A 59-year-old man with recurrent acute gout flares asks about starting allopurinol. Which is the most appropriate way to initiate therapy according to...

Question

A 59-year-old man with recurrent acute gout flares asks about starting allopurinol. Which is the most appropriate way to initiate therapy according to Australian recommendations?

Accepted Answer

Start allopurinol 100 mg daily after the acute flare has settled and uptitrate every 2-4 weeks

Answer

Start allopurinol 300 mg daily immediately during a flare

Answer

Avoid allopurinol if eGFR is 50 mL/min/1.73 m²

Answer

Start allopurinol 600 mg daily to reach target quickly

Answer

Use allopurinol only intermittently when flares occur

au-amc MCQ (SBA): Allopurinol initiation in gout

A 59-year-old man with recurrent acute gout flares asks about starting allopurinol. Which is the most appropriate way to initiate therapy according to Australian recommendations?