Do not use aspirin, because it can alter uric acid levels and potentially prolong and intensify an acute attack. Low-dose aspirin alters uric acid levels, increasing the risk of gout attacks and requiring close uric acid monitoring when aspirin is added to a uric acid/gout treatment regimen.

How much aspirin should I take for gout?

Aspirin doses up to 1–2 g/day reduce uric acid excretion, contributing to hyperuricaemia, whereas higher doses are uricosuric. The commonly employed doses in the USA, such as 325 mg (‘full strength’) or 81 mg (‘baby aspirin’), are within the urate retentive range and thus could contribute to the risk of gout.

Can aspirin cause gout flare up?

Other medicines can also increase uric acid level and raise the risk of developing gout. These include: Aspirin. Low doses reduce uric acid excretion and increase the chance of hyperuricemia.