Indications for long term drug therapy
Indications for drugs to prevent gout include:
- recurrent attacks (> 1 attack per year)
- chronic arthropathy
- tophi
- urate renal calculi
- renal impairment
- evidence of joint damage such as radiological changes
- who need to continue treatment with diuretics (1)
However, in practice, the decision concerning whether to initiate prophylaxis is often left to patient preference (2).
Reference:
- (1) Jordan KM et al. British Society for Rheumatology and British Health Professionals in Rheumatology guideline for the management of gout. Rheumatology (Oxford). 2007;46(8):1372-4
- (2) Drug and Therapeutics Bulletin (2004); 42(5):37-40.
Create an account to add page annotations
Annotations allow you to add information to this page that would be handy to have on hand during a consultation. E.g. a website or number. This information will always show when you visit this page.