A 70-year-old on guideline-directed therapy after a nonvariceal upper GI bleed asks about NSAID resumption for osteoarthritis. Best advice?...

Question

A 70-year-old on guideline-directed therapy after a nonvariceal upper GI bleed asks about NSAID resumption for osteoarthritis. Best advice?

Accepted Answer

Avoid NSAIDs; consider COX-2 selective with PPI only if absolutely necessary

Answer

Resume NSAID immediately with PPI

Answer

Stop PPI and resume NSAID

Answer

Use aspirin instead of NSAID

Answer

Use H2 blockers to allow NSAID

us-abfm MCQ (SBA): Upper GI Bleed-NSAID Resumption