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Thiazide in recurrent gout — GPhC CRA MCQ

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EasyCardiovascular TherapeuticsThiazide in recurrent goutGPhC CRA

A 59-year-old man with recurrent gout is newly prescribed bendroflumethiazide for hypertension. He takes allopurinol regularly. What is the most appropriate alternative?

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Correct answer: A — Use a calcium-channel blocker if clinically suitable

This scenario assesses Thiazide in recurrent gout in a UK pharmacy practice context. Thiazide diuretics can raise urate and precipitate gout, so a different antihypertensive may be preferable. The best answer is Use a calcium-channel blocker if clinically suitable because it addresses the principal clinical, legal or safety issue before routine supply. The other options are less appropriate because they either miss the key risk, delay necessary review, or would not meet expected BNF, NICE, MEP, MHRA or GPhC practice standards.

Reference: BNF; NICE CKS