Which drug would be most appropriate to treat the following patient's - ProProfs Discuss
Advertisement

Which drug would be most appropriate to treat the following patient's pain?
A 45-year-old man complained to his physician of severe pain at the base of his left big toe which had kept him awake the previous night. He described the pain as excruciating. On physical examination, the first metatarsophalangeal joint was warm and tender, and the entire periarticular area was red and swollen.

Asked by Zoey, Last updated: Nov 23, 2020

+ Answer
Request
Question menu
Vote up Vote down

1 Answer

John Smith

John Smith

John Smith
John Smith

Answered Sep 09, 2016

Indomethacin-the symptoms and signs of the patient suggest that he is suffering from an acute gouty attack.indomethacin is commonly prescribed for the treatment of acute attack of gout and manyconsider it to be the drug of choice. colchicine is another drug highly effective in the goutyattack, but is less frequently used today because of its potential adverse effects.a) the analgesic action of propoxyphene (an opioid analgesic) is too weak to be useful in thegouty attack.c) gold compounds are useful in rheumatoid arthritis but are without effect in gouty arthritis.d) nsaids other than indomethacin have been proved effective in the treatment of acute goutyarthritis. aspirin however can inhibit (when given in small doses) the excretion of uric acid bythe kidney and therefore should not be used for analgesia in patients with gout.e, f) these drugs can decrease uric acid plasma levels in patients with gout but they cannotrelieve the pain of a gouty attack.
upvote downvote
Reply 

Advertisement
Advertisement
Search for Google images Google Image Icon
Select a recommended image
Upload from your computer Loader
Image Preview
Search for Google images Google Image Icon
Select a recommended image
Upload from your computer Loader
Image Preview
Search for Google images Google Image Icon
Select a recommended image
Upload from your computer Loader

Email Sent
We have sent an email to your address "" with instructions to reset your password.