A 57 year old man with recurrent gout flares (three in the last year) has serum urate of 0.55 mmol/L between attacks and normal renal function. What i...

Question

A 57 year old man with recurrent gout flares (three in the last year) has serum urate of 0.55 mmol/L between attacks and normal renal function. What is the most appropriate indication regarding urate lowering therapy?

Accepted Answer

Begin allopurinol to achieve target serum urate

Answer

No urate lowering therapy is indicated

Answer

Use short courses of NSAIDs only during flares

Answer

Delay urate lowering therapy until tophi develop

Answer

Use colchicine only as prophylaxis without allopurinol

au-racgp MCQ (SBA): Gout urate-lowering allopurinol indications

A 57 year old man with recurrent gout flares (three in the last year) has serum urate of 0.55 mmol/L between attacks and normal renal function. What is the most appropriate indication regarding urate lowering therapy?