Question

A 67-year-year-old with recurrent gout still has flares twice a year. He is on allopurinol 400 mg/day. Next step?

Accepted Answer

Continue ULT with goal SU <6 mg/dL and optimize flare prophylaxis; assess adherence and triggers

Answer

SU 5.8 mg/dL

Answer

Switch to febuxostat without assessing adherence

Answer

Stop ULT because SU <6

Answer

Add chronic prednisone

Practice question

A 67-year-year-old with recurrent gout still has flares twice a year. He is on allopurinol 400 mg/day. Next step?