go to the doctors, they will give you a bottle of tablets.... they are mighty strong stuff, forget what they are called though.
a friend of mine takes them, his gout is caused by lack of alchohol.... hes not an alcoholic, he can just drink when hes in the mood. if he doesnt have some for a while he gets the gout in his knees and its fuckin bad!
tell the quack youv tried everything but need something strong that is deffo going to work.... he should sort you out.
happy smoking!