Question

A 64-year-old with atrial fibrillation on apixaban presents with an acute monoarticular gout flare (severe pain in the first MTP). What is an appropriate oral regimen?

Accepted Answer

Colchicine 1.2 mg once then 0.6 mg one hour later

Answer

Indomethacin 50 mg TID for 10 days despite anticoagulation

Answer

Prednisone 5 mg daily for 14 days

Answer

Allopurinol 300 mg daily to abort the flare

Answer

Probenecid 500 mg BID immediately

Practice question

A 64-year-old with atrial fibrillation on apixaban presents with an acute monoarticular gout flare (severe pain in the first MTP). What is an appropriate oral regimen?