Question

A 42-year-old with recurrent gout flares has serum urate 8.7 mg/dL and normal renal function. Best first-line urate-lowering therapy and approach?

Accepted Answer

Allopurinol titrated to target urate <6 mg/dL

Answer

Probenecid to target urate <7 mg/dL

Answer

Febuxostat with target <8 mg/dL

Answer

Allopurinol fixed 100 mg daily long-term

Answer

Diet alone without medications

Practice question

A 42-year-old with recurrent gout flares has serum urate 8.7 mg/dL and normal renal function. Best first-line urate-lowering therapy and approach?