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Opioid-induced constipation — GPhC CRA MCQ

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EasyGI TherapeuticsOpioid-induced constipationGPhC CRA

A 70-year-old woman starts modified-release morphine after a hospital admission. She asks for something for constipation and reports no bowel movement for three days. She has no vomiting or severe abdominal pain. What would you advise the patient?

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Correct answer: E — Recommend a regular stimulant laxative with an osmotic laxative if needed and review symptoms

Opioid-induced constipation is common and usually needs proactive laxative treatment. A stimulant laxative, with osmotic therapy if required, is appropriate if there are no obstruction red flags. Fibre alone may worsen bloating and is often inadequate. Abrupt opioid cessation may cause pain escalation or withdrawal and should be prescriber-led.

Reference: BNF; NICE CKS