Question

A 57-year-old man with gout and CKD stage 3 is starting allopurinol. Appropriate starting strategy?

Accepted Answer

Start <=100 mg/day and titrate (lower starting dose in CKD)

Answer

Start 300 mg/day regardless of renal function

Answer

Start febuxostat first in CKD

Answer

Avoid prophylaxis during initiation

Answer

Target urate <8 mg/dL

Practice question

A 57-year-old man with gout and CKD stage 3 is starting allopurinol. Appropriate starting strategy?