Question

A 70-year-old man with osteoarthritis of the knee complains of persistent pain despite weight loss, exercise, and paracetamol use. According to NICE guidelines, which medication is recommended next for analgesia if there are no contraindications?

Accepted Answer

Oral NSAIDs (e.g., ibuprofen) with gastroprotection

Answer

Oral opioids

Answer

Topical capsaicin

Answer

Intra-articular corticosteroids as first choice

Answer

Disease-modifying drugs

Practice question

A 70-year-old man with osteoarthritis of the knee complains of persistent pain despite weight loss, exercise, and paracetamol use. According to NICE guidelines, which medication is recommended next for analgesia if there are no contraindications?