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However, it can be difficult to tell if a person has gout based on symptoms alone. Other types of arthritis can cause similar symptoms. To help you diagnose gout, your healthcare professional may also: Do a blood test to measure the amount of uric acid Remove some fluid from the affected joint with a needle to look for uric acid crystals Do an X-ray, ultrasound, or dual-energy CT scan to examine your joints Know your options How is a gout attack treated? Ideally, a gout attack should begin to be treated within 24 hours of symptoms onset. Your healthcare professional may suggest medicine to reduce pain and swelling. This medicine can be: A nonsteroidal antiinflammatory drug (also known by the acronym NSAID) such as ibuprofen (Advil), indomethacin (Indocin ® ), naproxen (Aleve ® , Naprosyn ® ) - taken orally. An anti-inflammatory medicine called colchicine (or colchicine), taken by mouth. A corticosteroid, such as prednisone (taken by mouth) or triamcinolone (by injection into the affected joint). What have researchers found about medicines to treat a gout attack? The researchers observed that: NSAIDs reduce the pain of a gout attack. All NSAIDs are equally effective in reducing pain. Colchicine reduces the pain of a gout attack. Corticosteroids reduce the pain of a gout attack as effectively as NSAIDs. What can I do to try to prevent future gout attacks? Medicines To try to prevent future gout attacks, your healthcare professional may suggest a medicine to lower the amount of uric acid in your blood. Medicines that lower the amount of uric acid the body makes include: Allopurinol (Zyloprim ® ), taken by mouth. Febuxostat (Uloric ® ), taken orally. Note : Allopurinol (Zyloprim ® ) and febuxostat (Uloric ® ) take a while to start working. In fact, these medications can increase the risk of a gout attack when they are first started. In order to lower the risk of a gout attack, your healthcare professional may suggest that you also take an NSAID or colchicine for several weeks when you start taking allopurinol or febuxostat. What have researchers found about medications to try to prevent future gout attacks? The researchers observed that: Both allopurinol (Zyloprim ® ) and febuxostat (Uloric ® ) lower the amount of uric acid in the blood. Neither is more effective than the other. Allopurinol (Zyloprim ® ) and febuxostat (Uloric ® ) do not lower the risk of a gout attack in the first 6 months of taking either medication.  nitro strength However, the risk of a gout attack does decrease after taking any of the medications for 1 year. The risk of a gout attack decreases if you take an NSAID or colchicine when you start taking allopurinol (Zyloprim ® ) or febuxostat (Uloric ® ). The effectiveness of the NSAID or colchicine in reducing this risk increases after taking them for more than 8 weeks. Side effects are about as common with allopurinol (Zyloprim ® ) as with febuxostat (Uloric ® ). Other ways to try to avoid future gout attacks Your healthcare professional may also suggest other ways to prevent future gout attacks, such as the ones listed below. More research is needed to see if a specific change in diet or lifestyle would be beneficial.
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