Question

A 70-year-old woman with osteoarthritis knee pain and hypertension controlled on ACEi asks for ibuprofen. What is safest advice?

Accepted Answer

Topical NSAID plus paracetamol; if oral NSAID, use lowest dose, shortest duration with PPI and monitor BP/renal function

Answer

Start ibuprofen 400 mg TDS long-term without review

Answer

Use oral diclofenac without PPI

Answer

Advise tramadol first-line

Answer

No analgesia due to ACEi

Practice question

A 70-year-old woman with osteoarthritis knee pain and hypertension controlled on ACEi asks for ibuprofen. What is safest advice?