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Opioid constipation — GPhC CRA MCQ

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HardGastrointestinal TherapeuticsOpioid constipationGPhC CRA

A patient taking oxycodone has no bowel movement for four days and mild abdominal discomfort. What is the most appropriate alternative?

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

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Correct answer: E — Recommend a stimulant laxative with an osmotic laxative if needed and review opioid regimen

Opioid constipation often needs stimulant laxative treatment and early management. 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: BNF; NICE CKS