Question

A 26-year-old with first gout flare of the great toe; CrCl normal. Best acute therapy within 24 hours of onset?

Accepted Answer

Colchicine 1.2 mg then 0.6 mg 1 hour later, then 0.6 mg once or twice daily

Answer

Allopurinol 300 mg daily immediately

Answer

Probenecid 500 mg BID immediately

Answer

Start febuxostat 80 mg daily

Answer

Antibiotics for suspected cellulitis

Practice question

A 26-year-old with first gout flare of the great toe; CrCl normal. Best acute therapy within 24 hours of onset?