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NSAIDs in CKD — GPhC CRA MCQ

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HardRenal and Hepatic ImpairmentNSAIDs in CKDGPhC CRA

A patient with CKD stage 4 asks to buy diclofenac tablets and also takes ramipril and furosemide. What is the most appropriate alternative?

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

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Correct answer: C — Recommend paracetamol and refer if pain remains uncontrolled

NSAIDs can worsen renal function in CKD; paracetamol is usually safer for OTC analgesia. This makes recommend paracetamol and refer if pain remains uncontrolled the single best answer in this scenario. The other options would either miss the key safety issue, delay appropriate review, or fail to meet the relevant clinical or professional requirement.

Reference: BNF; NICE CKS