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Acute gout with CKD — GPhC CRA MCQ

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ModerateMusculoskeletal TherapeuticsAcute gout with CKDGPhC CRA

A patient with acute gout has chronic kidney disease and is taking apixaban. They asks for an anti-inflammatory painkiller. What is the most appropriate alternative?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: B — Colchicine at an appropriate dose after checking renal function and interactions

NSAIDs may be unsuitable with anticoagulation and renal impairment, so alternatives need assessment. The best answer addresses the key safety, legal or pharmaceutical care issue in the vignette. The other options would either delay appropriate care, create a new risk, or fail to resolve the issue. This is consistent with the cited UK reference for safe pharmacy practice.

Reference: BNF; NICE CKS