General Adult
Treatment
1.
Acute Attack
Rest and immobilisation. Ibuprofen 400 mg every 8 hours OR Indomethacin 50 mg OR Diclofenac 50 mg.
2.
Acute Attack (NSAIDS contraindicated)
Prednisolone 40 mg once daily for 5 days OR Colchicine 0.5-1 mg initially, then 0.5 mg every 2-3 hours until relief (max 6 mg).
3.
Chronic Gout (>2 attacks/year)
Allopurinol starting dose 100 mg, increase monthly by 100 mg (maintenance 300 mg, max 900 mg). Titrate to keep uric acid <0.35 mmol/L. Give prophylactic Colchicine 0.5 mg every 12 hours for first 3 months.
Clinical Tools