I have been suffering from gout now for about three years. I tried Allupuronal (sp?) but had some nasty side-affects.

I average an attack per month (ranging in severity).

My doctor decided to take a "re-active" approach, which seemed to help. Anytime I feel an attack coming on, I take Predisone (25mg) and Colchicine. I'll take the Colchicine every hour until the pain subsides. For the past year--it has worked well. I still get an attack each month, but they last for only a few hours.

However . . . I am in the midst of a vicious attack that has lasted for 10 days (and going). This one is a first, as it is actually in the ball of my big toe. I normally get them in the upper joint of big toe, or on the side of the foot, or index finger.

I have been taking Predisone, Indomethacin, and Colchicine during this attack. The pain is about a 4 on a 1-10 scale, so it is "bearable", but still painful, and I limp slightly. I am sure the drugs are fighting it off, but geez I cannot believe how long it is lasting.

Just curious what your longest attack has been.