Acute Gout Management. ALL. Acute Gout Management. Use these guidelines to discuss the best treatment for your gout attack with your doctor.. For more information see . www.gout-pal.com/gouty-arthritis-treatment/2007/05/. ?. Do . you have . painful . swelling?. YES. NO. These guidelines are for gout sufferers experiencing an acute gout attack.. Find out more about gout.. Discuss Acute Gout . Guideline 1. Rest the affected joints and take analgesic, and/or anti-inflammatory drugs for 1–2 weeks.. Discuss Acute Gout . Guideline 2. Rest. the affected joints and take analgesic, and/or anti-inflammatory drugs for 1–2 weeks.. ?. Can you . tolerate . NSAIDs?. YES. NO. Colchicine can be an effective alternative to NSAIDs, but is slower to work.. Maximum doses of fast-acting oral NSAIDs (Non-Steroidal Anti-Inflammatory Drugs) are the best. Discuss Acute Gout . Guideline 6. Discuss Acute Gout . Guideline 5. Discuss Acute Gout . Guideline 8. Discuss Acute Gout . Guideline 7. Discuss Acute Gout . Guideline 4. Discuss Acute Gout . Guideline 3. NO. Corticosteroids injections and tablets can be effective if you cannot tolerate NSAIDs. ?. Do you . have an . ulcer?. YES. Your doctor should also prescribe gastro-protective agents, following standard guidelines for the use of NSAIDs and Coxibs.. You can take opiate analgesics as well as anti-inflammatories.. ?. Are you . taking . uric acid . drugs?. ?. Do you . take diuretics?. YES. NO. Allopurinol (or any other uric acid lowering treatment) must be continued.. Do not start taking allopurinol during an acute attack, but continue with it if you have already . started.. YES. ALL. Discuss alternative blood pressure lowering therapies with your doctor, but if you have suffered heart failure, diuretic therapy should not be discontinued.. Remember, . gout is a serious disease that you must discuss with your doctor. These guidelines are to hel. p you get the most from that discussion.. You can . learn more about gout at GoutPal.com. and . discuss your gout at . Gout Pal Interactive. .. Copyright 2007 GoutPal.com. You may share this chart in electronic form as long as you keep all links..