A 59-year-old with gout and CKD 3 starts allopurinol. Best initiation strategy per ACR?...

Question

A 59-year-old with gout and CKD 3 starts allopurinol. Best initiation strategy per ACR?

Accepted Answer

Start low and titrate to target urate

Answer

Start high dose 300 mg daily immediately

Answer

Use probenecid first in CKD

Answer

Avoid colchicine prophylaxis

Answer

Stop allopurinol if mild rash without evaluation

us-abfm MCQ (SBA): Gout-Allopurinol Titration