Question

A 50-year-old with obesity (BMI 36) and hypertension presents with acute gout flare within 12 hours of onset. He is on apixaban. Best initial pharmacologic therapy?

Accepted Answer

Low-dose colchicine (1.2 mg then 0.6 mg 1 hour later)

Answer

High-dose ibuprofen 800 mg TID

Answer

Indomethacin 50 mg TID

Answer

Systemic corticosteroids contraindicated

Answer

Start allopurinol now to abort flare

Practice question

A 50-year-old with obesity (BMI 36) and hypertension presents with acute gout flare within 12 hours of onset. He is on apixaban. Best initial pharmacologic therapy?