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Chronic kidney disease analgesia — RACGP Fellowship MCQ

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HardChronic disease managementChronic kidney disease analgesiaRACGP Fellowship

A 63-year-old with albuminuric CKD stage 3a takes an ACE inhibitor and has hand osteoarthritis. Which analgesic advice is most appropriate?

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

Reveal the answer and explanation

Correct answer: B — Use exercise with topical analgesia instead

Regular oral NSAIDs can worsen kidney function and cardiovascular risk in CKD, particularly with renin–angiotensin system blockade. Use non-drug measures and safer analgesic options; topical therapies may be considered when suitable.

Reference: Kidney Health Australia: CKD Management in Primary Care: https://kidney.org.au/health-professionals/ckd-management-handbook/