Question

A 74-year-old with recurrent gout flares despite allopurinol 200 mg/day (urate 7.4 mg/dL) and normal renal function asks next steps. Best strategy?

Accepted Answer

Escalate allopurinol dose with treat-to-target approach

Answer

Maintain current dose

Answer

Switch to colchicine monotherapy long-term

Answer

Stop allopurinol and use febuxostat only if tophi

Answer

Use probenecid first

Practice question

A 74-year-old with recurrent gout flares despite allopurinol 200 mg/day (urate 7.4 mg/dL) and normal renal function asks next steps. Best strategy?