Question

A 58-year-old with recurrent gout flares (3 this year), SU 9.2 mg/dL, CKD stage 3a. Which is the preferred initiation strategy for urate-lowering therapy?

Accepted Answer

Allopurinol ≤100 mg daily with titration to SU <6 mg/dL

Answer

Allopurinol 300 mg daily start

Answer

Febuxostat 80 mg daily start in CKD

Answer

Probenecid 500 mg BID start

Answer

No ULT; treat flares only

Practice question

A 58-year-old with recurrent gout flares (3 this year), SU 9.2 mg/dL, CKD stage 3a. Which is the preferred initiation strategy for urate-lowering therapy?