Opioid-induced constipation is a common side effect of using opioids for pain management. Opioids are effective at relieving pain, but they can also slow down the digestive system, leading to constipation. This can be a significant problem for those who use opioids long-term or at higher doses. Fortunately, there are several over-the-counter medications available that can help relieve opioid-induced constipation.
Our recommendations
1 stimulant (Dulcolax) + stool softer (Colace)
OR
2. daily osmotic laxative – (MiraLax) Polyethylene glycol
- Psyllium husk (Metamucil): Absorbs water and forms a gel-like substance that helps to increase bulk and soften stool.
- Docusate sodium (Dulcolax): Helps to draw water into the colon, making stool softer and easier to pass.
- Bisacodyl: Stimulates the nerves in the intestines, which increases contractions and helps move stool along.
- Senna (Senokot): Stimulates the muscles in the colon, which increases contractions and helps move stool along.
- Polyethylene glycol (PEG) – Miralax: Helps to draw water into the colon, making stool softer and easier to pass.
- Magnesium hydroxide: Helps to draw water into the colon, making stool softer and easier to pass.
- Milk of Magnesia: Helps to draw water into the colon, making stool softer and easier to pass.
- Mineral oil: Lubricates the stool and intestinal walls, making it easier to pass.
- Glycerin suppositories – Fleet’s Enema: Irritates the rectum and stimulates a bowel movement.
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Rainier Guiang, MD
Dr. Rainier Guiang co-founded University Pain Consultants in 2007 and is double board-certified in anesthesiology and pain management through the American Board of Anesthesiology. He previously served as co-director of the ACGME-accredited pain management fellowship at University Hospitals of Cleveland / Case Western Reserve University School of Medicine, and has authored chapters in Weiner’s Pain Management. He has a strong interest in interventional, functional, and preventive approaches to chronic pain.
