My husband had been on ibrutinib for about 3 months and after the first month, when he had high uric acid and had to be treated for that, his uric acid has been good. But he now gets these flare ups of gout like pain and swelling in various joints. It last 3-4 days and then moves to another joint. His doctor has told hm it is ok to take some Aleve when the pain is bad but he hates to take too much of that, since his platelets are still low.