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Allopurinol during acute gout — GPhC CRA MCQ

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ModerateMusculoskeletal TherapeuticsAllopurinol during acute goutGPhC CRA

A 62-year-old man has an acute gout flare in his ankle. He started allopurinol 100mg daily two months ago after recurrent attacks and has normal renal function. He asks if he should stop allopurinol during the flare. What would you advise the patient?

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Correct answer: E — Continue allopurinol and seek appropriate treatment for the acute flare.

Patients already established on allopurinol are usually advised to continue it during an acute flare. Stopping and restarting can destabilise urate control and precipitate further attacks. Acute flare treatment should be selected separately, considering comorbidities and contraindications.

Reference: NICE CKS; BNF