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CKD OTC medicine advice — GPhC CRA MCQ

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ModerateRenal and Hepatic ImpairmentCKD OTC medicine adviceGPhC CRA

A patient with chronic kidney disease stage 4 asks which painkiller to buy for knee pain. They previously used ibuprofen frequently. What would you advise the patient?

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

Reveal the answer and explanation

Correct answer: D — Avoid oral NSAIDs unless specifically advised and discuss persistent pain with a clinician

NSAIDs can worsen renal function in CKD. 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