A 55-year-old with suspected gout flare (podagra) asks about flare prophylaxis when initiating allopurinol. What is recommended?...

Question

A 55-year-old with suspected gout flare (podagra) asks about flare prophylaxis when initiating allopurinol. What is recommended?

Accepted Answer

Concomitant anti-inflammatory prophylaxis (e.g. low-dose colchicine) for at least 3-6 months

Answer

No prophylaxis needed

Answer

High-dose NSAIDs indefinitely

Answer

Prednisone bursts weekly

Answer

Allopurinol without any anti-inflammatory co-therapy

rheumatology MCQ (SBA): ACR Guideline (2020): Management of Gout