Laxatives/Bowel Medications

Common medications: Miralax (polyethylene glycol), Senna/Senokot, Dulcolax Tablet/Suppository.

Resources Contents Chat

How these medications help

  • Constipation may include: no BM for 2-3 days, passing hard stools, straining, abdominal discomfort, and nausea
  • Constipation is common with serious illnesses and laxatives are often needed
  • It is very important that if pain medications(opioids) are being taken that a laxative is used every day (do not take if having diarrhea)

Back to top

Common Causes of Constipation

  • Pain medications
  • Being in bed and less active
  • Change in diet

Back to top

How to take

  • Most laxatives are taken by mouth, Dulcolax Suppository and Fleets enemas are given rectally
  • For over-the-counter medications, follow the package instructions or as directed by Hospice Team
  • Most of these medications are over-the-counter
  • Senna laxative by mouth is the most common laxative provided by hospice. Can use 1-2x per day

Back to top

When will it work

  • Some laxatives may take several hours or even a day to work. Suppositories often work more quickly
  • Do not wait until constipation becomes severe. Preventing constipation is easier than treating it

Back to top

Common side effects

  • Very few with these medications
  • May cause cramping pain
  • May cause too many bowel movements or diarrhea

Back to top

When to Call Hospice

  • Moderate or severe abdominal pain
  • No bowel movement after two doses or several days
  • Rectal bleeding
  • Vomiting
  • New confusion or worsening agitation

Back to top

NEXT Mood Altering