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HardRheumatologyAcute Gout management with CKDmrcgp aktmrcp part 1ukmlapaneprescribing safety assessment

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?

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