Constipation/Diarrhea Flashcards
medical conditions that cause constipation
IBS, anal disorders, MS, CV events, PD, spinal cord tumors, diabetes, hypOthyroidism
nondrug tx for constipation
inc fluids, limit caffiene and alcohol, inc physical activity, inc fiber
what drugs cause constipation
antacids, antidiarrheals, clonidine, colesevelam, anticholinergics, iron, non dhp CCBs, opioids, sucralfate
pts should be refered to physician if constipation persists after how many days of OTC tx
7 days
bulk forming drugs
psyllium (fiber)
drug of choice for constipation in pregnancy
psyllium (fiber)
osmotics
PEG, magnesium hydroxide, glycerin, lactulose
stimulants
senna, bisocodyl
drug of choice for opioid induced constipation
stimulants (senna, bisocodyl) or osmotic
stool softener
docusate
lubricants
mineral oil
metamucil
psyllium
dulcolax
bisacodyl
colace
docusate
drug of choice for constipation with straining
stool softeners (docusate, senna)
mineral oil contraindications
<6y, pregnant, bedridden, elderly, difficulty swallowing
lubiprostone moa
chloride channel activator
lubiprostone contraindication
mechanical bowel obstruction