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    Constipation Relief when using Narcotic Pain Meds

    Hi. What are people using or doing when they have constipation due to using narcotic pain medications every day for nerve pain? I am using Oxycontin and Oxycodone each day in addition to Neurontin and Lamictal and the bowel movements just stop. Thanks.

    #2
    Raisins work for me, most of the time. But I don't use narcotics every day because they don't touch my neuropathic pain.

    Comment


      #3
      Allbran brother,or as i call it twigs an sticks...i also eat activa yogurt and water ...good luck

      Comment


        #4
        I stopped taking narcotics. Activia, Fiber One Cereal, and of course lots of water. Don't forget your exercise and to lay or sleep on your stomach as much as possible
        "We're one but we're not the same. We get to carry each other" U2

        Comment


          #5
          Hi,

          I agree with all of the above.
          Also, are you on any type of bowel program (such as a sool softener, suppository,etc) for your SCI?

          AAD
          The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

          Comment


            #6
            This was posted years ago by pain doc William Work, who used to post in the Chronic Pain newsgroup. You could Google for a recipe for Senna tea, also.

            *******
            Laxative Use in Conjunction with Chronic Opiates

            You have been prescribed opiates (narcotics) to be taken daily.

            One of the most consistent side effects of chronic opiate use is constipation. This constipation is different than what you have probably had in the past. The difference is that this constipation cannot be treated by eating or taking extra fiber (like Metamucil) or by taking a stool softener (like Colace). The reason why this
            is so is that the medication you are now taking paralyzes your bowels. So while Colace may soften your stool quite well, it will not cause your bowels to empty.

            Therefore, you must take what is known as an "active" laxative on a daily basis to make sure that you have a bowel movement each and every day. You may not have been regular in the past, but you must be regular
            now.

            The three active laxatives that Dr. Work recommends are:

            1. Milk of Magnesia
            Take 2 tablespoons of this every night before going to bed. If you do not have a bowel movement the following morning, then you are to take another 2 tablespoons that morning. This is to be followed that evening by 2 more tablespoons. Normally, you will have a response to the Milk of Magnesia by the second or third dose.

            2. Dulcolax
            Take one capsule at night before going to bed. If you do not have a bowel movement the following morning, then you are to take another one that morning. This is to be followed by another capsule that night. Again, you should have a response to the Dulcolax by the second or
            third dose.

            3. Sennakot (or senna)
            Take 2 capsules at night before going to bed. If you do not have a bowel movement the following morning, then you are to take another two capsules that morning. This is to be followed by another two capsules
            that night. Again, you should have a response to the Sennakot by the second or third dose.

            If you ever "get behind" on your bowel movements (common during the first month of therapy as you get used to the medications and the active
            bowel regimen), then you should not "wait it out" and hope for the best. Drastic measures are needed to clean your bowels out and to then "start over." This can be accomplished by using magnesium citrate. This is
            sold over the counter at any pharmacy, in the laxative section, in a green glass bottle. This is a very powerful active laxative, aka " purgative," and should be taken in the following manner. Drink the entire bottle in one sitting. Just pour it into a cup and drink it. It may taste better if it is served chilled. It tastes like lemon-lime
            soda with a salty flavor. Once you have drank it, it will take anywhere from 1 hour to 12 hours to work. As it moves through your bowels, your abdomen will gurgle and you will feel and hear a lot of movement. This
            is normal and to be expected. Please do yourself a favor and do not go anywhere away from a nearby toilet until after the purgative has emptied your bowels. Once that is done, restart your previous, preferred laxative
            from the choices I had listed above. If you have had to do this twice, strongly consider changing your laxative choice to a different one.

            We joke about this all of the time, but it is no laughing matter to be constipated with a condition known as Opioid Bowel Syndrome and needing to
            be digitally disimpacted by a doctor or a nurse. So please take this as seriously as you do your pain relievers.

            Mag citrate and MOM and Sennakot and Dulcolax are all over the counter and lactulose is incredibly expensive (about $70 for an 8 oz bottle). Sorbitol can help to and is cheaper BUT you must be regular before you start
            using it. The gas it can cause will make you want to die if things get stuck.



            Laxative Use in Conjunction with Chronic Opiates

            You have been prescribed opiates (narcotics) to be taken daily.

            One of the most consistent side effects of chronic opiate use is
            constipation. This constipation is different than what you have
            probably had in the past. The difference is that this constipation
            cannot be treated by eating or taking extra fiber (like Metamucil)
            or by taking a stool softener (like Colace). The reason why this
            is so is that the medication you are now taking paralyzes your bowels.
            So while Colace may soften your stool quite well, it will not cause
            your bowels to empty.

            Therefore, you must take what is known as an "active" laxative on a
            daily basis to make sure that you have a bowel movement each and every
            day. You may not have been regular in the past, but you must be regular
            now.

            The three active laxatives that Dr. Work recommends are:

            1. Milk of Magnesia
            Take 2 tablespoons of this every night before going to bed. If you do
            not have a bowel movement the following morning, then you are to take
            another 2 tablespoons that morning. This is to be followed that evening
            by 2 more tablespoons. Normally, you will have a response to the Milk
            of Magnesia by the second or third dose.

            2. Dulcolax
            Take one capsule at night before going to bed. If you do not have a
            bowel movement the following morning, then you are to take another one
            that morning. This is to be followed by another capsule that night.
            Again, you should have a response to the Dulcolax by the second or
            third dose.

