Should clinicians reconsider standard therapy for gout?

Credit: Pixabay/CC0 Public Domain

Gout occurs when urate crystals accumulate in the joints, and xanthine oxidase inhibitors such as febuxostat are a mainstay of therapy to help reduce blood urate levels in affected patients. A recent clinical trial published in Arthritis & Rheumatology has found that low doses of a less commonly used drug called benzbromarone may be a better option, however.

In the prospective single-center, open-labeled trial, 196 men with and low urinary excretion of uric acid were randomized to receive low-dose benzbromarone (LDBen) or low-dose febuxostat (LDFeb) for 12 weeks.

More participants in the LDBen group achieved the blood urate target of

“The results suggest that low dosing of benzbromarone may warrant stronger consideration as a safe and effective therapy to achieve serum urate target in gout,” the authors wrote.

Study finds treat-to-target urate-lowering strategy manages gout effectively and safely with no cardiovascular toxicity

More information:
Superiority of low-dose benzbromarone to febuxostat in a prospective, comparative effectiveness trial in gout patients with renal urate underexcretion, Arthritis & Rheumatology (2022). DOI: 10.1002/art.42266

Should clinicians reconsider standard therapy for gout? (2022, July 7)
retrieved 7 July 2022

This document is subject to copyright. Apart from any fair dealing for the purpose of private study or research, no
part may be reproduced without the written permission. The content is provided for information purposes only.

Source link