A woman with asthma and recurrent nasal polyposis develops bronchospasm and rhinorrhoea 45 minutes after ibuprofen. She tolerates paracetamol. Which

Question

A woman with asthma and recurrent nasal polyposis develops bronchospasm and rhinorrhoea 45 minutes after ibuprofen. She tolerates paracetamol. Which diagnostic and management principle is most appropriate?

Accepted Answer

Avoid strong COX-1 inhibitors and obtain specialist phenotype assessment

Answer

Avoid ibuprofen alone and permit other non-selective NSAIDs

Answer

Avoid paracetamol alone and permit other non-selective NSAIDs

Answer

Avoid selective COX-2 inhibitors and permit non-selective NSAIDs

Answer

Avoid aspirin alone and permit ibuprofen after antihistamine premedication

COPD Exacerbation — SCE Respiratory MCQ

A woman with asthma and recurrent nasal polyposis develops bronchospasm and rhinorrhoea 45 minutes after ibuprofen. She tolerates paracetamol. Which diagnostic and management principle is most appropriate?