A rheumatology clinic's standing orders for gout include a drug that lowers uric acid production to keep attacks from coming back. Which drug fits that description?
AAlendronate✗ Incorrect
Alendronate is a bisphosphonate labeled for osteoporosis and Paget's disease of bone.
BHydroxychloroquine✗ Incorrect
Hydroxychloroquine treats malaria and certain rheumatic diseases; allopurinol is the xanthine oxidase inhibitor used for gout management.
CMethocarbamol✗ Incorrect
Methocarbamol is used with rest and therapy for painful musculoskeletal conditions; allopurinol is labeled for gout management.
DAllopurinol✓ Correct
Correct. Allopurinol inhibits xanthine oxidase to reduce uric acid formation and is labeled for managing gout.
Answer
D. Allopurinol
Rationale
Allopurinol inhibits xanthine oxidase, reducing uric acid formation, and is labeled for gout management. Colchicine is used both to treat and to prevent gout flares. Alendronate is labeled for osteoporosis, hydroxychloroquine for malaria and certain rheumatic diseases, and methocarbamol for painful musculoskeletal conditions.
RememberAllopurinol reduces uric acid formation; colchicine can treat and prevent gout flares.
Sources
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