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Gout treatment in CKD — GPhC CRA MCQ

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ModerateMusculoskeletal TherapeuticsGout treatment in CKDGPhC CRA

A 68-year-old man with an acute gout flare has heart failure and chronic kidney disease stage 4. He asks to buy ibuprofen because it helped previously. He takes ramipril and furosemide. What is the most appropriate alternative?

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

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Correct answer: A — Refer for prescriber advice because oral NSAIDs are high risk

Oral NSAIDs can worsen renal function and heart failure, and the patient is also taking medicines that increase acute kidney injury risk. Gout flare treatment should be individualised, often considering colchicine or corticosteroids with renal and interaction assessment. The pharmacist should refer rather than sell oral ibuprofen.

Reference: BNF; NICE CKS