New Options in Constipation Management
Overview
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Constipation is common in the general population and for those on opioids and/or who are suffering from advanced cancer. Self-management consists of dietary changes, exercise, and laxatives. However, responses to self-management efforts are often inadequate to relieve the subjective and objective experience of constipation. Multiple new anti-constipating medications have recently been tested in randomized trials and the following are available commercially: probiotics, prucalopride, lubiprostone, linaclotide, elobixibat, antidepressants, methylnaltrexone, alvimopan, and naloxegol. This review will discuss the evidence-based benefits of these medications and outline an approach to managing constipation.
Naloxegol in opioid-induced constipation: a new paradigm in the treatment of a common problem.
Yoon S, Bruner H Patient Prefer Adherence. 2017; 11:1265-1271.
PMID: 28769555 PMC: 5533475. DOI: 10.2147/PPA.S99412.
Chemotherapy-Induced Constipation and Diarrhea: Pathophysiology, Current and Emerging Treatments.
McQuade R, Stojanovska V, Abalo R, Bornstein J, Nurgali K Front Pharmacol. 2016; 7:414.
PMID: 27857691 PMC: 5093116. DOI: 10.3389/fphar.2016.00414.