What to do if your gout doesn’t get better in half a month

Gout half a month still no improvement phenomenon, may be associated with excessive exercise, not taking medication or not controlling dietary purine intake and other factors, need to choose low purine food, at the same time add glucocorticosteroid or discontinue the use of uric acid-lowering drugs. 1. Reduce the intake of high uric acid food: If the diet is not managed during the gout attack, and not strictly follow the low purine diet during the acute attack, it may lead to the prolongation of gout symptoms, so you should choose low uric acid food, such as fruits, potatoes, eggs, and other low purine food during the gout attack. 2. Add glucocorticoids: gout acute attack need to insist on taking such as celecoxib and other non-steroidal anti-inflammatory drugs, colchicine, etc., if you have been using these two kinds of drugs, half a month the effect is still poor, you can add prednisone and other glucocorticosteroids to the joint treatment, the specific use of drugs need to be under the guidance of the doctor to use. 3. Stop using uric acid-lowering drugs: the first acute attack of gout patients in the use of uric acid-lowering drugs such as febuxostat, will prolong the gout attack time, you can stop using uric acid-lowering drugs, waiting for the acute phase of relief to enter the interictal period and then uric acid-lowering treatment. If the gout half a month still no improvement phenomenon, it is recommended to the regular hospital rheumatology and immunology department consultation, follow the doctor’s prescription medication, do not self-medication.