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HardPharmacologyAnalgesia in CKDmrcgp aktukmlapaneprescribing safety assessment

A 60-year-old patient with chronic kidney disease stage 4 (eGFR 25 mL/min/1.73m²) requires analgesia for osteoarthritis pain. Paracetamol alone is insufficient. Which of the following NSAIDs is considered relatively safer to use with caution and appropriate monitoring in this patient, if an NSAID is deemed necessary?

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