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Acute gout with CKD — GPhC CRA MCQ

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EasyMusculoskeletal TherapeuticsAcute gout with CKDGPhC CRA

A 69-year-old man with acute gout has stage 4 CKD, takes apixaban and asks to buy ibuprofen. What is the most appropriate alternative?

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Correct answer: D — Refer for prescriber-led colchicine or corticosteroid consideration

CKD increases NSAID harm in acute gout, so a prescriber-led alternative is more appropriate. This makes refer for prescriber-led colchicine or corticosteroid consideration the single best answer in this scenario. The other options would either miss the key safety issue, delay appropriate review, or fail to meet the relevant clinical or professional requirement.

Reference: NICE CKS; BNF