Prescription medications can be used to reduce uric acid production and prevent flare-ups.

Both of these medications provide the same effectiveness, so you might choose one or the other.

Topical OTC NSAIDs such as Voltaren Gel (diclofenac) are also available.

Man using a cold compress on the knee while sitting on a couch

Getty Images / Antonio_Diaz

However, topical creams are not strong enough to help with gout flare-ups.

NSAIDs are considered most effective when taken within 48 hours of symptom onset.

You should stop NSAID use after all symptoms of a flare-up have resolved.

It’s not recommended to exceed seven to 10 days of NSAID use for a flare.

The two most common natural remedies are vitamin C and tart cherries.

Diet, on the other hand, is a proven way to help manage gout and prevent flare ups.

Vitamin C

Some studies suggest thatvitamin Ccan lower uric acid levels.

Since gout occurs due to a build-up of uric acid, taking vitamin C may help prevent gout flares.

Diet

Small changes in yourdietare clinically proven to help prevent gout flares.

Recommended foods that can help prevent gout flares include vegetables such as asparagus, spinach, and cauliflower.

Dairy intake has also been associated with a reduced risk.

Low-dose aspirin can retain uric acid in your body, therefore worsening the gout attack.

Overproduction of uric acid can occur due to too much protein.

You should also avoid drinking alcohol.

Other than NSAIDs, prescription medications like steroids and colchicine can be used to treat your gout flares.

However, the best way to prevent gout flares is to know your triggers.

Common triggers include consuming large amounts of red meat, shellfish, and alcohol.

If OTC medications dont treat your gout flares, contact your healthcare provider for other treatment options.

You may need to take additional medications to help lower uric acid levels to prevent gout attacks further.

The author would like to recognize and thank Alexya Rosas for contributing to this article.

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Arthritis Foundation.Managing a gout flare.