What are the recommended first-line treatments for an acute gout attack in adults?

Offer a non-steroidal anti-inflammatory drug (NSAID), colchicine or a short course of an oral corticosteroid for first-line treatment of a gout flare, taking into account the person's comorbidities, co-prescriptions and preferences ¹.

Use a maximum dose of NSAID, such as naproxen, and continue treatment until 1-2 days after symptoms resolve ¹.

Consider a short course of oral corticosteroid, for example prednisolone 30-35 mg once a day for 3-5 days ¹.

Consider intra-articular or intramuscular corticosteroid injections if NSAIDs and colchicine are not tolerated or are ineffective ¹.

Advise ice packs to the affected joint to help alleviate pain ¹.