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A 52-year-old businessman presents to the Emergency department complaining of worsening pain in his right
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A 52-year-old businessman presents to the Emergency department complaining of worsening pain in his right
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On examination he has severe pain and swelling over his right first MTP joint, consistent with gout.
What is the most appropriate management?
(Please select 1 option)
Add colchicine to his regime
Guidelines on the management of acute gout and advice on what to do with an acute attack of gout whilst on
allopurinol exist in the summary of product characteristics (SPC) for the drug. These state that an acute flare
whilst on allopurinol should not lead to cessation of the agent, but that it should be continued at the same dose,
and a suitable non-steroidal anti-inflammatory agent added.
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Colchicine is a reasonable alternative but is known to precipitate diarrhoea when an efficacious dose is
reached, so is not normally the first line recommendation.
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Electronic Medicines Compendium. Allopurinol.
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