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Metformin GI effects — GPhC CRA MCQ

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ModerateEndocrine TherapeuticsMetformin GI effectsGPhC CRA

A patient starting metformin modified-release asks how to reduce nausea and diarrhoea. They are worried because they work shifts. What would you advise the patient?

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

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Correct answer: BTake with or after food and report persistent intolerance

Taking metformin with food can improve gastrointestinal tolerability. The best answer addresses the key safety, legal or pharmaceutical care issue in the vignette. The other options would either delay appropriate care, create a new risk, or fail to resolve the issue. This is consistent with the cited UK reference for safe pharmacy practice.

Reference: BNF; NICE CKS