Question

A 64-year-old with osteoarthritis knee pain has inadequate relief with paracetamol and topical NSAIDs. She has hypertension and CKD stage 3a. Best next analgesic approach?

Accepted Answer

Weak opioid (e.g., codeine) trial with caution

Answer

Oral NSAID without gastroprotection

Answer

Strong opioid (e.g., morphine)

Answer

Long-term oral corticosteroid

Answer

Tramadol long-term first-line

Practice question

A 64-year-old with osteoarthritis knee pain has inadequate relief with paracetamol and topical NSAIDs. She has hypertension and CKD stage 3a. Best next analgesic approach?