1
Q
Medication-Induced Constipation
A
- } Opiates
- } Antacids
- } Anticholinergics
- } Anticonvulsants
- } TCAs
- } Antihistamines
- } Antimotility
- } Antimuscarinics
- } Benzodiazepines
- } Calcium
- } Clonidine
- } Diuretics
- } Antispasmodics
- } Iron
- } Hyperlipidemia agents
- } Memantine (Namenda)
- } Parkinsonism agents
- } Psychotherapeutic drugs
- } Sedative hypnotics
2
Q
Clinical Presentation Constipation
A
- < 3 bowel movments/week (↓ freq)
- Straining
- Difficulty passing hard, dry stool
- Feeling of incomplete evacuation
- Other symptoms:
- } Anorexia
- } Dull headache
- } Low back pain
- } Abdominal discomfort
- } Bloating
- } Psychosocial distress
3
Q
Exclusions Constipation SelfCare
A
- Abdominal pain
- Nausea
- Vomiting
- Sudden change in bowel habits that persists for 2 weeks
- Use of laxative product >7 days unless under supervision of PCP
- Rectal bleeding or no bowel movement after laxative use at any time during treatment (stop laxative and seek medical evaluation)
4
Q
A
