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Topical NSAID suitability — GPhC CRA MCQ

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EasyMusculoskeletal TherapeuticsTopical NSAID suitabilityGPhC CRA

A 66-year-old woman with hand osteoarthritis asks for pain relief. She takes apixaban and has previous peptic ulcer bleeding. Pain is localised to several finger joints. What is the most appropriate alternative?

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

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Correct answer: D — Consider topical NSAID or paracetamol rather than oral NSAID, with counselling

Topical NSAIDs can provide local benefit with lower systemic exposure than oral NSAIDs, though risk is not absent. Oral NSAIDs are higher risk with anticoagulation and previous ulcer bleeding. Persistent or severe symptoms need review.

Reference: BNF; NICE CKS