How best to manage gout
Optimal gout management encompasses
nonpharmacologic therapy, symptom management
of acute attacks, and combination
anti-inflammatory and ULT prophylaxis for
patients with chronic gout.12,13 It is important
to work with patients to track and document
both the number and the severity of acute
attacks occurring over a 12-month period
so that those who qualify for ULT can begin
it without delay.12 It is important to discuss
treatment objectives and management of comorbidities,
as well.
Review the medications the patient is
taking, and consider eliminating prescription
drugs associated with hyperuricemia if the
risks outweigh the benefits.19-21 In many cases,
however, lifestyle modification—ie, eating
a heart-healthy diet, exercising regularly, and
losing weight—may do more to prevent gout
attacks and manage complications than stopping
medications that provide cardioprotection.6
The ACR divides food and beverages