Question

A 57-year-old woman with acute gout in the big toe (onset 24 h, eGFR 82, on ramipril). Best acute treatment?

Accepted Answer

Colchicine 500 micrograms 2-4 times daily until relief or diarrhoea

Answer

Aspirin 300 mg

Answer

Allopurinol immediately at high dose

Answer

Paracetamol only

Answer

Stop ramipril and give thiazide

Practice question

A 57-year-old woman with acute gout in the big toe (onset 24 h, eGFR 82, on ramipril). Best acute treatment?