Question

A 60-year-old man presents with acute onset of a hot, swollen, painful first metatarsophalangeal joint. He has known hyperuricaemia. What is the most appropriate initial pharmacological treatment?

Accepted Answer

High-dose NSAID such as Ibuprofen if no contraindications

Answer

Long-term Allopurinol started immediately

Answer

Oral antibiotic for presumed cellulitis

Answer

Long-term low-dose Aspirin

Answer

Colchicine is contraindicated in acute gout

Practice question

A 60-year-old man presents with acute onset of a hot, swollen, painful first metatarsophalangeal joint. He has known hyperuricaemia. What is the most appropriate initial pharmacological treatment?