Question

A 70-year-old woman with osteoarthritis knee pain uses paracetamol regularly. She has CKD stage 3a and a history of dyspepsia. What is the safest next analgesic step?

Accepted Answer

Add topical NSAID

Answer

Add oral ibuprofen without protection

Answer

Start oral naproxen plus PPI automatically

Answer

Start codeine as first add-on

Answer

Start tramadol long-term

Practice question

A 70-year-old woman with osteoarthritis knee pain uses paracetamol regularly. She has CKD stage 3a and a history of dyspepsia. What is the safest next analgesic step?