Question

A 50-year-old man with newly diagnosed gout and two flares in 6 months has serum urate 9.2 mg/dL. What is the recommended long-term strategy?

Accepted Answer

Initiate urate-lowering therapy (e.g.

Answer

allopurinol) with treat-to-target serum urate <6 mg/dL

Answer

Use colchicine only PRN for flares without urate lowering

Answer

Start febuxostat in all before allopurinol

Answer

Start probenecid first-line regardless of renal function

Practice question

A 50-year-old man with newly diagnosed gout and two flares in 6 months has serum urate 9.2 mg/dL. What is the recommended long-term strategy?