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HardMultimorbidity & Long-term ConditionsAcute Gout Management in CKDuk-dgm
A 84-year-old man is reviewed in clinic. He has type 2 diabetes, hypertension, CKD stage 3b (eGFR 38), and gout. He is taking Allopurinol 300 mg daily, Ramipril 5 mg, Amlodipine 10 mg, and Metformin 500 mg BD. He develops an acute gout flare in his first metatarsophalangeal joint. He is in significant pain. Given his renal function, what is the MOST appropriate acute treatment?