Question

A 62-year-old with an acute gout flare (onset 10 hours ago) has normal renal function. Which regimen is preferred?

Accepted Answer

Low-dose colchicine 1.2 mg once, then 0.6 mg one hour later.

Answer

High-dose colchicine 0.6 mg every hour until pain improves.

Answer

Prednisone 60 mg daily for 10 days in all cases.

Answer

Indomethacin 25 mg once, no repeat dosing.

Answer

Allopurinol 300 mg now to abort the flare.

Practice question

A 62-year-old with an acute gout flare (onset 10 hours ago) has normal renal function. Which regimen is preferred?