Patient with Hepatitis B and GERD had teeth #30 and #31 extracted. Which analgesic is MOST contraindicated?

ASPIRIN most contraindicated: (1) GERD — highly irritating to GI mucosa, worsens acid reflux; (2) Hepatitis — hepatotoxicity risk; (3) Post-extraction — irreversibly inhibits platelets (COX-1) → increased bleeding risk. Among options, aspirin is totally contraindicated (all three concerns).