Moe Bigtoe is a 58-year-old who presents to urgent care with…

Moe Bigtoe is a 58-year-old who presents to urgent care with an acute gout attack. Gout flare description: symptoms started 72 hours ago; pain = 5/10; location = left elbow PMH: Type 2 diabetes, knee osteoarthritis, GERD Medications: febuxostat; diclofenac gel; pantoprazole Labs: Uric acid 7.4 mg/dL, CrCl 54 ml/min, A1c 13.1% Vitals: BP 136/84 Insurance: Quartz What is the best treatment recommendation for Moe’s acute gout attack?