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NSAID avoidance in migraine — GPhC CRA MCQ

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ModerateCNS TherapeuticsNSAID avoidance in migraineGPhC CRA

A patient with migraine and previous gastric ulcer asks for ibuprofen. They are taking lansoprazole but had a bleed last year. What is the most appropriate alternative?

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Correct answer: A — Sumatriptan after assessment of suitability

A triptan may be appropriate for migraine where NSAIDs are unsuitable. 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