Question

A 34-year-old with recurrent gout flares (≥2/year), serum urate 8.6 mg/dL, normal renal function. Best long-term strategy?

Accepted Answer

Start allopurinol ≤100 mg daily and titrate to target serum urate <6 mg/dL

Answer

Start allopurinol 300 mg daily immediately

Answer

Start febuxostat first due to potency

Answer

Probenecid as first-line for all

Answer

No urate-lowering therapy; treat flares only

Practice question

A 34-year-old with recurrent gout flares (≥2/year), serum urate 8.6 mg/dL, normal renal function. Best long-term strategy?