acid
colchicine can cause bad diarrhea which is often the limiting factor, or you
can use indocin or almost any NSAIDS, but indocin is quite nephrotoxic, as
is colchcine,
systemic steroid is another way to go if you don't have poorly controlled
underling diabetes,
so i think intra-articular steroid injection would be better,
also, not to take allopurinol during acute attacks as it will exacerbate the
uric acid precipitation,