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NSAID cirrhosis risk — GPhC CRA MCQ

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EasyRenal and Hepatic ImpairmentNSAID cirrhosis riskGPhC CRA

A patient with cirrhosis and ascites asks to buy diclofenac gel and oral ibuprofen for shoulder pain. What is the most appropriate action?

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Correct answer: C — Avoid oral NSAIDs and refer for safer pain management advice

Oral NSAIDs can worsen renal perfusion and bleeding risk in advanced liver disease. The best answer addresses the key safety, legal or pharmaceutical care issue in the vignette. The other options would either delay appropriate care, create a new risk, or fail to resolve the issue. This is consistent with the cited UK reference for safe pharmacy practice.

Reference: BNF