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Constipation opioid-related — GPhC CRA MCQ

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EasyGI TherapeuticsConstipation opioid-relatedGPhC CRA

A patient taking oxycodone modified-release tablets reports new constipation despite drinking well. She asks for a suitable pharmacy treatment. What is the most appropriate alternative?

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Correct answer: D — Recommend a stimulant laxative and review need for ongoing bowel regimen

Opioid-induced constipation is common and often requires regular laxative treatment. A stimulant laxative, sometimes with a softener or osmotic agent, is commonly used depending on stool type. Stopping opioid analgesia abruptly may cause withdrawal and uncontrolled pain. Codeine would likely worsen constipation.

Reference: BNF; NICE CKS