Question

A 55-year-old man presents with an acutely painful, swollen, and erythematous left first metatarsophalangeal joint. He has a history of chronic kidney disease stage 3b (eGFR 40 ml/min). What is the most appropriate first-line treatment for the acute attack?

Accepted Answer

Prednisolone 30mg OD

Answer

Naproxen 500mg BD with PPI cover

Answer

Colchicine 500mcg BD

Answer

Ibuprofen 800mg TDS

Answer

Allopurinol 100mg OD

Practice question

A 55-year-old man presents with an acutely painful, swollen, and erythematous left first metatarsophalangeal joint. He has a history of chronic kidney disease stage 3b (eGFR 40 ml/min). What is the most appropriate first-line treatment for the acute attack?