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MediumRheumatologyAcute Gout with Comorbiditiesukmlamrcgp aktpanemrcp part 1prescribing safety assessment

A 72-year-old man with a history of ischaemic heart disease and chronic kidney disease stage 3 (eGFR 45 mL/min/1.73m²) presents with symptoms of an acute gout attack in his left knee. He is currently taking aspirin, atorvastatin, and bisoprolol. Which of the following is the most appropriate initial analgesic for his acute gout, considering his comorbidities?

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