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EasyRheumatologyAcute gout managementau-racgpau-amc

A 45-year-old woman presents with a painful, swollen first metatarsophalangeal joint that developed overnight. She drinks alcohol occasionally and takes hydrochlorothiazide. Serum urate is elevated. She has no significant renal impairment. What is the most appropriate initial pharmacological management of this acute attack?

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