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Heart failure and NSAID use — GPhC CRA MCQ

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EasyCardiovascular TherapeuticsHeart failure and NSAID useGPhC CRA

A patient with heart failure taking ramipril, bisoprolol and furosemide asks to buy ibuprofen for knee pain. They report ankle swelling that has worsened this week. What is the most appropriate alternative?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: B — Avoid ibuprofen and advise medical review because NSAIDs can worsen heart failure

NSAIDs can cause sodium and water retention, reduce renal perfusion and worsen heart failure. The patient's worsening ankle swelling increases concern that their condition may be unstable. A non-NSAID analgesic approach and medical review are safer.

Reference: BNF; NICE CKS