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Topical NSAID counselling — GPhC CRA MCQ

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HardMusculoskeletal TherapeuticsTopical NSAID counsellingGPhC CRA

A patient wants to use diclofenac 1% gel under an elastic ankle support. The skin is intact and the support is breathable rather than airtight. Which advice is most accurate?

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

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Correct answer: A — Use a non-occlusive support on intact skin and avoid concurrent oral ibuprofen

The authorised information allows topical diclofenac with a non-occlusive bandage but not an airtight occlusive dressing. It should be applied only to intact, non-diseased skin. Although systemic exposure is lower than with oral diclofenac, concurrent systemic NSAID use can add adverse effects and requires review.

Reference: Diclofenac 1% gel Summary of Product Characteristics: https://www.medicines.org.uk/emc/product/10950/smpc