Gout attack

Amazon One Medical offers multiple ways to get care from the comfort of your own home.

If you're a One Medical member and you live in a state where One Medical has offices, you can schedule Remote Visits with One Medical providers, which are billable to you or your health insurance. As a member, you can also get 24/7 on-demand virtual care with Treat Me Now or Urgent Video Chat via the One Medical app at no extra cost, no matter where you live in the United States.

If you're not a One Medical member, you can start a one-time virtual visit with Pay-per-visit. Pay-per-visit offers two types of telehealth for Amazon customers: video visits and message-only visits. Video visits are available for $49 in all 50 states and D.C. Message-only visits are currently available for $29 in 34 states.

To see your Pay-per-visit options, first choose your state.

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If your provider didn't include refills with a prescription when they sent your treatment plan through Pay-per-visit, you'll need to start a new one-time virtual visit to request another prescription.

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Gout is a kind of arthritis caused by high levels of uric acid in the bloodstream (hyperuricemia). When your body produces too much uric acid or—more likely—doesn't excrete enough uric acid in your urine, crystals can form in your joints. These uric acid crystals, called monosodium urate (MSU), lead to gout attack symptoms like pain and inflammation.

What causes hyperuricemia? Diets high in alcohol, fruit sugar (fructose), and purine-rich meat (like organ meat and seafood) can contribute to high uric acid levels in the body, but research shows that genetics and obesity tend to be the biggest risk factors.

A gout attack, also known as a gout flare or a gouty arthritis flare, can last from a few hours to a few weeks if left untreated. Symptoms usually come on suddenly, with the most severe pain occurring within the first 24 hours. Joint discomfort can last much longer.

Gout isn't curable, but the monosodium urate crystals that cause gout can dissolve when the body's concentration of uric acid drops below a certain level.

You can talk to a primary care provider about taking preventive gout medicine to lower your urate levels. These uric acid-lowering medications include allopurinol (Zyloprim) and febuxostat (Uloric).

Gout often overlaps with other health conditions, particularly high blood pressure (hypertension), chronic kidney disease (CKD), obesity, and cardiovascular disease (CVD). Recent research has also shown that there's a higher risk of having a stroke or heart attack in the 120 days after a gout flare.

Your Amazon One Medical provider will consider all overlapping health conditions when prescribing gout treatment.