1.6.2 Stimulant laxatives

Due to the current cost of senna, bisacodyl should be the first line choice stimulant laxative

Bisacodyl
  • Tablets 5mg (£2.14 = 10mg daily)
  • Suppositories 10mg (£8.24 = 10mg daily)

Indications

Dose

  • By mouth: 5-10mg at night, increased to maximum 20mg at night
  • By rectum: 10mg suppository in the morning
Senna
  • Tablets 7.5mg (£3.24 = 15mg daily)
  • Syrup 7.5mg/5ml (£1.67 = 15mg daily)

Indications

Dose

  • 15-30mg at night
Docusate sodium
  • Capsules 100mg (£7.80 = 200mg twice daily)

Indications

Dose

  • 200mg twice daily
Glycerol
  • Suppositories 4g (£1.63 = 12 suppositiories)

Indications

Dose

  • Insert one when required
Lecicarbon A
  • Suppositories (£8.20 = 10 suppositories)

Indication

  • Chronic constipation

Dose

  • Insert one suppository when required. If necessary, this can be repeated after 30-60 minutes.

Notes

  1. Lecicarbon A suppositories contain soya lecithin and are contraindicated in patients who have peanut or soya allergies.
  2. The routine commissioning of lecicarbon A suppositories for the management of chronic constipation has been accepted in Devon (see Commissioning Policy for more details).
Co-danthramer (dantron with poloxamer '188')
  • Suspension 25/200 in 5ml (£138.19 = 300ml)
  • Strong suspension 75/1000 in 5ml (£277.75 = 300ml)

Indications

Co-danthrusate (dantron with docusate sodium)
  • Capsules 50/60 (£52.50 = 63 capsules)
  • Suspension 50/60 in 5ml (£89.92 = 200ml)

Indications

 

Home > Formulary > Chapters > 1. Gastrointestinal > 1.6 Laxatives > 1.6.2 Stimulant laxatives

 

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