A 66-year-old with OA knee pain asks about NSAIDs. He has hypertension and CKD3a. Which approach is safest?...

Question

A 66-year-old with OA knee pain asks about NSAIDs. He has hypertension and CKD3a. Which approach is safest?

Accepted Answer

Topical NSAIDs and paracetamol; avoid routine oral NSAIDs

Answer

Start oral diclofenac 50 mg tds long-term

Answer

High-dose ibuprofen with PPI

Answer

COX-2 inhibitor without PPI

Answer

Opioids first-line

mrcgp akt MCQ (SBA): Osteoarthritis Knee