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Bleeding risk with aspirin and NSAID — GPhC CRA MCQ

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ModerateCardiovascular TherapeuticsBleeding risk with aspirin and NSAIDGPhC CRA

A 72-year-old takes aspirin 75 mg daily after a TIA. He asks to buy oral ibuprofen for knee pain and has a history of dyspepsia. Which recommendation best manages his analgesic and gastrointestinal risk?

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

Reveal the answer and explanation

Correct answer: B — Recommend avoiding oral ibuprofen and discuss safer analgesic options

Oral NSAIDs increase gastrointestinal bleeding risk, especially in older adults taking antiplatelets. Ibuprofen can also interfere with aspirin's antiplatelet effect depending on timing. Safer analgesic strategies and referral for persistent pain are preferable.

Reference: https://www.pharmacyregulation.org/students-and-trainees/pharmacist-education-and-training/registration-assessment