What is your approach for gout flare prophylaxis in patients with diabetes and advanced CKD?

What is your approach to colchicine dosing for gout prophylaxis in patients with advanced CKD or those on dialysis?

• If CrCl <30, use alternate therapy
• If CrCl <30, 0.3 mg once daily
• If CrCl <30, 0.6 mg every other day
• If CrCl <30, 0.6 mg/day
• If on dialysis, avoid colchicine and consider alternate therapy
• If on dialysis, 0.3 mg twice weekly
• Other