This week’s free board review question…
A 59-year-old man who is being treated for hypertension, hyperlipidemia, and obesity has experienced 3 gout attacks in the past year. His uric acid level is 9.2 mg/dL (normal range, 3.0-6.5 mg/dL). He recently completed nonsteroidal anti-inflammatory drug (NSAID) therapy for an acute attack and has been asymptomatic for 3 weeks. You decide to start him on uric acid-lowering therapy with allopurinol.
What medication should be started along with allopurinol?
oral prednisone 5 mg daily
oral colchicine 0.6 mg once or twice daily
oral furosemide 10 mg daily
oral indomethacin 100 mg daily
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