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Dabigatran OTC diclofenac — GPhC CRA MCQ

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HardCardiovascular TherapeuticsDabigatran OTC diclofenacGPhC CRA

A patient taking dabigatran asks to buy diclofenac tablets and has previous peptic ulcer disease. What is the most appropriate alternative?

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

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Correct answer: A — Recommend paracetamol and refer if pain is not controlled

NSAIDs increase bleeding risk with anticoagulants, especially with ulcer history. 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