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Opioid constipation — GPhC CRA MCQ

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EasyGastro-intestinal TherapeuticsOpioid constipationGPhC CRA

A 61-year-old man started oxycodone modified-release for cancer pain. He asks for advice because he is constipated despite eating normally. He is not taking any laxative. What is the most appropriate action?

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Correct answer: A — Recommend regular laxatives and review bowel habit proactively

Constipation is a predictable opioid adverse effect and prophylactic laxatives are usually needed. A stimulant laxative with or without an osmotic laxative is commonly used. Bulk-forming laxatives are less suitable as sole treatment for opioid-induced constipation, particularly if intake is poor.

Reference: BNF; NICE CKS