Free template · PDF · US Letter
Free Printable Gout Medication Log (PDF) — Daily Dose & Uric Acid Record
| Date | Medication & dose | Time | Taken ✓ | Uric acid (if tested) | Flare today? | Notes / side effects |
|---|---|---|---|---|---|---|
What to record, and why it matters
Doctors titrate gout medication to a uric acid target they set for you, checking blood levels every few weeks early on and then less often. A missed dose here and there is normal; what matters is that the record is honest, because an unexplained high result with a perfect tick column leads to a dose change that may not be needed. Write the target your clinician gave you in the header so every result on the sheet can be read against it.
Flares can occur in the first months after starting or changing urate-lowering treatment; that is a known pattern, not necessarily a sign the medication is failing. Logging flares alongside doses lets your clinician see the timing. If you are also prescribed a medication to take at the start of a flare, record that in the same row so the sequence is clear.
- Never change or stop a dose based on this sheet — bring it to the person who prescribed it.
- Record side effects with dates; 'stomach upset after evening dose, 3 days' is more useful than 'felt off'.
- Keep lab result printouts with the sheet; the sheet is a summary, not the source.
How to use this sheet
- Print the PDF — one page covers about three weeks — and keep it with your tablets.
- Write the medication name and dose exactly as on the label, and the time you take it each day.
- Tick Taken as you take it. Leave it blank on missed days rather than filling in later.
- When you get a uric acid result, write the number and unit in that day's row; write your clinician's target in the header.
- Mark flare days and note the joint, and bring the sheets to your next appointment.
Questions
Is this sheet really free?
Yes. The PDF is free to download and print — no sign-up, no email, no watermark.
Does this sheet tell me what dose to take?
No. It only records what your clinician prescribed and what you took. Dose decisions belong to the prescriber, using your results and this record.
How often is uric acid tested?
That is decided by your clinician — often every few weeks while a dose is being adjusted, then every several months once stable. Record whatever results you receive, with the unit (mg/dL or µmol/L).
I had a flare after starting treatment. Should I stop?
Talk to your prescriber before changing anything. Flares in the early months of urate-lowering treatment are a recognized pattern, and the log helps them see the timing.
Is there an app version?
Yes — GoutLog for iPhone records doses, uric acid results, flares, and triggers, and charts levels over time against your target. Core is free, no account needed, and your data stays on your device.
Want the log to analyze itself?
GoutLog for iPhone tracks the same things in seconds and shows you the patterns — free core, no account, and everything stays on your device.