Question

A 70-year-old woman with long-standing osteoarthritis of the knees presents with chronic pain limiting her mobility. She has hypertension and mild chronic kidney disease (eGFR 55 mL/min/1.73 m²). What is the most appropriate first-line pharmacological analgesia?

Accepted Answer

Regular oral paracetamol up to 4 g per day and topical NSAID

Answer

Long-term oral ibuprofen 400 mg three times daily

Answer

Regular codeine-paracetamol combination

Answer

Long-term oxycodone sustained release

Answer

Intra-articular corticosteroid injections every month

Practice question

A 70-year-old woman with long-standing osteoarthritis of the knees presents with chronic pain limiting her mobility. She has hypertension and mild chronic kidney disease (eGFR 55 mL/min/1.73 m²). What is the most appropriate first-line pharmacological analgesia?