Identify the Contraindicated Medication for a Patient with Kidney Disease

A 58-year-old male patient presents to the hospital for management of chronic pain due to osteoarthritis. He has a notable medical history of

chronic kidney disease and is currently taking multiple medications including nonsteroidal anti-inflammatory drugs (NSAIDs). During the assessment, the healthcare provider notes that the patient is also on anticoagulants for a history of cardiovascular events. The provider is concerned about the potential for adverse effects due to the combination of medications.

Fill in the blank with the most appropriate medication contraindicated in this patient’s current medication regimen: ______________.