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NSAID triple whammy — GPhC CRA MCQ

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EasyMusculoskeletal TherapeuticsNSAID triple whammyGPhC CRA

A patient on ramipril and bendroflumethiazide 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: C — Avoid NSAID supply and suggest safer analgesia or prescriber review

NSAID use with ACE inhibitor and diuretic increases acute kidney injury risk. In this vignette, "Avoid NSAID supply and suggest safer analgesia or prescriber review" is the safest single best answer. The other options are less appropriate because they miss the key clinical risk, conflict with UK medicines guidance, or delay needed review.

Reference: BNF; NICE CKS