Question

A 55-year-old with recurrent gout flares (3 in the past year), serum urate 8.5 mg/dL, normal renal function. Best long-term management?

Accepted Answer

Allopurinol initiated low-dose with titration to serum urate <6 mg/dL

Answer

Colchicine PRN only

Answer

Probenecid immediately to target

Answer

Chronic NSAID prophylaxis indefinitely

Answer

No urate-lowering therapy unless tophi appear

Practice question

A 55-year-old with recurrent gout flares (3 in the past year), serum urate 8.5 mg/dL, normal renal function. Best long-term management?