Constipation

1. Senna 17.2mg (2×8.6 tabs) PO q12, then q6
2. Bisacodyl 10mg PO q12 (max 30mg/day) or 10mg PR q12 (max 30mg/day)
3. Magnesium Citrate 1 bottle daily/q12 (be careful in people with renal failure as this has a lot of Mg)
4. Tap water enema x3
5. Lactulose 20mg q6 hrs till BM
6. Miralax 17g dissolved in 4-8 oz of beverage once
7. Fleets enema (again, not to use in renal failure) x 1 or 2
8. Relistor can be used as a last resort for opioid related constipation

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