Question

A 65-year-old male is diagnosed with gout. He has had two attacks in the last year. His serum uric acid level is 510 µmol/L (normal range <420 µmol/L). He is currently pain-free. According to NICE CG149, when should urate-lowering therapy (ULT) ideally be initiated?

Accepted Answer

1-2 weeks after an acute attack has settled

Answer

Immediately

Answer

During the next acute attack

Answer

Only if he has more than 4 attacks per year

Answer

If tophi are present

Practice question

A 65-year-old male is diagnosed with gout. He has had two attacks in the last year. His serum uric acid level is 510 µmol/L (normal range <420 µmol/L). He is currently pain-free. According to NICE CG149, when should urate-lowering therapy (ULT) ideally be initiated?