Formulary

1.6.1 Bulk-forming laxatives

First Line
Second Line
Specialist
Hospital Only
SELF-CARE: NHS England has published guidance for various common conditions for which over the counter (OTC) items should not be routinely prescribed in primary care. One of these conditions is infrequent constipation.

Many of these products are cheap to buy and are readily available OTC along with advice from pharmacies. Some self-care medicines are available from shops and supermarkets. 

Ispaghula husk
  • Effervescent granules sachets gluten free sugar free 3.5g (£5.49 = 30 sachets)

Indications

Dose

  • One sachet twice daily, with at least 150ml of water

Notes

  1. Time to effect: 2-3 days
  2. Useful as a first-line choice in adults when it is difficult to get enough fibre in the diet. Better tolerated than bran
  3. Must not be taken immediately before bed
  4. Adequate fluid intake is important, to prevent intestinal obstruction. This may be difficult for the frail or fluid restricted patients