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NSAID and asthma — GPhC CRA MCQ

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ModerateMusculoskeletal TherapeuticsNSAID and asthmaGPhC CRA

A 35-year-old with asthma asks to buy ibuprofen for back pain. He reports previous wheezing and facial swelling after taking aspirin. He uses salbutamol and a preventer inhaler. What is the most appropriate action?

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Correct answer: C — Avoid ibuprofen and recommend a safer analgesic option

A history of respiratory reaction and angioedema with aspirin suggests NSAID sensitivity. Ibuprofen and naproxen may trigger similar reactions and should be avoided unless a specialist has advised otherwise. Paracetamol at appropriate doses may be a safer first option, with referral if pain is severe. Taking an NSAID with milk does not prevent bronchospasm or allergy.

Reference: BNF