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ModerateRheumatologyGoutuk-plab-1

A 47 year old man presents with sudden onset severe pain, redness and swelling of the first metatarsophalangeal joint. He is unable to bear weight. He has a history of similar self limiting episodes. Serum uric acid is elevated. According to NICE guidance, what is the recommended first line drug for long term urate lowering therapy?

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