امرأة عمرها ٤٠ سنة عندها ربو وزوائد لحمية في الأنف. تأخذ أسبرين أو إيبوبروفين للصداع أحياناً، وكل مرة تأخذه تأتيها خلال ساعة نوبة ربو مع انسداد أنف وسيلان. ما النصيحة الصحيحة؟

A 40-year-old woman with asthma and nasal polyps occasionally takes aspirin or ibuprofen for headache, and each time develops an asthma attack with nasal blockage and discharge within an hour. What is the correct advice?

1. Take aspirin together with her reliever every time
2. Double the aspirin dose gradually so her body tolerates it
3. Stop her steroid inhaler on the days she takes aspirin
4. Avoid aspirin and NSAIDs and use paracetamol instead

Answer: D) Avoid aspirin and NSAIDs and use paracetamol instead. Some people with asthma react to aspirin and NSAIDs, often with nasal polyps. They avoid these drugs; paracetamol at usual doses is generally safe.