A 35-year-old with recurrent gout flares asks about prophylaxis when starting allopurinol. What is recommended?...

Question

A 35-year-old with recurrent gout flares asks about prophylaxis when starting allopurinol. What is recommended?

Accepted Answer

Use anti-inflammatory prophylaxis (e.g., low-dose colchicine) for at least 3-6 months

Answer

No prophylaxis needed

Answer

High-dose NSAIDs for 12 months

Answer

Short prednisone burst only at start

Answer

Start pegloticase to prevent flares

us-abim MCQ (SBA): Gout-Flare Prophylaxis