Question

A 35-year-old with gout has two flares this year; serum urate 8.5 mg/dL; normal eGFR. Which long-term strategy is recommended?

Accepted Answer

Start allopurinol and titrate to serum urate <6 mg/dL

Answer

Febuxostat first-line in all

Answer

Probenecid regardless of renal function

Answer

No urate-lowering therapy until >=3 flares/year

Answer

High-dose aspirin daily

Practice question

A 35-year-old with gout has two flares this year; serum urate 8.5 mg/dL; normal eGFR. Which long-term strategy is recommended?