How do you approach transaminase elevations with use of allopurinol in gout?

This is quite rare in my practice of the use of allopurinol. That may be because I discourage NSAID concomitant use in people with gout, given their concomitant hypertension, and NSAID-associated GI, renal, and liver toxicity.

1. If mild transaminitis happens, I would approach it as I do for any patient with any other disease - go through their entire med list, ask them to hold off any/all drugs with possible liver toxicity, go to my drug and make an informed decision, re-do blood test in 1-2 we...