NSAIDs are currently recommended as first-line therapy but pose the risk of serious adverse effects.
Reference1. Billy CA, Lim RT, Ruospo M, Palmer SC, Strippoli GFM. Corticosteroid or nonsteroidal antiinflammatory drugs for the treatment of acute gout: a systematic review of randomized controlled trials. J Rheumatol. 2018;45:128-136. doi:10.3899/jrheum.170137.