Laxatives and Cathartics Therapeutic Uses and Side Effects Flashcards
Bulk laxatives
Stool stabilizers: Decrease bowel movements and solidify stools with diarrhea
Decrease pain
Docusate
Stool softener in patients who should avoid straining
Constipation with hard, dry stools
Anthraquinones
Short term treatment of constipation
Bisacodyl
Large intestine treatment of constipation
Castor oil
Evacuating bowels
Linaclotide
Chronic idiopathic constipation
IBS with constipation
Lubiprostone
Chronic constipation
Constipation from IBS
Alvimorpan
Constipation caused by opiate therapy
Methylnaltrexone
Constipation caused by opiate therapy
Lactulose
Constipation, especially when enteric nervous system is disrupted
Side effects of docusate
Intestinal obstruction
Diarrhea
Cramping
Side effects of mineral oil
Lipid pneumonitis if aspirated
ADEK absorption decrease
Side effects of bulk laxatives
Allergies, flatulence, obstruction
Side effects of anthraquinones
Abdominal cramps, diarrhea, nausea, vomiting
Melanosis coli
Side effects of Bisacodyl
Hypersensitivity
Abdominal pain or obstruction
Nausea vomiting
Side effects of Castor oil
Dehydration
Electrolyte imbalance
Uterine contraction
Side effects of Linaclotide
Severe diarrhea
Maternal death
Increased mortality in juvenile mice
Side effects of Lubiprostine
Diarrhea
Nausea, vomiting
Fetal loss (Class C)
Side effects of Alvimorpan
Increased risk for MI
Side effects of Methylnaloxone
Increased risk for MI
Side effects of Lactulose
Plasma ammonia decrease
Portal systemic encephalopathy
Side effects of Sodium phosphate
Electrolyte imbalances: Hypokalemia Hypocalcemia Hyperphosphatemia Hypernatremia