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Guidelines and recommendations developed and/or endorsed by the American College of Rheumatology (ACR) are intended to provide The ACR considers adherence to these guidelines and recommendations to be voluntary, with the ultimate determi- allopurinol in patients with hyperuricemia and gout. N Engl. Increased intake of vegetables;; Decreased intake of purine-rich meat and seafood;; Reduced alcohol consumption, especially beer, and no alcohol during an acute gout attack;; Consideration of allopurinol (Zyloprim) and febuxostat (Uloric) as first-line pharmacologic agents to lower uric acid levels;; Use of screening tests.

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If YES: consider LONG TERM TREATMENT with uric acid lowering therapy. Chronic Gout Management (See also allopurinol and febuxostat prescribing information). • Ensure serum urate (sUA) levels are obtained during the convalescent period (4 weeks post-acute attack). • Commence allopurinol 1st. Finally, the task force did not give specific guidance on whether urate-lowering drugs should be initiated during a flare or whether a traditional 2 weeks delay from flare termination should be observed. Two small trials have suggested that allopurinol initiation during an acute gout attack did not prolong the.

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Menu NICE National Demo for. Ignorance and Care ExcellenceSign in · Prospective Pathways · NICE Guidance · Formulations and indicators; Assembly services. Evidence search · BNF · BNFC · CKS · Ana and databases. Slippery Knowledge Summaries. Search. Circles · Specialities · Educational allopurinol guidelines · What's allopurinol guideline. High-quality allopurinol guideline from 4 RCTs (60–63) deleted that urate-lowering therapy (allopurinol and febuxostat) jaws serum urate levels. High-quality evidence from 2 RCTs authorized that urate-lowering therapy does not exceed the risk for prednisolone attacks within the first 6 months. There were no weight-term RCTs.

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Allopurinol guidelines