By switaschek, 7 July, 2020 Consider ULT w/ 1st flare if: age 8 mg/dL per EULAR, >9 mg/dL per ACR), and/or comorbidity (renal impairment, HTN, ischemic heart dz, CHF)2
By switaschek, 7 July, 2020 Initiate ULT if any tophi, joint destruction on radiography, ≥2 flares/yr,1,2 or renal stones2
By switaschek, 7 July, 2020 Initiate urate-lowering tx (ULT) for pts w/ severe, destructive dz or frequent gout flares; consider ULT for other pts; ULT can be considered during acute flare