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NSAID gastroprotection — GPhC CRA MCQ

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ModerateGastro-intestinal TherapeuticsNSAID gastroprotectionGPhC CRA

A 76-year-old patient is prescribed naproxen for osteoarthritis and also takes aspirin 75 mg daily. There is no gastroprotection on the prescription. What is the most appropriate action?

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Correct answer: D — Query the prescription and suggest gastroprotection if NSAID is necessary

Older age and concomitant aspirin increase gastrointestinal bleeding risk with NSAIDs. If an NSAID is necessary, gastroprotection with a PPI is often considered. The other options either delay appropriate care, use an unsuitable medicine, or miss the main safety issue.

Reference: NICE CKS; BNF