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Opioid bowel regimen — GPhC CRA MCQ

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EasyGastro-intestinal TherapeuticsOpioid bowel regimenGPhC CRA

A palliative care patient starts oxycodone modified-release and asks why the GP also prescribed senna and macrogol. What monitoring is required?

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Correct answer: C — Opioids commonly cause constipation, so regular laxatives are used preventively

Opioid-induced constipation is common and prophylactic laxatives are routinely considered. Combining stimulant and osmotic approaches may be appropriate depending on symptoms. Patients should also be counselled on hydration and when to seek advice.

Reference: BNF; NICE CKS