A 43-year-old with recurrent gout flares started allopurinol 100 mg/day. She asks about flare prevention during titration. Best strategy?...

Question

A 43-year-old with recurrent gout flares started allopurinol 100 mg/day. She asks about flare prevention during titration. Best strategy?

Accepted Answer

Colchicine 0.6 mg once or twice daily for prophylaxis during ULT initiation

Answer

High‑dose NSAIDs indefinitely

Answer

No prophylaxis is needed

Answer

Start prednisone chronically

Answer

Stop allopurinol if flares occur

ukmla MCQ (SBA): Gout