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Gout - Management
What if treatment fails in acute gout?

  • If there is no improvement in symptoms after 2–3 days:
    • Review the diagnosis, check compliance with medication, and encourage self-care strategies.
    • Increase the dose of medication to maximum and add paracetamol, with or without codeine.
  • If there is still no improvement in symptoms, try an alternative drug or consider combining treatment, or seek specialist advice.

In depth

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