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Gout acute treatment — GPhC CRA MCQ

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EasyMusculoskeletal TherapeuticsGout acute treatmentGPhC CRA

A 66-year-old man with acute gout has chronic kidney disease and takes apixaban. He asks to buy ibuprofen because it helped a friend. What is the most appropriate alternative?

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Correct answer: C — Refer for assessment and consider colchicine or corticosteroid advice rather than OTC ibuprofen

NSAIDs may be unsuitable because of renal impairment and anticoagulant-associated bleeding risk. Acute gout treatment should be individualised, often using colchicine or corticosteroids where appropriate. Allopurinol is urate-lowering maintenance therapy and does not treat acute pain immediately.

Reference: NICE CKS; BNF