As a LONG TIME sufferer of Gout, I had gone to many different doctors. They all pretty much said the same thing, "Eat the right foods, drink the right fluids, etc."
I was put on Allupurinol(sp?) and had some very bad side-affects. I finally went to a doctor that has kept me virtually pain free. His thought was, to not worry so much about preventing attacks, but how to DEAL with them when they occur.
Here is how I am currently treating it:
1. Whenever I feel a twinge of pain, I take one Colchacine.
2. If it stays the same, I will take another one and hour later.
3. If it gets worse (which is rare), I go for the Predinsone.
4. If that does not work (extremely rare) and I am into an full-throttle attack--then I take Inomethicyn.
I went camping a few months ago, and forgot my "gout medicine". Murphey's law dictated I was bound to have an attack--and of course I did. Around 10:00 pm I drove 2 hours back home just for my medicine. My foot was the size of a football and I was in AWFUL pain.
I took a Colchacine, Predinsone, and TWO Indomethicyn. Within and hour I was on the road to recovery, and within three hours the pain was ALL gone.
My point? Talk to your doctor about this. They key is to start the drugs the split second you feel something.