Warfarin NSAID request — GPhC CRA MCQ
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Correct answer: E — Avoid ibuprofen and use safer analgesia such as short-term paracetamol with anticoagulation advice if needed
NSAIDs increase gastrointestinal bleeding risk when combined with warfarin. In this scenario, the pharmacist should prioritise safe supply, appropriate counselling and timely referral or clarification where needed. This is the single best answer because the other options would either delay assessment, ignore a clinically significant risk, or create an unsafe legal or professional outcome.
Reference: BNF; MEP