Best Medicines for High Uric Acid / Gout in India
Lifestyle changes + Allopurinol for long-term control.
Last updated: October 2026
Allopurinol
Use: Reduces uric acid production.
Side effects: Rash, feeling sick, diarrhoea. Stop and see your doctor straight away if you get any rash, as it can rarely be a serious skin reaction. Gout attacks may happen when you first start, and your doctor may give medicine to prevent them.
Side effects: Rash, feeling sick, diarrhoea. Stop and see your doctor straight away if you get any rash, as it can rarely be a serious skin reaction. Gout attacks may happen when you first start, and your doctor may give medicine to prevent them. Reduces uric acid production.
Febuxostat
Use: Lowers uric acid production. Used when allopurinol does not suit you or has not worked well enough at the right dose. Guidelines prefer allopurinol as the first choice.
Side effects: Changes in liver tests, nausea, joint pain, rash. Gout attacks can happen when you start. Tell your doctor if you have heart disease, because a large study found more heart-related deaths than with allopurinol in people with heart disease.
Side effects: Changes in liver tests, nausea, joint pain, rash. Gout attacks can happen when you start. Tell your doctor if you have heart disease, because a large study found more heart-related deaths than with allopurinol in people with heart disease. Lowers uric acid production. Used when allopurinol does not suit you or has not worked well enough at the right dose. Guidelines prefer allopurinol as the first choice.
Colchicine
Use: Treats gout attacks and helps prevent attacks when you start allopurinol or febuxostat.
Side effects: Diarrhoea, nausea, stomach pain. Never take more than prescribed, as overdose is dangerous. Avoid grapefruit juice and tell your doctor about other medicines such as clarithromycin, erythromycin or statins. Kidney or liver disease may make it unsuitable.
Side effects: Diarrhoea, nausea, stomach pain. Never take more than prescribed, as overdose is dangerous. Avoid grapefruit juice and tell your doctor about other medicines such as clarithromycin, erythromycin or statins. Kidney or liver disease may make it unsuitable. Treats gout attacks and helps prevent attacks when you start allopurinol or febuxostat.
When to See a Doctor
See your doctor at your first gout attack, if attacks keep coming back, if treatment is not helping, or if uric acid stays above 9 mg/dL. Get urgent help if a joint becomes suddenly painful and swollen with a very high temperature, feeling sick or being unable to eat, as this can mean a joint infection.
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The medicines, Indian brands and advice on this page were checked against these treatment guides and product listings.
Medical Disclaimer: This information is for educational purposes only and does not replace professional medical advice. The medicines listed may require a prescription. Dosage, suitability, and safety depend on individual health conditions. Always consult a licensed doctor or pharmacist before starting any medication.