Question

A 72-year-old woman with osteoarthritis of the knees has persistent pain despite acetaminophen. She has a history of chronic kidney disease stage 3 and peptic ulcer disease. What is the most appropriate next pharmacologic step?

Accepted Answer

Topical NSAIDs

Answer

Oral ibuprofen

Answer

Oral naproxen

Answer

Oral corticosteroids

Answer

High-dose opioids

Practice question

A 72-year-old woman with osteoarthritis of the knees has persistent pain despite acetaminophen. She has a history of chronic kidney disease stage 3 and peptic ulcer disease. What is the most appropriate next pharmacologic step?