NSAID renal risk — GPhC CRA MCQ
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Correct answer: E — Avoid oral ibuprofen and discuss safer analgesia or prescriber review
ACE inhibitor or ARB, diuretic and NSAID combinations increase acute kidney injury risk, especially in older adults with CKD. Safer analgesia should be considered and the prescriber contacted if pain is significant. Stopping prescribed medicines without review is unsafe.
Reference: BNF; NICE CKS