Acute gout: Oral steroids work as well as NSAIDs
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Use a short course of oral steroids (prednisone 30-40mg/d for 5 days) for treatment of acute gout when nonsteroidal anti-inflammatory drugs (NSAIDs) are contraindicated. Steroids are also a reasonable choice as first-line treatment. Strength of recommendation: B: 2 good-quality, randomized controlled trials (RCTs).
Journal of Family Practice, 57(10) 2008: 655-657.