Question

A 45-year-old man with recurrent gout presents within 12 hours of onset of severe podagra. eGFR 55 mL/min/1.73 m². He is on ramipril. Which acute therapy is most appropriate?

Accepted Answer

Colchicine 500 micrograms two to three times daily (dose adjust in CKD)

Answer

High-dose ibuprofen despite ACE inhibitor

Answer

Allopurinol initiation now

Answer

Intra-articular hyaluronic acid

Answer

Oral doxycycline

Practice question

A 45-year-old man with recurrent gout presents within 12 hours of onset of severe podagra. eGFR 55 mL/min/1.73 m². He is on ramipril. Which acute therapy is most appropriate?