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NSAID-exacerbated asthma — GPhC CRA MCQ

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ModerateMusculoskeletal TherapeuticsNSAID-exacerbated asthmaGPhC CRA

A patient with asthma says ibuprofen previously caused wheeze within an hour. He asks to buy naproxen for back pain. What is the most appropriate action?

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

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Correct answer: EDecline naproxen and suggest a safer analgesic option with referral if needed

Some patients with asthma have NSAID-exacerbated respiratory disease and may react to several NSAIDs. A history of wheeze after ibuprofen is clinically significant and should guide OTC supply decisions. The other options either delay appropriate care, use an unsuitable medicine, or miss the main safety issue.

Reference: BNF