A 33-year-old with gout flare (first 12 hours of symptoms, eGFR normal) needs treatment. Which dosing is guideline-concordant?...

Question

A 33-year-old with gout flare (first 12 hours of symptoms, eGFR normal) needs treatment. Which dosing is guideline-concordant?

Accepted Answer

Allopurinol loading dose now

Answer

Colchicine 1.2 mg once daily ×3 days

Answer

Colchicine 1.2 mg then 0.6 mg one hour later (max 1.8 mg), then 0.6 mg bid as needed

Answer

Prednisone 5 mg daily ×14 days

Answer

Probenecid loading dose now

us-abfm MCQ (SBA): Acute Gout