In unusual circumstances, for example when very high uric acid levels create a risk of kidney toxicity, treatment may be justified. Treatment of Acute Gouty Arthritis. Drug treatments for acute attacks of gout are aimed at relieving pain and reducing inflammation. Colchicine or corticosteroids may also be used. Rest, applying cold, and protecting the affected joint with a splint can also promote recovery.
Acute attacks respond best to immediate treatment.
After the first attack, some physicians advise their patients to keep a supply of medications for an acute attack on hand so that self-medication can begin at the first sign of symptoms. Treatment for Intercritical Period and Tophaceous Gout. During the period between gout attacks, patients are advised to avoid foods high in purines and to maintain a healthy weight. Patients should also avoid alcohol and reduce any stress. Many patients do not require medications.