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Opioid-induced constipation — GPhC CRA MCQ

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EasyGI TherapeuticsOpioid-induced constipationGPhC CRA

A 45-year-old man taking co-codamol after surgery asks for a laxative. He has hard stools, no vomiting, no abdominal distension, and no blood in the stool. What would you advise the patient?

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Correct answer: A — Start a stimulant laxative with fluid and fibre advice as appropriate

Opioid-induced constipation commonly requires proactive laxative treatment. A stimulant laxative is often appropriate, with consideration of adding a stool softener or osmotic laxative depending on symptoms. Bulk-forming laxatives alone are less suitable when opioid-related reduced gut motility is the main problem.

Reference: BNF; NICE CKS