Question

A 64-year-old man with CKD stage 3 presents with an acute gout flare (monoarthritis of the first MTP). He takes lisinopril and furosemide. Which acute regimen is guideline-concordant and kidney-safe?

Accepted Answer

Colchicine 1.2 mg once, then 0.6 mg 1 hour later

Answer

Indomethacin 50 mg TID for 7-10 days

Answer

Colchicine 0.6 mg q1h to total 6 mg

Answer

Allopurinol initiation during the flare

Answer

Probenecid 500 mg BID

Practice question

A 64-year-old man with CKD stage 3 presents with an acute gout flare (monoarthritis of the first MTP). He takes lisinopril and furosemide. Which acute regimen is guideline-concordant and kidney-safe?