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Constipation in pregnancy — GPhC CRA MCQ

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ModerateGastrointestinal TherapeuticsConstipation in pregnancyGPhC CRA

A pregnant woman asks for treatment for constipation after increasing dietary fibre and fluids. She has no abdominal pain or bleeding. What is the most appropriate alternative?

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Correct answer: B — Lactulose

Bulk-forming laxatives or lactulose are commonly considered in pregnancy when lifestyle measures are inadequate. Stimulant laxatives may be used when needed but are not usually the first choice for routine ongoing symptoms. Loperamide, codeine, and orlistat do not treat constipation appropriately.

Reference: BNF; NICE CKS