A patient with recurrent gout starts treat-to-target urate-lowering therapy and chooses medication to reduce mobilisation flares. There is no contrain...

Question

A patient with recurrent gout starts treat-to-target urate-lowering therapy and chooses medication to reduce mobilisation flares. There is no contraindication or intolerance to colchicine. Which prophylactic strategy should be offered?

Accepted Answer

Offer colchicine until target serum urate is reached

Answer

Use continuous full-dose NSAID prophylaxis long term

Answer

Use oral prednisolone until urate rises above target

Answer

Use an interleukin-1 inhibitor before standard prophylaxis

Answer

Use no pharmacological prophylaxis during dose titration

Gout-Prophylaxis — MRCP Part 1 MCQ

A patient with recurrent gout starts treat-to-target urate-lowering therapy and chooses medication to reduce mobilisation flares. There is no contraindication or intolerance to colchicine. Which prophylactic strategy should be offered?