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Allopurinol monitoring — GPhC CRA MCQ

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HardMusculoskeletal TherapeuticsAllopurinol monitoringGPhC CRA

A patient starting allopurinol for recurrent gout asks how the dose will be adjusted. They have CKD stage 3. What monitoring is required?

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

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Correct answer: ESerum urate with renal function review and dose titration

Allopurinol is titrated to urate target while considering renal function. 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