5th March 2024

A 65-year-old gentleman with a history of recurrent gout attacks over the past 7 years despite taking colchicine.

A 65-year-old gentleman with a history of recurrent gout attacks over the past 7 years despite taking colchicine. His past medical history includes a stroke 5 years ago. Recent investigations show serum urate levels of 9 mg/dl (normal <6). The GP decides to start the patient on urate-lowering therapy to prevent further gout flares. 

Prescribe one drug that should be administered to the patient first for this condition.