Gout treatment
Gout treatment has two parts: managing the acute attack, and lowering uric acid long term to prevent further attacks and joint damage.
Treatment approaches
NSAIDs during attacks
First-line for most people — start as soon as the attack begins.
Colchicine
Effective for acute attacks, particularly if NSAIDs aren't suitable.
Short steroid course
Used when NSAIDs and colchicine aren't appropriate.
Allopurinol
Long-term urate-lowering therapy — the cornerstone of preventing future attacks.
Febuxostat
Alternative urate-lowering option when allopurinol isn't tolerated.
Lifestyle measures
Weight management, reduced alcohol, and good hydration alongside medication.
This is general information, not a substitute for personalised medical advice.
Frequently asked questions
What is the best treatment for gout in the UK?
UK treatment for gout follows NICE guidance and usually combines self-management (exercise, weight control, pacing), pain relief, and — where needed — specialist medication or therapy. There is no single "best" option; the right plan depends on the type, severity and joints involved.
Can gout be cured?
Most forms of gout cannot be cured, but they can be very effectively managed. With the right combination of exercise, medication, and lifestyle support, many people maintain a full and active life.
What painkillers help gout?
Common options include paracetamol, topical or oral NSAIDs (such as ibuprofen) and, for inflammatory types, prescription medication such as DMARDs or biologics. Always take pain relief at the lowest effective dose and ask your GP or pharmacist about interactions.
Do I need a referral to see a rheumatologist for gout?
Yes — in the UK, you'll usually need a referral from your GP to access UK healthcare rheumatology services. If your GP suspects an inflammatory arthritis, NICE recommends urgent referral so that treatment can start early.
Are there free UK healthcare resources for gout treatment?
Yes. UK healthcare physiotherapy, occupational therapy, pain clinics and self-management programmes are available — many free at the point of use. Ask your GP or check the UK healthcare system website for services in your area.