Question

A 58-year-old with recurrent gout flares (≥2/year) and serum urate 8.5 mg/dL asks about long-term therapy. Best recommendation?

Accepted Answer

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

Answer

Use intermittent NSAIDs only

Answer

Probenecid first-line in all patients

Answer

Avoid starting ULT during a flare

Answer

Target urate <8 mg/dL

Practice question

A 58-year-old with recurrent gout flares (≥2/year) and serum urate 8.5 mg/dL asks about long-term therapy. Best recommendation?