A 68-year-old woman with known osteoarthritis of the hip is taking regular Paracetamol 1 g four times daily with inadequate pain relief. She has norma...

Question

A 68-year-old woman with known osteoarthritis of the hip is taking regular Paracetamol 1 g four times daily with inadequate pain relief. She has normal renal function and no history of peptic ulcer disease or cardiovascular events. What is the most appropriate next pharmacological step

Accepted Answer

Add an oral NSAID such as Ibuprofen with gastroprotection

Answer

Start strong opioids such as Morphine

Answer

Increase Paracetamol above 4 g daily

Answer

Start long-term systemic corticosteroids

Answer

Stop all analgesia and refer for surgery only

uk-plab-1 MCQ (SBA): Osteoarthritis analgesia escalation

A 68-year-old woman with known osteoarthritis of the hip is taking regular Paracetamol 1 g four times daily with inadequate pain relief. She has normal renal function and no history of peptic ulcer disease or cardiovascular events. What is the most appropriate next pharmacological step