Question

A 35-year-old man with gout flare (onset <24 hours) and normal renal function asks about therapy. Which initial regimen is guideline-concordant?

Accepted Answer

Colchicine 1.2 mg then 0.6 mg 1 hour later, then 0.6 mg once or twice daily

Answer

Start allopurinol now without anti-inflammatory prophylaxis

Answer

Chronic prednisone 10 mg daily to prevent future flares

Answer

NSAIDs are contraindicated in all gout patients

Answer

Antibiotics for presumed septic arthritis

Practice question

A 35-year-old man with gout flare (onset <24 hours) and normal renal function asks about therapy. Which initial regimen is guideline-concordant?