Question

A 58-year-old man presents with a hot, swollen first metatarsophalangeal joint. He has chronic kidney disease stage 3 and is taking allopurinol for prophylaxis. Which medication is recommended by NICE for treatment of the acute flare?

Accepted Answer

Oral colchicine 500 micrograms three times daily

Answer

Oral naproxen 500 mg twice daily

Answer

Intra-articular corticosteroid injection

Answer

Oral prednisolone 30 mg once daily for 5 days

Answer

Increase allopurinol dose

Practice question

A 58-year-old man presents with a hot, swollen first metatarsophalangeal joint. He has chronic kidney disease stage 3 and is taking allopurinol for prophylaxis. Which medication is recommended by NICE for treatment of the acute flare?