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Q: Why are blood levels of uric acid normal during an acute attack of gout?
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Why is allopurinol not given in acute attacks of gouty arthritis?

starting allopurinol during an attack can prolong an acute attack of gout or trigger a gout attack due to shifts in uric acid levels.


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During an acute attack, treatment should focus on relieving pain and inflammation. On an ongoing basis, the focus is on maintaining normal uric acid levels, repairing tissue damage, and promoting tissue healing.


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