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Alendronic acid dysphagia — GPhC CRA MCQ

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HardMusculoskeletal TherapeuticsAlendronic acid dysphagiaGPhC CRA

A patient taking lithium requests ibuprofen for dental pain. He recently had vomiting and poor intake. What is the safest advice?

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

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Correct answer: B — Avoid ibuprofen and arrange urgent lithium and renal assessment

NSAIDs can reduce renal lithium clearance, while dehydration and acute kidney injury further increase toxicity risk. The patient needs an alternative analgesic plan and prompt assessment of hydration, renal function and lithium concentration if symptomatic or unwell.

Reference: https://www.pharmacyregulation.org/students-and-trainees/pharmacist-education-and-training/registration-assessment