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Opioid-induced constipation — GPhC CRA MCQ

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ModerateGastro-intestinal TherapeuticsOpioid-induced constipationGPhC CRA

A 64-year-old man with chronic constipation takes co-codamol 30/500 regularly for back pain. He has abdominal bloating but no vomiting, no rectal bleeding and normal appetite. What would you advise the patient?

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Correct answer: E — Address opioid-related constipation with laxative advice and review analgesia

Opioids commonly cause constipation, and prophylactic or regular laxative treatment is often needed. The pharmacist should assess red flags and advise fluid, fibre where appropriate, and suitable laxative use. Analgesia should also be reviewed because persistent opioid use may be driving the problem.

Reference: BNF; NICE CKS