A 55-year-old woman has her first acute gout attack affecting the first metatarsophalangeal joint. She asks whether she should start allopurinol from

Question

A 55-year-old woman has her first acute gout attack affecting the first metatarsophalangeal joint. She asks whether she should start allopurinol from a friend's supply today; she takes bendroflumethiazide and has eGFR 48 mL/min/1.73 m2. What would you advise the patient?

Accepted Answer

Do not use another person's allopurinol; seek appropriate acute gout treatment

Answer

Use aspirin at anti-inflammatory doses as first-line gout treatment

Answer

Stop bendroflumethiazide without telling the prescriber

Answer

Start allopurinol immediately at the friend's usual dose

Answer

Take colchicine from the friend until diarrhoea develops

Acute gout and allopurinol — GPhC CRA MCQ

A 55-year-old woman has her first acute gout attack affecting the first metatarsophalangeal joint. She asks whether she should start allopurinol from a friend's supply today; she takes bendroflumethiazide and has eGFR 48 mL/min/1.73 m2. What would you advise the patient?