Constipation Flashcards
Psyllium
Metamucil
Dose: 2.5-30g of powder PO per day in divided doses
Used for treatment and prevention but better prevention
Calcium Polycarbophil
Fibercon
Dose: 1250 mg PO up to QID
Used for treatment and prevention but better prevention
Wheat Dextrin
Dose: 3g of fiber PO up to TID
Bulk-forming Laxative
Psyllium
Calcium Polycarbophil
Wheat Dextrin
Docusate
Colace
Dose: 50-360 mg PO in 1 or 2 divided doses or 240 mg PO QD
Used for prevention
Onset is 1-3 days
Emollient Laxative
Magnesium Hydroxide
Milk of magnesia
Dose: 2400-4800 mg PO QD HS
Used for treatment
Onset is 30 minutes-3 hours PO, less than 1 hour PR
Sodium phosphate enema
Fleet
Dose: contents of one 118mL enema as a single dose QD, do not exceed more than 1 per day
Onset is 2-15 minutes
Saline Laxative
Magnesium Hydroxide
Sodium phosphate enema
Sennoside
Senna
Dose: 8.6-15mg PO QD, max: 60-100mg per day in 2 divided doses
Onset is 6-12 h PO, 15-60 min PR
Bisacodyl
Dose: 5-15 mg PO or 10 mg PR in a single dose
Onset is 6-12 h PO, 15-60 min PR
Stimulant Laxative
Sennoside
Bisacodyl
Polyethylene Glycol 3350
Miralax
Dose: 17g of powder dissolved in 120-240mL of beverage PO QD
Used for treatment or prevention, bowel prep
Onset is 1-3 days
Glycerin
Dose: 3g PR
Used for treatment or prevention, bowel prep
Onset is 30 minutes
Hyperosmotic Laxative
Polyethylene Glycol 3350
Glycerin