Pharmacology · patient case question

Which medication is used for this condition?

Patient case: Patient with gout

Scenario: A patient with GOUT.

  1. Metformin
  2. Levothyroxine
  3. Allopurinol
  4. Alendronate
Show answer and explanation

Correct answer: C. Allopurinol

  • A. Metformin is a biguanide for type 2 diabetes; it reduces hepatic gluconeogenesis and improves insulin sensitivity.
  • B. Levothyroxine is thyroid hormone replacement for hypothyroidism.
  • C. Correct. Allopurinol is a XANTHINE OXIDASE INHIBITOR — it blocks conversion of hypoxanthine and xanthine to uric acid, lowering serum urate for long-term prevention. Acute attacks are treated instead with NSAIDs, colchicine or corticosteroids.
  • D. Alendronate is a bisphosphonate for osteoporosis — clinically important in dentistry for MRONJ risk, but unrelated to gout.

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