Heart failure NSAID — GPhC CRA MCQ
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Correct answer: E — Recommend paracetamol and advise clinical review if pain persists or is severe
NSAIDs can worsen fluid retention and renal function in heart failure. 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; NICE CKS