opiods (cause consti or diarrhea
constipation
antipark, antipsych (consti or diarrhea)
constipation
drug that cause constipation
verapamil
contraindicated for bulk-forming like psyllium
heart failure, fluid-restricted
safe for chronic use
bulk-forming like psyllium, stimulant like bisacodyl
for opiod induced constipation
stimulant like senna, bisacodul, sodium picosulfate and osmotic laxatives like lactulose, sorbitol, PEG
can cause lazy gut, result to dependence
bisacodyl, senna, stimulant laxa
not for chronic use
stool softening, docusate sodium, mineral oil
can result to aspiration pneumonia
mineral oil
for renal or cardiac dysfunction or elderly
PEG
may lead to bowel necrosis
sorbitol
avoid in renal failure, cardiac diseases
saline laxatives, magnesium citrate
for colonoscopy or medical procedure
lavage, picosulfate
prokinetic agent, serotonin receptor agonist, chronic idiopathic constipation in women
prucalopride
inc CGMP, inc sodium, chronic idiopathic constipation in adults, other ineffective
linaclotide
opiod receptor antagonist, for opiod induced constipation in palliative care
Methylnaltrexone
opiod consitpation in non-cancer patients not responding to others
Naloxegol (oipio antagonist)
avoid in pregnant due to premature contraction
castor oil
constipation in children
PEG3350–>lactulose–>glycerin