Are there certain patients in whom you would avoid initiation of ULT during an acute gout flare?
This question is part of a collaboration with RheumMadness and is specifically in reference to: ULT During Gout Flare.
Answer from: at Community Practice
Yes, I usually avoid it during first-time visits for gout flares. This is because the amount of information required during that visit would include:
The acute gout flare management, and
Information about gout in general.
Commonly, this is in addition to other intercurrent medical probl...
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Answer from: at Community Practice
Yes. In a word “all”. I treat the flare, get the patient pain-free, which is to say a total reversal of inflammation, and then have the patient return for initiation of ULT under cover of ongoing prophylaxis, be it colchicine or NSAID or even prednisone.