Question

A 55-year-old man presents with acute onset first metatarsophalangeal joint pain, redness and swelling. Serum urate is elevated. What is the most appropriate first-line treatment for his acute gout flare, assuming no contraindications?

Accepted Answer

Non-steroidal anti-inflammatory drug (NSAID) such as naproxen

Answer

Allopurinol

Answer

Thiazide diuretic

Answer

Probenecid

Answer

Chronic colchicine prophylaxis only

Practice question

A 55-year-old man presents with acute onset first metatarsophalangeal joint pain, redness and swelling. Serum urate is elevated. What is the most appropriate first-line treatment for his acute gout flare, assuming no contraindications?