Medical Treatment Flowchart

This detailed flowchart illustrates a structured approach to managing gout, from initial acute attacks to long-term preventative care. It guides healthcare professionals on immediate pain and inflammation suppression using NSAIDs, colchicine, or corticosteroids. The diagram emphasizes regular patient review, including lifestyle assessments and monitoring of key health markers like serum urate and renal function. For individuals experiencing recurrent attacks or deemed high-risk, the flowchart outlines the careful introduction and titration of allopurinol, highlighting the importance of not discontinuing it during acute flares. Furthermore, it provides specific recommendations for alternative urate-lowering therapies, such as sulphinpyrazone or benzbromarone, tailored to whether a patient has renal impairment, alongside crucial advice on general lifestyle modifications for all patients.

gout - treatment - medical flowchart - allopurinol - renal - patient care