Episode Info:

Master the management of gout with tips from expert, Tuhina Neogi MD, PhD, Professor of Medicine at Boston University School of Medicine. Topics include: how to initiate and titrate urate lowering therapy, guidelines controversy over uric acid targets, colchicine & NSAIDS for anti-inflammatory prophylaxis, uricosuric agents, febuxostat, HLA B5801, use of uric acid levels in the acute setting and more random gout facts.

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Credits:

Written and produced by: Matthew Watto MD

Hosts: Paul Williams MD, Stuart Brigham MD, Matthew Watto MD

Guest: Tuhina Neogi MD, PhD

Time Stamps

00:00 Intro and guest bio

01:30 Allopurinol initiation and titration

07:10 Uricosuric therapy

09:10 Controversy over uric acid targets for gout

17:40 Parachutes and randomized controlled trials

19:15 Colchicine or NSAIDS for prophylaxis

23:20 Who needs febuxostat?

26:20 When to refer for gout, HLA B5801, and checking uric acid levels in the acute setting

33:29 Take home points

36:15 Outro

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