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Joints & inflammation · online consultation

Gout flare treatment online

Assessment and short-term treatment for a sudden gout flare-up.

Our consultations are FREE, if treatment is approved acute gout service starts from just £19.40

Medicine is priced separately, and you see every total before you pay. How pricing works

  • Same-day review
  • Open 7 days, 7am–midnight
  • Next-working-day delivery or e-prescription
  1. Start now Secure online questions, usually 5–10 minutes
  2. Same-day review by a UK-registered clinician
  3. You choose delivery or a prescription by email

What is a gout flare?

Acute gout is a sudden, painful flare-up of arthritis caused by a build-up of uric acid crystals in a joint, most often affecting the big toe.

A gout flare typically causes sudden severe pain, swelling, heat and redness in the affected joint, often coming on overnight.

Is this service right for you?

It may be suitable if

May be suitable for adults with symptoms typical of a gout flare where remote assessment is sufficient to guide short-term treatment.

Another type of care may be better if

Online assessment isn't appropriate if the joint is hot, very swollen and you feel unwell or feverish, or if the diagnosis is uncertain.

How Nelford’s a gout flare service works

  1. 1
    Tell us what you need

    Complete a secure online consultation about your symptoms, health and any treatment you’ve tried. It’s free and you can start any time.

  2. 2
    Same-day review by a UK-registered clinician

    Assessment covers your symptoms, which joint is affected, how quickly it came on, your medical history and any previous gout episodes. If anything else would help, the clinician will ask, or arrange a call or video consultation.

  3. 3
    You choose

    If treatment is clinically appropriate, you receive your options with their benefits, risks and a clear price. You decide whether to go ahead.

  4. 4
    We handle the rest

    Choose next-working-day delivery through our pharmacy partners, or your prescription by email. Nelford coordinates the next steps and any follow-up.

Information that helps

Having these to hand helps the clinician review your consultation quickly. If you don’t have something, you can still submit: the clinician will let you know if anything else is needed.

  • Which joint is affected, how it looks and when the pain began
  • Whether gout has been confirmed by a clinician before
  • Recent medicines and any relevant test results
  • Photo ID, so your identity can be confirmed (if you are new to Nelford or your details have changed)
  • Medicines you take now or have taken recently, and any allergies
  • Relevant medical history and your GP's details
  • Your contact details and address, so the clinic can reach you safely

After your consultation

Where appropriate, treatment focuses on managing the acute flare and pain. Your clinician will also discuss whether longer-term management is relevant.

You're advised on what to expect as the flare settles and when to seek further review.

  • Next-working-day delivery. Treatment confirmed before 4pm on a weekday is eligible for next-working-day delivery. Same-day options are available on request.
  • Prescription sent by email. Receive your prescription electronically by email and use it at a pharmacy of your choice.
  • Repeat treatment made simple. With a Nelford account you can request repeat treatment in a few steps, and a clinician reviews each request.

Every decision is made by a clinician together with you. The clinician may ask for more information, suggest a call or video consultation, or recommend another service if that would suit you better.

Cost, hours and delivery

  • Your consultation is free. Your online consultation is free. You only pay if a clinician considers treatment appropriate and you choose to go ahead. You see a clear price for each option before you pay.
  • Same-day review, 7 days a week from 7am to midnight.
  • Next-working-day delivery when you order before 4pm on a weekday, with same-day options on request.
  • If a clinician needs to speak with you by video or phone before deciding, a £19.40 booking fee applies. You see it before you book and can choose not to go ahead.

We work with multiple pharmacy partners to help keep treatment available. If we're unable to fulfil your medication order, we'll refund the medication and delivery costs and send your prescription electronically so you can arrange fulfilment elsewhere.

Pricing · Prescriptions and delivery · Same-day online consultations

When to get urgent help

Acute gout: common questions

Who is the Acute gout service for?
May be suitable for adults with symptoms typical of a gout flare where remote assessment is sufficient to guide short-term treatment.
How quickly is my consultation reviewed?
Same-day review. A UK-registered clinician reviews consultations the same day during opening hours, 7 days a week from 7am to midnight.
What will the clinician need to know?
Assessment covers your symptoms, which joint is affected, how quickly it came on, your medical history and any previous gout episodes.
How do I receive my treatment?
If a clinician approves treatment for a gout flare, you choose: next-working-day delivery through our pharmacy partners (order before 4pm on a weekday; same-day options on request), or your prescription sent electronically by email to use at a pharmacy of your choice.
How much does it cost?
Your online consultation is free. You only pay if a clinician considers treatment appropriate and you choose to go ahead. If treatment is approved, the acute gout service starts from £19.40; medicine is priced separately, and you see a clear price for each treatment option before you pay. If a clinician needs to speak with you by video or phone before deciding, a £19.40 booking fee applies. You see it before you book and can choose not to go ahead.
Will I definitely get treatment?
A clinician decides with you. Treatment is recommended only when it is clinically appropriate, and the options, benefits and risks are explained before you choose whether to go ahead.
When might another type of care be better for a gout flare?
Online assessment isn't appropriate if the joint is hot, very swollen and you feel unwell or feverish, or if the diagnosis is uncertain.
When should I get urgent help instead?
Seek urgent care if a joint is hot, very swollen, and you feel feverish or unwell - this can indicate a joint infection, which is a medical emergency. In a medical emergency call 999 or go to A&E. For urgent advice that isn't an emergency, contact NHS 111.

Sources and clinical information

Publisher
The Nelford Clinic
Written by
Nelford Clinical Content Team
Clinically reviewed by
Nelford Clinical Lead
Reviewed:

Independent sources for background reading. See how clinical content is kept current.

Joints & inflammation

Open 7 days, 7am–midnight

Start your free consultation for a gout flare

Answer a few questions online. A UK-registered clinician reviews it the same day and sends you your options. You only pay if you choose to go ahead.

  • Free consultation
  • Same-day review