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Heart failure NSAID risk — GPhC CRA MCQ

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HardCardiovascular TherapeuticsHeart failure NSAID riskGPhC CRA

A patient with heart failure collects ramipril, bisoprolol and furosemide. They ask to buy ibuprofen for knee pain after gardening. They have no red-flag injury symptoms. What is the most appropriate alternative?

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

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Correct answer: E — Avoid ibuprofen and discuss safer analgesia options

NSAIDs can worsen fluid retention, reduce renal function and antagonise diuretic or antihypertensive effects in heart failure. Safer analgesia options should be discussed. Stopping heart failure medicines or adding NSAID combinations would increase risk.

Reference: BNF; NICE CKS