Gout with Frequent Flares When Allopurinol Has Not Reached the Uric Acid Target — and Colchicine, NSAIDs, and Corticosteroids Are Contraindicated

Clinical Scenario

This protocol covers patients with frequent gout flares who have established contraindications to colchicine, to NSAIDs, and to corticosteroids (both oral and injectable), and who have no current infection. In this setting, IL-1 blockers may be considered for flare management; an active infection is a contraindication to their use.

Previous Treatment Did Not Achieve Target

Allopurinol — titrated with dose escalation — together with lifestyle measures (diet, alcohol reduction, regular exercise) did not achieve the serum uric acid target:

This protocol defines the next therapeutic step when those targets are not met.

Treatment Approach & Goals

When allopurinol fails to reach the serum uric acid target, the structured approach involves switching to a different urate-lowering agent or a combination strategy — the complete regimen is available in the full protocol.

Treatment goals:

Instant Access to Structured Evidence-Based Regimens

References

DOI: 10.1136/annrheumdis-2016-209707

In patients with frequent flares and contraindications to colchicine, NSAIDs and corticosteroid (oral and injectable), IL-1 blockers should be considered for treating flares.

Current infection is a contraindication to the use of IL-1 blockers.

If the SUA target cannot be reached by an appropriate dose of allopurinol, allopurinol should be switched to febuxostat or a uricosuric, or combined with a uricosuric.

For patients on ULT, SUA level should be monitored and maintained to <6 mg/dL (360 mmol/L).

A lower SUA target (<5 mg/dL; 300 mmol/L) to facilitate faster dissolution of crystals is recommended for patients with severe gout (tophi, chronic arthropathy, frequent attacks) until total crystal dissolution and resolution of gout.

View source ↗