17th May 2025

A 52-year-old gentleman with a background of alcohol excess and prosthetic heart valves presented to his general practitioner with pain and swelling in his toes and elbow.

A 52-year-old gentleman with a background of alcohol excess and prosthetic heart valves presented to his general practitioner with pain and swelling in his toes and elbow. His regular medications include Thiamine and Warfarin. The pain has been recurrent over the past few years and those painful joints have been deformed with irregularities around them. Which medication should he be given?

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