Mrs LM (age 52 years) has presented to her GP with symptoms…

Questions

Mrs LM (аge 52 yeаrs) hаs presented tо her GP with symptоms suggestive оf an acute uncomplicated lower urinary tract infection. Past medical history: Rheumatoid arthritis Sjögrens syndrome Drug history: Methotrexate 20 mg once weekly on Wednesdays Folic acid 5 mg once weekly on Saturdays Naproxen 500 mg twice daily Carbomer 0.2 % eye gel Apply to both eyes when required, as directed Recent test results: Haemoglobin                                                   134 g/L                               (115 – 165 g/L) Platelets                                                           208 x 109/L                        (150 - 400 x 109/L) White cell count                                             15 x 109/L                           (4-11 x 109/L) eGFR                                                                  >90                                      (>90 ml/min/1.73m2)   Which is the MOST APPROPRIATE treatment option?

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