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Loperamide red flags — GPhC CRA MCQ

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EasyGI TherapeuticsLoperamide red flagsGPhC CRA

A patient asks for loperamide for diarrhoea. He has a high fever, blood in the stool and severe abdominal pain after returning from overseas travel. What is the most appropriate alternative?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: B — Do not supply loperamide and refer for urgent medical assessment

Bloody diarrhoea, fever and severe abdominal pain suggest possible invasive infection or another serious cause. Antimotility treatment may be inappropriate and can worsen some infections. The patient needs medical assessment and hydration advice. Travel history increases the need for careful evaluation.

Reference: NICE CKS; BNF