Prescribing Safety Assessment (PSA) Practice Exam

What should be prescribed for a person experiencing mild non-neuropathic pain?

1. Co-codamol 30/500

2. Paracetamol 1g PO QDS

3. Ibuprofen 400mg

4. Diclofenac 50mg

The correct answer is: Paracetamol 1g PO QDS

For managing mild non-neuropathic pain, prescribing paracetamol is a widely accepted and effective approach. Paracetamol, at a dose of 1g taken by mouth four times daily (QDS), is an appropriate first-line analgesic that provides relief for mild to moderate pain and has a favorable safety profile when used within recommended limits. It is particularly suitable for patients who may have contraindications or need to avoid non-steroidal anti-inflammatory drugs (NSAIDs). The dosing of paracetamol allows for consistent pain management, and its mechanism of action includes blocking the production of prostaglandins in the brain, which helps to alleviate pain. Additionally, paracetamol is well-tolerated by most patients, making it a practical choice in many clinical situations. While other options like co-codamol, ibuprofen, and diclofenac can also be effective, their use may be better suited for situations where pain is more severe or when paracetamol alone is insufficient. Co-codamol contains both paracetamol and codeine, which adds opioid elements that may not be necessary for mild pain and also carries risks for dependency and side effects. Ibuprofen and diclofenac, both NSAIDs, may pose gastrointestinal