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NSAID high-risk patient — GPhC CRA MCQ

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HardMusculoskeletal TherapeuticsNSAID high-risk patientGPhC CRA

A 74-year-old woman asks to buy ibuprofen for hip osteoarthritis. She takes warfarin, has CKD stage 3 and a previous peptic ulcer bleed. Her INR last week was 2.6. What is the most appropriate action?

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

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Correct answer: A — Do not supply ibuprofen and advise safer pain-management review.

NSAIDs increase GI bleeding risk, can worsen renal function and increase bleeding risk with warfarin. This patient has several high-risk features, including previous ulcer bleed and CKD. A safer analgesic plan should be discussed with the prescriber.

Reference: BNF; NICE CKS