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Loperamide red flags — GPhC CRA MCQ

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EasyGastro-intestinal TherapeuticsLoperamide red flagsGPhC CRA

A 34-year-old man asks to buy loperamide for diarrhoea. He has had six episodes today, fever and blood mixed with stool after returning from travel. He feels light-headed. What is the most appropriate action?

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

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Correct answer: E — Do not supply loperamide and refer for urgent medical advice

Blood in stool, fever, recent travel and dehydration symptoms are red flags. Antimotility treatment may be inappropriate in invasive infection and could worsen outcomes. The patient needs medical assessment and hydration advice.

Reference: BNF; NICE CKS