Are there patients with gout in whom you would choose febuxostat first line over allopurinol for urate lowering therapy?  

While both allopurinol and febuxostat have shown efficacy in reducing uric acid levels, in most cases allopurinol remains the first-line choice with and is considered safe. The main exception is for patients of Asian descent (especially Chinese, Korean or Thai) or who are Black, as they have a ...