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Warfarin counselling — GPhC CRA MCQ

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EasyCardiovascular TherapeuticsWarfarin counsellingGPhC CRA

A 68-year-old woman starts warfarin after a pulmonary embolism. She asks whether she can take any painkiller she buys from a supermarket. What would you advise the patient?

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

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Correct answer: B — Use paracetamol for short-term pain and avoid NSAIDs unless advised

NSAIDs and aspirin can increase bleeding risk with warfarin and should not be used for routine self-care without advice. Paracetamol is generally preferred for short-term analgesia, though prolonged high-dose use can affect INR. The patient should be counselled on bleeding signs and INR follow-up.

Reference: BNF