Podcast
Questions and Answers
Which of the following is the recommended initial dose of allopurinol for urate-lowering therapy in elderly patients?
Which of the following is the recommended initial dose of allopurinol for urate-lowering therapy in elderly patients?
- No specific dosing recommendation is provided for elderly patients
- 100 mg/day or less, with gradual titration as tolerated (correct)
- 300 mg/day, with rapid titration if well-tolerated
- 200 mg/day, regardless of comorbidities or concurrent medications
In elderly patients with dementia or cognitive impairments, what is the recommendation regarding urate-lowering therapy (ULT)?
In elderly patients with dementia or cognitive impairments, what is the recommendation regarding urate-lowering therapy (ULT)?
- ULT should be discontinued in all patients with cognitive impairments
- ULT should be initiated regardless of cognitive status or gout history
- ULT should be continued at the same dose as in patients without cognitive impairments
- ULT should be discontinued if there is no history of tophaceous gout or repetitive acute gout flares (correct)
What is the recommended approach for managing acute gout flares in elderly patients during the first 3-6 months of urate-lowering therapy?
What is the recommended approach for managing acute gout flares in elderly patients during the first 3-6 months of urate-lowering therapy?
- Use high-dose corticosteroids to rapidly control the flare
- Use the lowest effective dose of colchicine or an NSAID as prophylaxis (correct)
- Discontinue urate-lowering therapy until the flare resolves
- Use colchicine or NSAIDs at the same dose as in younger patients
If an elderly patient experiences a high frequency of acute gout flares despite being on urate-lowering therapy, what is the recommended long-term management strategy?
If an elderly patient experiences a high frequency of acute gout flares despite being on urate-lowering therapy, what is the recommended long-term management strategy?
What is the recommendation regarding urate-lowering therapy for elderly women who become pregnant?
What is the recommendation regarding urate-lowering therapy for elderly women who become pregnant?
What is the recommended approach for managing acute gout flares in elderly women, compared to men?
What is the recommended approach for managing acute gout flares in elderly women, compared to men?
What is the effect of estrogen on gout incidence in women?
What is the effect of estrogen on gout incidence in women?
Why is gout management in elderly patients considered complex?
Why is gout management in elderly patients considered complex?
Which medication is NOT associated with an increased risk of developing gout?
Which medication is NOT associated with an increased risk of developing gout?
What is the main concern with using allopurinol in gout patients with advanced renal failure?
What is the main concern with using allopurinol in gout patients with advanced renal failure?
Why are corticosteroids best avoided in elderly patients with gout?
Why are corticosteroids best avoided in elderly patients with gout?
What is the recommended duration for using colchicine to prevent acute gout in elderly patients?
What is the recommended duration for using colchicine to prevent acute gout in elderly patients?
Why are elderly patients with gout less likely to receive urate-lowering therapy?
Why are elderly patients with gout less likely to receive urate-lowering therapy?
Which factor contributes to the increased incidence of gout in women?
Which factor contributes to the increased incidence of gout in women?
Why should NSAIDs be used cautiously in gout patients with renal impairment?
Why should NSAIDs be used cautiously in gout patients with renal impairment?
What is the most appropriate strategy for preventing acute gout in elderly patients according to current practice?
What is the most appropriate strategy for preventing acute gout in elderly patients according to current practice?
