Quote:
Originally Posted by goo3
Also, the commonly prescribed NSAIDs and the other one don't do shit for me.
And Nocardia sounds like a doc of some sort. I'd love to hear your comments. 
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The most common NSAID used would be indomethacin but a lot of people (older) can't usually tolerate the high doses that are prescribed, if they are telling you to use OTC ibuprofen or something then you aren't really getting the best bang out of the NSAID.
The other shit - I assume is colchicine? - basically give that until you have diarrhea, then cut back.
In any event, none of these meds actually treat the main problem and at the moment, there is only 1 med that can actually get rid of excess uric acid (acutely) and its only for something else.
Others commented on the fact that steroids (prednisone) don't do anything for them, but much like the NSAIDs, they just help to reduce the inflammation and what you need to realize is that these medications don't work in 5-10 minutes, or 1-2 hours. In fact, most times you need to take a few days before you see any relief (not always the case, but more of an FYI for you).
The final step would be to aspirate the stone (if there is one) to help relieve the stress on your toe.
So despite our greatest advancements in medicine, gout treatment has not really changed in years...or even decades.
Saddening to say the least I suppose?
But as said before, alcohol is usually okay in mild amounts, and whenever possible keep hydrated!