Constipation
- Identify alarm features + drug/medical causes
- Fiber when intake is low and motility is adequate
- PEG is a common first-line osmotic laxative
- Add stimulant for rescue or combination therapy
- Refractory CIC → secretagogue or prucalopride
- Severe hypomotility requires a more aggressive plan
Use at a glance
- Identify alarm features + drug/medical causes
Escalation / refractory disease
- PEG is a common first-line osmotic laxative
- Refractory CIC → secretagogue or prucalopride
Treatment options
- Add stimulant for rescue or combination therapy
Choosing treatment
- Fiber when intake is low and motility is adequate
- Severe hypomotility requires a more aggressive plan
Self-check
- What is recommended for Refractory CIC in Constipation?
secretagogue or prucalopride.
- What is required when Severe hypomotility occurs in Constipation?
a more aggressive plan.
Drugs used for this (14)
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