Same case. Which medication can be given to this patient every 4 to 6 hours?

Correct answer: A. Acetaminophen 500 mg / Ibuprofen 600 mg

• A. Correct. A combined non-opioid regimen of acetaminophen plus ibuprofen provides effective dental pain control and is dosed roughly every 4–6 hours; it avoids opioids in a patient with substance-use risk and avoids the bleeding concern of aspirin in a hepatitis patient.
• B. Opioids like hydrocodone should be avoided where possible, especially with substance-use history.
• C. Tramadol carries opioid/serotonergic risks and is not the preferred first-line choice here.
• D. Aspirin impairs platelet function and is risky with hepatitis/possible coagulopathy.