A 78-year-old man with a history of ischaemic heart disease and chronic kidney disease (eGFR 40 ml/min/1.73m²) presents with acute gout affecting his ...

Question

A 78-year-old man with a history of ischaemic heart disease and chronic kidney disease (eGFR 40 ml/min/1.73m²) presents with acute gout affecting his right great toe. He is in severe pain. Which of the following is the most appropriate initial analgesic, considering his comorbidities?

Accepted Answer

Prednisolone 30mg OD for 5 days

Answer

Naproxen 500mg BD

Answer

Colchicine 500mcg BD

Answer

Allopurinol 100mg OD

Answer

Paracetamol 1g QDS

mrcgp akt MCQ (SBA): Acute Gout

A 78-year-old man with a history of ischaemic heart disease and chronic kidney disease (eGFR 40 ml/min/1.73m²) presents with acute gout affecting his right great toe. He is in severe pain. Which of the following is the most appropriate initial analgesic, considering his comorbidities?