Question

A 64-year-old woman with a history of ulcer bleeding is started on ibuprofen for osteoarthritis. Which is the safest strategy per Beers/ACG considerations?

Accepted Answer

Add PPI gastroprotection if NSAID is needed

Answer

NSAID without protection

Answer

Switch to ketorolac for fewer GI effects

Answer

Add aspirin to reduce GI risk

Answer

Add misoprostol plus NSAID only

Practice question

A 64-year-old woman with a history of ulcer bleeding is started on ibuprofen for osteoarthritis. Which is the safest strategy per Beers/ACG considerations?