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Allopurinol continuation during flare — GPhC CRA MCQ

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ModerateMusculoskeletal TherapeuticsAllopurinol continuation during flareGPhC CRA

A patient established on allopurinol 300 mg daily develops an acute gout flare and asks whether to stop it until the flare settles. What would you advise the patient?

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Correct answer: EContinue allopurinol and treat the acute flare separately

Patients already established on allopurinol are usually advised to continue it during an acute flare. Stopping and restarting can destabilise urate control and contribute to further flares. The other options either delay appropriate care, use an unsuitable medicine, or miss the main safety issue.

Reference: NICE CKS; BNF