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Laxative choice in pregnancy — GPhC CRA MCQ

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ModerateGI TherapeuticsLaxative choice in pregnancyGPhC CRA

A pregnant patient at 24 weeks asks for treatment for constipation. She has already tried dietary measures and fluids without improvement. What is the most appropriate alternative?

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Correct answer: C — Consider lactulose or a bulk-forming laxative if suitable, with referral if symptoms are severe

Constipation in pregnancy is first managed with diet, fluids and activity where possible. If medicine is needed, bulk-forming laxatives or lactulose are commonly considered suitable options, depending on the patient. Stimulants may be used selectively but are not the preferred first step in this scenario. Red flags or severe symptoms require medical review.

Reference: NICE CKS; BNF