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Acute gout in CKD — GPhC CRA MCQ

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HardMusculoskeletal TherapeuticsAcute gout in CKDGPhC CRA

A 71-year-old man with eGFR 24 mL/min/1.73 m2 and heart failure presents with acute gout. He asks to buy naproxen after previous benefit. What is the most appropriate alternative?

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Correct answer: CRefer for prescriber assessment of a suitable option such as adjusted colchicine or corticosteroid

NSAIDs are often unsuitable in significant renal impairment and heart failure. Acute gout treatment needs selection based on comorbidities and renal function, with dose adjustment where required. The other options either delay appropriate care, use an unsuitable medicine, or miss the main safety issue.

Reference: NICE CKS; BNF