Continue ULT During Flare — RACP Adult Medicine MCQ

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EasyRheumatologyContinue ULT During FlareRACP Adult Medicine

A 55-year-old man on gout allopurinol has an acute flare. His urate is at target (0.32 mmol/L). Should allopurinol be ceased during the flare?

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Correct answer: C — No – continue at the current dose

Continue ULT during flares. Stopping causes urate fluctuations that prolong/worsen flares. Treat flare with anti-inflammatory therapy concurrently.

Reference: eTG – 2025 – Rheumatology; ACR – 2020