Loxoprofen / Indomethacin
In most cases, when you visit a doctor for gout pain, you will likely be prescribed loxoprofen (a common anti-inflammatory pain reliever). To be honest, I personally don’t feel a strong effect from it, but when the pain becomes unbearable, I still take it. Some people say it helps reduce their symptoms, so it seems to be the standard first-line pain medication.
Indomethacin is another option that some doctors prescribe. The difference between the two really depends on the individual. Either way, it’s important to follow the dosage prescribed by your doctor.
I also recommend keeping an over-the-counter version on hand for emergencies. There are mixed opinions about using topical patches during a gout flare, so whether you choose oral medication or a patch is up to your own judgment. In my case, neither works dramatically—but I still keep them ready.
Rest Is Essential
Gout pain strikes suddenly. Even taking medicine can feel like a challenge. After taking your medication, the most important thing is absolute rest. Elevate your foot above heart level to reduce swelling. Use a sofa backrest or cushion to prop it up. You might feel the need to handle work, meals, or errands—but during a flare, rest should be your top priority.
For most people experiencing their first attack, the pain will subside within about a week. If you have family or an understanding boss, now is the time to rely on them.
Cold or Heat?
From my experience: always choose cold. Some sources recommend warming the joint, while others suggest cooling it. I’ve tried both, and heating only made the pain and swelling worse. Cooling the area helps reduce inflammation and speeds recovery. Just be careful not to apply ice directly for too long—find a comfortable balance.
Alcohol
Drinking alcohol during a gout flare will almost certainly make the symptoms worse. I have tried to numb the pain with alcohol before—only to suffer even more afterward. It’s best to completely avoid drinking during an attack.
Hydration
Every doctor and pharmacist will tell you this: drink plenty of water. Proper hydration helps dilute uric acid in the blood. I’m used to drinking a lot (alcohol and water), and I do notice that staying hydrated makes a difference. However, be careful not to overhydrate—everything in moderation.
Colchicine
Colchicine is considered a powerful tool among gout patients. It is said to be most effective when taken at the very beginning of a flare. It is not a painkiller, but rather a flare-prevention medication. I carry about five tablets at all times and usually end up using one to three per year when I feel a flare coming.
That said, overuse can affect your internal organs, and there may be risks related to fertility, so it should only be taken under medical supervision. Still, when you feel that first warning sign, there’s no ally more reliable than colchicine.
These ideas are not medical treatments, but lifestyle habits that I personally found helpful while managing gout. If you’re already taking your prescribed medication and want to explore additional ways to support your health, you may find some of these worth trying.