A 70-year-old man with a history of ischaemic heart disease and chronic kidney disease (eGFR 40 mL/min/1.73m²) develops gout in his right knee. He is ...

Question

A 70-year-old man with a history of ischaemic heart disease and chronic kidney disease (eGFR 40 mL/min/1.73m²) develops gout in his right knee. He is currently in severe pain. Which of the following is the most appropriate initial analgesic option according to NICE guidelines, considering his comorbidities?

Accepted Answer

Prednisolone 30mg OD

Answer

Naproxen 500mg BD

Answer

Colchicine 500mcg BD

Answer

Allopurinol 300mg OD

Answer

Intra-articular corticosteroid injection

mrcgp akt MCQ (SBA): Acute Gout management with CKD