A 78-year-old female with chronic pain is started on oral morphine. She complains of constipation. What is the recommended prophylactic management?...

Question

A 78-year-old female with chronic pain is started on oral morphine. She complains of constipation. What is the recommended prophylactic management?

Accepted Answer

Co-prescribe a stimulant laxative (e.g., senna) and/or stool softener

Answer

Advise high-fibre diet only

Answer

Add a bulk-forming laxative alone

Answer

Wait until constipation develops

Answer

Switch to fentanyl patch

Constipation — PSA MCQ