A 58-year-old with gout starting allopurinol asks about preventing flares during titration. What do guidelines advise?...

Question

A 58-year-old with gout starting allopurinol asks about preventing flares during titration. What do guidelines advise?

Accepted Answer

Low-dose colchicine or NSAID prophylaxis for at least 3-6 months

Answer

No prophylaxis; treat flares if they occur

Answer

Short prednisone burst only at first dose

Answer

Prophylactic antibiotics

Answer

Avoid any anti-inflammatory due to masking symptoms

us-abim MCQ (SBA): Gout (Flare Prophylaxis)