Laxatives should generally be avoided, except when straining will exacerbate a medical condition, or increase the risk of bleeding, as in haemorrhoids or following abdominal surgery. They are important for prophylaxis of opioid-induced constipation.
Bulk-forming laxatives are not the most appropriate choice for opioid-induced constipation.
Restrictions: Restricted to use in terminally ill patients only
Restrictions: Restricted to constipation in the terminally ill.
Lactulose has a slow onset of action and may cause flatulence or wind.
Laxido Orange is considered the preferred brand of macrogol oral powder in NHSGGC. Movicol is not included in the GGC Formulary.
Restrictions: Restricted to specialist use only.
Restrictions: Restricted to specialist initiation and use as alternative to Picolax® and Klean-Prep® when they are unavailable.
Restrictions: restricted to specialist initiation.
Restrictions: Restricted to use in accordance with regional protocol.
Restrictions: Restricted to use in patients who have failed to respond to at least two classes of laxative (given at an adequate dose for a sufficient duration).