A 59-year-old with gout and 3 flares this year asks about urate-lowering therapy. eGFR 80. SU 8.9 mg/dL. Best strategy?...

Question

A 59-year-old with gout and 3 flares this year asks about urate-lowering therapy. eGFR 80. SU 8.9 mg/dL. Best strategy?

Accepted Answer

Start allopurinol 100 mg/day and titrate to serum urate

Answer

SU 8.9 mg/dL. Best strategy?

Answer

Start allopurinol 300 mg/day immediately

Answer

Avoid ULT; treat only flares

Answer

Probenecid first-line regardless of renal function

gout (ult initiation) MCQ (SBA): Gout