Overview of drugs used for gout flare prophylaxis

DrugDosing regimen for gout flare prophylaxis
Normal renal functionAdvanced CKD (eGFR ≤ 30 mL/min/1.73 m2)DialysisRenal transplant
Colchicine0.6 mg once or twice daily0.3 mg daily or 0.6 mg every other day or thrice weekly0.3 mg twice weeklyAvoid secondary to interactions with several drugs used in transplant recipients
Prednisone5–10 mg daily5–10 mg daily5–10 mg daily5–10 mg daily
Anakinra100 mg SC daily100 mg SC daily or 100 mg every other day100 mg SC daily or 100 mg every other day100 mg SC daily
Rilonacept160 mg SC once weekly160 mg SC once weekly160 mg SC once weekly160 mg SC once weekly

CKD: chronic kidney disease; eGFR: estimated glomerular filtration rate; SC: subcutaneous