A pt with an acute gout attack came to the ED. What drug should be given to relieve symptoms?
a. NSAIDs
b. Allopurinol
c. Ibuprofen
Ans. The key is A. NSAIDs. [Oral NSAIDs commenced immediately and continue for 1 – 2 weeks; Colchicine can be effective alternative but is slower to work than NSAIDs. Intra articular corticosteroids are highly effective in acute gouty monoarthritis.