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Uric Acid Control Best Practice
Uric Acid Control Best Practice

Uric Acid Treatment Guideline 2020

This review continues my earlier review of Gout Pain Relief Best Practice. So I recommend that you read that first. In particular, my comments about Scope and Intent apply here. But here's a quick recap:

  • This review helps you discuss treatment choices with your doctor.
  • The ACR guideline summarizes published gout research. So it is not fully inclusive.
  • The guideline stresses that patient needs and preferences will override many recommendations.

Uric Acid Treatment Recommendations

The uric acid treatment recommendations are spread across 5 sections. So I will create 5 separate reviews, linked below.

  1. Indications for pharmacologic Urate-Lowering Therapy
  2. Recommendations for choice of initial Urate-Lowering Therapy for patients with gout
    1. Timing of ULT initiation
  3. Recommendations for all patients taking Urate-Lowering Therapy
    1. Duration of ULT
  4. Recommendations for patients taking specific Urate-Lowering Therapy medications
    1. Allopurinol
    2. Febuxostat
    3. Uricosurics
  5. When to consider switching to a new Urate-Lowering Therapy strategy

Your Best Uric Acid Treatment

Please keep returning to read the detailed reviews as I publish them.

Finally, do you have any questions, experiences, or opinions about guidelines for uric acid treatment? First, check to see if we are already discussing your concerns in Gout Library Issues. If not, raise a new issue to share your thoughts.


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