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

Button Group. All currently active
  • All men

  • Brand (generic)% of users who said medication was worth it
  • Naproxen
    79%
  • All women

  • Brand (generic)% of users who said medication was worth it
  • Naproxen
    78%

All Medications for Gout

  • Antigout > Xanthine oxidase inhibitor

    • 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.

      • 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 > Nonsteroidal anti-inflammatory drug (NSAID)

    • Naproxen
      Prescription or OTC

      Aleve (Naproxen) works well for mild to moderate pain and inflammation, and it lasts longer than other NSAIDs.

      • Available dosage forms:
      • Pill
      • Delayed release tablet
      • Liquid
    • Cambia
      (Diclofenac potassium)
      Prescription only

      Cataflam (Diclofenac Potassium) is an okay medication used to treat pain and swelling. However, because of the risk of heart attack, it's recommended to limit the amount you take.

      Was it worth it?
      • Available dosage forms:
      • Pill
      • Powder for oral solution
    • Celebrex
      (Celecoxib)
      Prescription only

      Celebrex (Celecoxib) works well for treating pain and causes less upset stomach than other NSAIDs.

      • Available dosage forms:
      • Pill
    • Voltaren
      (Diclofenac sodium)
      Prescription only

      Voltaren (Diclofenac Sodium) works well for pain and causes less upset stomach than other NSAIDs.

      • Available dosage forms:
      • Extended release
      • Cream, gel, or ointment
      • Eye drops
    • Indocin
      (Indomethacin)
      Prescription only

      Indocin (Indomethacin) works well for mild to moderate pain and swelling, but it shouldn't be used long-term since it has some serious side effects.

      Was it worth it?
      • Available dosage forms:
      • Pill
      • Extended release
      • Liquid
      • Suppository
  • Antihypertensive > Angiotensin receptor blocker

    • 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 diarrhea.

  • Indocin: 3%
  • Colcrys: 23%
0 of 100

At this end, no one is expected to have diarrhea

100 of 100

At this end, almost everyone is expected to have diarrhea

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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