Suggest Medication For Toe Pain Due To Gout

Posted on Wed, 8 Jun 2016

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Wed, 8 Jun 2016 Answered on

Tue, 5 Jul 2016 Last reviewed on

Question : I have gout flare up in big toe. Most painful thing I have had. Haven't slept more than a couple of hours in three days. Taken Advil and tramadol pain not receding, need sleep. Any suggestions?

Answered by Dr. Dr. Shruti Rijhwani (38 minutes later)

Brief Answer:
Will need steroids.

Detailed Answer:
Dear Madam,

Thank you for posting your query on HCM.

Well looking into your problem I can imagine what you are going through because gouty arthritis attack happens to be the most painful arthritis attacks ever . Since its been 3 days and both Advil and tramadol are not working I will suggest you to talk to your treating doctor regarding giving a short course of steroid in low dose or consider giving an intraarticular cortisone injection which can bring immediate relief . I can understand your pain but don't worry even with no treatment gout subsides within 7-10 days . Any other query please ask . Also you didn't mention the dose of Advil you are taking to look for any scope of increasing it .

Take care.

Dr. Shruti

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Above answer was peer-reviewed by : Dr. Sonia Raina