Prescribing Safety Assessment (PSA) Practice Exam

Which of the following drugs is contraindicated in asthmatics?

1. Paracetamol

2. Ibufprofen

3. Amoxicillin

4. Ciprofloxacin

The correct answer is: Ibufprofen

The correct choice pertains to ibuprofen, which is a nonsteroidal anti-inflammatory drug (NSAID). In patients with asthma, especially those who have a history of aspirin sensitivity or asthma exacerbations triggered by NSAIDs, the use of ibuprofen can lead to bronchospasm and an increase in asthma symptoms. In general practice, while paracetamol is often considered safer for pain relief in asthmatic patients, it does not pose the same risk of inducing bronchospasm. Amoxicillin, a commonly prescribed antibiotic, is not contraindicated in asthma and can be used when necessary. Similarly, ciprofloxacin, which is part of the fluoroquinolone class of antibiotics, does not have a direct contraindication in asthmatic patients. Therefore, among the options provided, ibuprofen is the drug that poses a risk and is contraindicated for asthmatics due to its potential to exacerbate respiratory issues.