Question

A 58-year-old man presents with an acutely painful, swollen first metatarsophalangeal joint. Serum urate is elevated. What is the most appropriate initial treatment for this acute gout attack?

Accepted Answer

Non-steroidal anti-inflammatory drug such as indomethacin if no contraindications

Answer

Commence allopurinol immediately

Answer

Low-dose aspirin

Answer

Long-term colchicine prophylaxis only

Answer

No treatment is required

Practice question

A 58-year-old man presents with an acutely painful, swollen first metatarsophalangeal joint. Serum urate is elevated. What is the most appropriate initial treatment for this acute gout attack?