Question

A 70-year-old man with persistent osteoarthritis pain is not tolerating oral NSAIDs due to gastritis. Which of the following is the best alternative for pain relief while minimizing gastric side effects?

Accepted Answer

COX-2 selective inhibitor (e.g., celecoxib) plus PPI

Answer

Intravenous paracetamol only

Answer

Amitriptyline as a monotherapy

Answer

Immediate opioid analgesics at high dose

Answer

Topical capsaicin alone

Practice question

A 70-year-old man with persistent osteoarthritis pain is not tolerating oral NSAIDs due to gastritis. Which of the following is the best alternative for pain relief while minimizing gastric side effects?