The goals of treatment for
gout are fast pain relief and prevention of future
gout attacks and long-term complications, such as joint destruction and kidney
damage. Treatment includes medicines and steps you can take at home to prevent
Specific treatment depends on whether you are having an acute attack or are trying to manage long-term gout and prevent future attacks.
Because there is no cure for osteoarthritis (OA), medications focus on pain relief. If you have OA, consider the following risks and benefits of different pain relievers to make the decision that is best for you.
Pegloticase (Krystexxa). This medicine is for gout that has lasted a long time and has not responded to other treatment.
Treat tophi. These are chalky nodules that form from uric acid crystals. Treatment includes:
Drugs called xanthine oxidase inhibitors, which may shrink the
tophi until they disappear.
In rare cases, surgery to remove large
tophi that are causing deformity.
What to think about
If the blood uric acid is
high but a person has never had an attack of gout, treatment is rarely needed.
But people with extremely elevated levels may need regular testing for signs of
kidney damage. And they may need long-term treatment to lower their uric acid
levels. Your blood uric acid level may be watched by your doctor until it is
lowered to normal levels.
Long-term medicine treatment depends on how high your uric acid levels are and how likely it is that you will have other gout attacks in the future.