o non-steroidal anti-inflammatory drugs (NSAIDS)
o colchicine
o corticosteroids
o adrenocorticotropic hormone (ACTH)
o allopurinol
o probenecid
o sulfinpyrazone
2. NSAIDS, specifically indomethacin, are commonly the first medication prescribed to treat acute gout. Other NSAIDS may be equally effective. NSAIDS are initially prescribed at maximum dosage and reduced as symptoms subside. The medication should be continued until pain and inflammation are non-existent for at least 48 hours. NSAIDS which are COX-2 inhibitors may be useful for patients with gastrointestinal concerns but their use for acute gout has not been specifically reported yet.
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