Discussion about moderately severe osteoarthritis pain


Problem: MJ is a 58 year old man who has moderately severe osteoarthritis pain. He is reluctant to take a NSAID because he has experienced GI bleeding in the past from ibuprofen. He finds that acetaminophen 1000 mg every 4 hours adequately controls his pain, but you are concerned because he has a history of alcoholic liver disease and currently drinks about six beers a day. Under what circumstances would you be comfortable allowing MJ to take acetaminophen? A. If MJ agrees to reduce acetaminophen dose to no more than 4 grams a day B. If MJ agrees to stop drinking alcohol (e.g., 6 beers per day) C. A and B D. Under no circumstances because he has a history of alcoholic liver disease

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