Question

A 55-year-old man presents with sudden onset, severe pain in his right big toe (first metatarsophalangeal joint). The joint is red, swollen, and exquisitely tender. He drinks 4 units of alcohol daily. What is the most appropriate first-line treatment for the acute symptoms?

Accepted Answer

Colchicine 500mcg BD

Answer

Allopurinol 100mg OD

Answer

Prednisolone 30mg OD

Answer

Febuxostat 80mg OD

Answer

Aspirin 300mg QDS

Practice question

A 55-year-old man presents with sudden onset, severe pain in his right big toe (first metatarsophalangeal joint). The joint is red, swollen, and exquisitely tender. He drinks 4 units of alcohol daily. What is the most appropriate first-line treatment for the acute symptoms?