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Laxative misuse safety — GPhC CRA MCQ

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HardGastro-intestinal TherapeuticsLaxative misuse safetyGPhC CRA

A 19-year-old student repeatedly buys stimulant laxatives and asks for a larger pack. She appears underweight and says she uses them after eating to prevent weight gain. She denies abdominal pain. 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 routine supply and sensitively refer for assessment and support

Using laxatives for weight control suggests possible eating disorder behaviour and can cause electrolyte disturbance, dehydration and bowel problems. The pharmacist should respond sensitively, avoid enabling harmful use and refer for appropriate support. Immediate medical assessment is needed if there are red-flag symptoms or severe physical concerns.

Reference: BNF; NICE CKS