Question

A 59-year-old with gout and CKD 3 starts allopurinol. Best initiation strategy per ACR?

Accepted Answer

Start low and titrate to target urate <6 mg/dL

Answer

Start high dose 300 mg daily immediately

Answer

Use probenecid first in CKD

Answer

Avoid colchicine prophylaxis

Answer

Stop allopurinol if mild rash without evaluation

Practice question

A 59-year-old with gout and CKD 3 starts allopurinol. Best initiation strategy per ACR?