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Opioid constipation GI — GPhC CRA MCQ

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ModerateGastro-intestinal TherapeuticsOpioid constipation GIGPhC CRA

A man started oxycodone one week ago and has not opened his bowels for four days. What is the most appropriate alternative?

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

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Correct answer: D — Start regular stimulant laxative and assess need for osmotic laxative

This scenario assesses Opioid constipation GI in a UK pharmacy practice context. Opioid constipation is predictable and usually needs active laxative management. The best answer is Start regular stimulant laxative and assess need for osmotic laxative 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