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PHARMACIST-REVIEWED GUIDE · PAKISTAN
High uric acid, gout attacks, and the diet and medicines that keep them under control.
✓ Reviewed by Arhum Nadeem, Pharm-D · ✓ Based on NHS guidance · ✓ 3–4 hr delivery in Lahore
Medically reviewed by Arhum Nadeem, Pharm-D (8 years’ experience as a pharmacist) · Last reviewed: 17 October 2026
The medicine for uric acid depends on whether you have gout. During a gout attack, anti-inflammatory painkillers, colchicine or steroids calm the pain and swelling. To prevent attacks, doctors prescribe medicines that lower uric acid long term, mainly allopurinol (Zyloric) or febuxostat (Adenuric, Gouric). High uric acid on a blood test without any symptoms usually doesn’t need medicine; diet, weight loss and water are the first steps. The classic gout symptom is a sudden, very painful, hot, red, swollen joint, often the big toe, usually starting at night.
Key points
Uric acid is a waste product made when the body breaks down purines, found in some foods and in our own cells. When levels stay high, crystals can form in the joints and cause gout.
Many people have high uric acid without ever getting gout. Joint pains in several joints at once are more often caused by other forms of arthritis. A doctor should confirm gout.
| Group | Typical lab range |
|---|---|
| Men | About 3.4–7.0 mg/dL |
| Women | About 2.4–6.0 mg/dL |
| Target for people treated for gout | Usually below 6 mg/dL |
Ranges vary slightly between labs. Uric acid can read normal during an attack, so timing matters.
| Purpose | Medicine | Notes |
|---|---|---|
| Treat an attack | NSAIDs such as naproxen or diclofenac; colchicine 0.5 mg; steroids | Start early. Not all are suitable with kidney disease, ulcers or heart problems. Colchicine overdose is dangerous; follow the prescribed dose exactly. |
| Lower uric acid long term | Zyloric (allopurinol) 100 mg, 300 mg | Started low and increased gradually. Stop and see a doctor if a rash appears. |
| Lower uric acid long term | Adenuric (febuxostat), Gouric | An alternative when allopurinol isn’t suitable; doctors consider heart history. |
All of these are prescription medicines. Divine Medicines supplies them only against a valid prescription.
| Limit or avoid | Better choices |
|---|---|
| Organ meats: kaleji (liver), gurda (kidney), maghaz (brain) | Low-fat milk, dahi and lassi |
| Large portions of red meat (beef, mutton) and paye | Chicken or eggs in moderate amounts |
| Some seafood: prawns, sardines, anchovies | Vegetables, including spinach and peas (these are fine) |
| Sugary drinks, packaged juices and syrups high in fructose | Water: aim for urine that stays pale |
| Alcohol, especially beer | Whole grains, fruit, cherries |
Daal and plant proteins don’t raise gout risk the way meat does, despite common belief.
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Uric acid barh jaye to gout ho sakta hai, jis mein achanak kisi jor, aksar paon ke angoothe, mein shadeed dard, laali aur soojan hoti hai. Sirf test mein uric acid zyada ho aur koi alamat na ho to aksar dawai ki zaroorat nahi, khurak aur wazan theek karein. Attack ke dauran dard ki dawai ya colchicine aur lambe arse ke liye allopurinol (Zyloric) ya febuxostat doctor ke mashwaray se di jati hai. Kaleji, gurda, zyada bara gosht, meethe mashroobat se parhez karein aur pani zyada piyen.
Allopurinol is usually the first choice for lowering uric acid long term in people with gout. Febuxostat is an alternative. Both need a prescription and regular blood tests.
Gout can be controlled very well by keeping uric acid below target with medicine and lifestyle changes, but most people need to continue treatment long term.
If you’re already taking it, keep taking it. If you haven’t started, your doctor will decide when to begin, usually once the attack is settling, often with cover to prevent flare-ups.
Plant proteins such as daal and beans don’t raise gout risk the way red meat and organ meat do, and can be eaten in normal amounts.
Staying well hydrated helps the kidneys remove uric acid and lowers the risk of stones, but water alone rarely brings high levels down enough.
No. Most joint pain is caused by other conditions, such as osteoarthritis. A doctor should confirm gout before uric acid medicine is started.
This article is for general information and does not replace advice from your doctor or pharmacist. Always read the pack leaflet and follow the dose on the label or prescription.
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