31st January 2024

A 40-year-old male carpenter presents to the GP with an acute swelling of the second metacarpophalangeal joint of his dominant hand, which he noticed this morning.

A 40-year-old male carpenter presents to the GP with an acute swelling of the second metacarpophalangeal joint of his dominant hand, which he noticed this morning. He has recently returned to work following a prolonged time off work but was fortunately furloughed. He thinks this is gout as he has suffered with this before but is concerned that this will happen again and he will be unable to work. 

What first-line prophylactic mediation can be used, and when can it be started?

Select the SINGLE most appropriate option from the list below. Select ONE option only.