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Loperamide red flags — GPhC CRA MCQ

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EasyGastro-intestinal TherapeuticsLoperamide red flagsGPhC CRA

A 48-year-old asks to buy loperamide for diarrhoea. He has blood in the stool, fever and severe abdominal pain after returning from travel. What is the most appropriate action?

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

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Correct answer: D — Decline loperamide and refer for urgent medical assessment

Blood, fever and severe abdominal pain suggest invasive infection or inflammatory pathology. Antimotility medicines may be inappropriate and the patient needs assessment and hydration advice. The other options either delay appropriate care, use an unsuitable medicine, or miss the main safety issue.

Reference: BNF; NICE CKS