Pharmacology: Drugs in Renal and Hepatic Impairment
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Piroxicam is an NSAID. Chronic NSAID use can cause gastrointestinal bleeding due to mucosal damage. The symptoms (fatigue, shortness of breath, pica for ice, dark stools) are classic for iron deficiency anemia secondary to chronic blood loss. Her vegetarian diet may also contribute to low iron stores.
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