skip to main content

NSAID renal risk — GPhC CRA MCQ

Instant feedback + full explanation. One question, done properly.

EasyMusculoskeletal TherapeuticsNSAID renal riskGPhC CRA

A 73-year-old taking ramipril and furosemide asks to buy ibuprofen for back pain. Their last eGFR was 42 mL/min/1.73 m2. What is the most appropriate action?

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

Reveal the answer and explanation

Correct answer: DAvoid ibuprofen and suggest safer analgesia with prescriber review if pain persists

NSAIDs can worsen renal function, especially with ACE inhibitors and diuretics. 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; NICE CKS