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Loperamide red flags — GPhC CRA MCQ

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ModerateGastrointestinal TherapeuticsLoperamide red flagsGPhC CRA

A man asks for loperamide for diarrhoea with blood, fever and abdominal pain after travel. What is the most appropriate action?

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

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Correct answer: CDo not supply loperamide and refer for medical assessment

Blood, fever and abdominal pain are red flags and antimotility treatment may be inappropriate. In this scenario, the pharmacist should prioritise safe supply, appropriate counselling and timely referral or clarification where needed. This is the single best answer because the other options would either delay assessment, ignore a clinically significant risk, or create an unsafe legal or professional outcome.

Reference: https://www.pharmacyregulation.org/students-and-trainees/pharmacist-education-and-training/registration-assessment