By switaschek, 7 July, 2020 Switch initial XOI if serum urate (SU) not at target, ≥2 flares/yr, or tophi not resolved; add uricosuric if lone XOI not effective; reserve pegloticase for select resistant pts
By switaschek, 7 July, 2020 If ↑ lipids, don’t add/switch to fenofibrate for urate-lowering effect;1 EULAR supports fenofibrate or statin2
By switaschek, 7 July, 2020 Don’t routinely check urinary uric acid or alkalinize urine when considering/using uricosurics1