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Pregnancy OTC counselling — GPhC CRA MCQ

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ModeratePatient Counselling and Pharmaceutical CarePregnancy OTC counsellingGPhC CRA

A pregnant patient in the first trimester asks to buy ibuprofen for headache after paracetamol did not help. What would you advise the patient?

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

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Correct answer: A — Avoid routine NSAID use and refer for suitable advice

NSAID use in pregnancy requires caution and varies by gestation and indication. Paracetamol is usually first-line, and persistent symptoms require assessment. In this scenario, the correct option is avoid routine NSAID use and refer for suitable advice. The other options are plausible but do not address the key clinical, legal or safety issue as directly. This aligns with UK pharmacy practice guidance cited in the reference field.

Reference: BNF; NICE CKS