications for Gout

Antigout

  • Allopurinol
    Prescription only

    Zyloprim (Allopurinol) works well to prevent gout attacks and is cheaper than some alternatives, but it takes a few weeks to kick in.

    Was it worth it?
    • Available dosage forms:
    • Pill
  • Colcrys
    (Colchicine)
    Prescription only

    Colcrys (Colchicine) is a second-choice treatment for gout attacks. Be careful how much you use since it causes a lot of side effects.

    Was it worth it?
    • Available dosage forms:
    • Pill
  • Uloric
    (Febuxostat)
    Prescription only

    Uloric (Febuxostat) is a once a day medication for chronic gout, but it takes a few weeks to kick in.

    Was it worth it?
    • Available dosage forms:
    • Pill

Pain reliever

Antihypertensive

  • Losartan
    Prescription only

    Cozaar (Losartan) is a good blood pressure-lowering medicine that protects kidney function like an ACE inhibitor, but with fewer side effects.

    • Available dosage forms:
    • Pill

Medication side effects for Gout

These are some of the most common side effects from clinical trials for nausea.

  • Uloric: 1%
  • Indocin: 34%
0 of 100

At this end, no one is expected to have nausea

100 of 100

At this end, almost everyone is expected to have nausea

Tips, success stories, and coping strategies for Gout

What tip would you give someone like me who was just diagnosed?
  • Try and lower the amount of red meat intake, stay away from shellfish as much as possible. Fish, chicken and turkey are great options. When eating fish try to stick to lighter color fishes(tuna is high agitators for gout) stay away from alcohol(you can drink but not too much or to often). Stay away from too much salt and also beans. You will be fine. Work out, that helps. Don't forget to drink a lot of water to flush and balance your body.
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Besides medications, what else has worked for you?

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