Which NSAID counseling point is recommended for topical NSAIDs?

• A. Seek medical attention for severe skin rash
• B. Ignore mild changes in vision
• C. Continue NSAIDs during severe skin rash
• D. Yellowing of eyes is not a concern

Answer: (A)

Topical NSAIDs can still cause local skin reactions, so the most important counseling point is to seek medical attention if a severe skin rash develops. A severe rash may signal an allergic reaction or a significant irritant response, and stopping the medication plus evaluation helps prevent progression or complications. Other options don’t fit: mild vision changes aren’t a typical warning signal for topical NSAIDs and don’t guide management of a skin reaction; continuing use during a severe rash is not advised because it can worsen the reaction; yellowing of the eyes suggests possible liver injury or systemic toxicity and requires prompt medical assessment rather than being dismissed.