Question

A 62-year-old woman with osteoarthritis presents with knee pain not controlled by paracetamol. She has stage 3 CKD (eGFR 45 mL/min/1.73 m²) and hypertension. According to Australian prescribing principles, which analgesic strategy is most appropriate?

Accepted Answer

Trial of topical NSAIDs and intermittent low-dose oral NSAIDs with careful monitoring

Answer

Regular high-dose NSAIDs

Answer

Strong opioids as first-line escalation

Answer

No further analgesia due to CKD

Answer

Long-term oral corticosteroids

Practice question

A 62-year-old woman with osteoarthritis presents with knee pain not controlled by paracetamol. She has stage 3 CKD (eGFR 45 mL/min/1.73 m²) and hypertension. According to Australian prescribing principles, which analgesic strategy is most appropriate?