Three common scenarios when I treat these patients with a nephrologist:
1. Colchicine is given every two days. Use of low-dose acute gout colchicine regimen is disapproved (2 tabs NOW, then 1 tab in 6h).
2. Allopurinol is started at a low dose AND kept there whatever the serum uric acid results.
3. Routine use of febuxostat, instead of allopurinol.
This article confirms my practice that does NOT follow the above three.
http://www.ccjm.org/content/77/12/919.full
