A 47-year-old man with first gout flare and serum urate 520 µmol/L asks about long-term urate-lowering therapy. What is correct advice?...

Question

A 47-year-old man with first gout flare and serum urate 520 µmol/L asks about long-term urate-lowering therapy. What is correct advice?

Accepted Answer

Start allopurinol 2-4 weeks after flare resolution and titrate to target urate

Answer

Start allopurinol during the acute flare

Answer

Probenecid is first-line in UK

Answer

Avoid colchicine prophylaxis when starting urate-lowering therapy

Answer

Aim urate

ukmla MCQ (SBA): Gout – long-term management