Candidate of Prophylactic therapy

A 45-year-old candidate of prophylactic therapy male presents to your office complaining of left knee started last night he says that the pain started suddenly after dinner and was severe within a span of 3 hours .

He denies any trauma fever systemic systems or prior similar episodes he has a history of hypertension for which he takes HCTZ.

He admits to consuming a great amounts of wine last night with dinner provide an evaluation including possible risk factors and treatment options including non-farmological interventions would this patient be a candidate of prophylactic therapy I need an explanation for gout arthritis