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Opioid constipation — GPhC CRA MCQ

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EasyCNS TherapeuticsOpioid constipationGPhC CRA

A woman starts modified-release morphine for cancer pain but has no laxative prescribed. What would you advise the patient?

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

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Correct answer: D — Use regular laxative prophylaxis unless contraindicated

This scenario assesses Opioid constipation in a UK pharmacy practice context. Constipation is a predictable opioid adverse effect and should usually be prevented from initiation. The best answer is Use regular laxative prophylaxis unless contraindicated because it addresses the principal clinical, legal or safety issue before routine supply. The other options are less appropriate because they either miss the key risk, delay necessary review, or would not meet expected BNF, NICE, MEP, MHRA or GPhC practice standards.

Reference: BNF; NICE CKS