Hey buddy. I’ve used that 3 step plan before, but I include a 4th step and it works for me. I have always preached the benefits of Methylprednisone (Z pack). I keep one with me at all times, just in case. It’s a 6 day, progressive antibiotic, that I find if taken at the first onset of gout pain, flood the body with Methylprednisone and it’s gone. Early.
Some won’t (or can’t) take it. I understand that. It works for me, so when I used to get acute flares, I’d hit the pain with a mass dose of Methylprednisone (4 tablets immediately, then (2) 4 hours later), 2 Colchicine tabs, and 2 Naproxen (Pharmacy grade) along with my Allopurinol dose. That was my formula, but knock on wood, I haven’t had to do it in over 18 months……and counting.
Hope all is well my friend.