A 60-year-old with gout and stage 3 CKD has had three attacks this year. When initiating urate-lowering therapy, which is correct?...

Question

A 60-year-old with gout and stage 3 CKD has had three attacks this year. When initiating urate-lowering therapy, which is correct?

Accepted Answer

Titrate allopurinol from low dose and use prophylaxis

Answer

Start allopurinol during the acute attack always

Answer

Use febuxostat always in CKD

Answer

Stop colchicine prophylaxis after 3 days

Answer

No prophylaxis needed

ukmla MCQ (SBA): Gout Prophylaxis