            3. Sennakot (or senna)
            Take 2 capsules at night before going to bed. If you do not have a
            bowel movement the following morning, then you are to take another two
            capsules that morning. This is to be followed by another two capsules
            that night. Again, you should have a response to the Sennakot by the
            second or third dose.

            If you ever "get behind" on your bowel movements (common during the
            first month of therapy as you get used to the medications and the active
            bowel regimen), then you should not "wait it out" and hope for the best.
            Drastic measures are needed to clean your bowels out and to then "start
            over." This can be accomplished by using magnesium citrate. This is
            sold over the counter at any pharmacy, in the laxative section, in a
            green glass bottle. This is a very powerful active laxative, aka "
            purgative," and should be taken in the following manner. Drink the
            entire bottle in one sitting. Just pour it into a cup and drink it.
            It may taste better if it is served chilled. It tastes like lemon-lime
            soda with a salty flavor. Once you have drank it, it will take anywhere
            from 1 hour to 12 hours to work. As it moves through your bowels, your
            abdomen will gurgle and you will feel and hear a lot of movement. This
            is normal and to be expected. Please do yourself a favor and do not go
            anywhere away from a nearby toilet until after the purgative has emptied
            your bowels. Once that is done, restart your previous, preferred laxative
            from the choices I had listed above. If you have had to do this twice,
            strongly consider changing your laxative choice to a different one.

            We joke about this all of the time, but it is no laughing matter to be
            constipated with a condition known as Opioid Bowel Syndrome and needing to
            be digitally disimpacted by a doctor or a nurse. So please take this
            as seriously as you do your pain relievers.

            Mag citrate and MOM and Sennakot and Dulcolax are all over the counter
            and lactulose is incredibly expensive (about $70 for an 8 oz bottle).
            Sorbitol can help to and is cheaper BUT you must be regular before you start
            using it. The gas it can cause will make you want to die if things get
            stuck.


            Laxative Use in Conjunction with Chronic Opiates

            You have been prescribed opiates (narcotics) to be taken daily.

            One of the most consistent side effects of chronic opiate use is
            constipation. This constipation is different than what you have
            probably had in the past. The difference is that this constipation
            cannot be treated by eating or taking extra fiber (like Metamucil)
            or by taking a stool softener (like Colace). The reason why this
            is so is that the medication you are now taking paralyzes your bowels.
            So while Colace may soften your stool quite well, it will not cause
            your bowels to empty.

            Therefore, you must take what is known as an "active" laxative on a
            daily basis to make sure that you have a bowel movement each and every
            day. You may not have been regular in the past, but you must be regular
            now.

            The three active laxatives that Dr. Work recommends are:

            1. Milk of Magnesia
            Take 2 tablespoons of this every night before going to bed. If you do
            not have a bowel movement the following morning, then you are to take
            another 2 tablespoons that morning. This is to be followed that evening
            by 2 more tablespoons. Normally, you will have a response to the Milk
            of Magnesia by the second or third dose.

            2. Dulcolax
            Take one capsule at night before going to bed. If you do not have a
            bowel movement the following morning, then you are to take another one
            that morning. This is to be followed by another capsule that night.
            Again, you should have a response to the Dulcolax by the second or
            third dose.

            3. Sennakot (or senna)
            Take 2 capsules at night before going to bed. If you do not have a
            bowel movement the following morning, then you are to take another two
            capsules that morning. This is to be followed by another two capsules
            that night. Again, you should have a response to the Sennakot by the
            second or third dose.

            If you ever "get behind" on your bowel movements (common during the
            first month of therapy as you get used to the medications and the active
            bowel regimen), then you should not "wait it out" and hope for the best.
            Drastic measures are needed to clean your bowels out and to then "start
            over." This can be accomplished by using magnesium citrate. This is
            sold over the counter at any pharmacy, in the laxative section, in a
            green glass bottle. This is a very powerful active laxative, aka "
            purgative," and should be taken in the following manner. Drink the
            entire bottle in one sitting. Just pour it into a cup and drink it.
            It may taste better if it is served chilled. It tastes like lemon-lime
            soda with a salty flavor. Once you have drank it, it will take anywhere
            from 1 hour to 12 hours to work. As it moves through your bowels, your
            abdomen will gurgle and you will feel and hear a lot of movement. This
            is normal and to be expected. Please do yourself a favor and do not go
            anywhere away from a nearby toilet until after the purgative has emptied
            your bowels. Once that is done, restart your previous, preferred laxative
            from the choices I had listed above. If you have had to do this twice,
            strongly consider changing your laxative choice to a different one.

            We joke about this all of the time, but it is no laughing matter to be
            constipated with a condition known as Opioid Bowel Syndrome and needing to
            be digitally disimpacted by a doctor or a nurse. So please take this
            as seriously as you do your pain relievers.

            Mag citrate and MOM and Sennakot and Dulcolax are all over the counter
            and lactulose is incredibly expensive (about $70 for an 8
            Alan

            Proofread carefully to see if you any words out.

            Comment


              #7
              Bowel Program

              SCI-Nurse, I only really started having to take the Oxycodone daily the past week or so. So, the constipation is just been a problem the past couple of days.

              The usual bowel routine for me since I left rehab 4 months ago was manual removal twice a day, morning and early evening. The laxative method didn't really work for me so I stopped that after rehab. I don't think I can give up my Oxycodone since my pain is just getting unbearable so maybe I will try the Milk of Magnesia before bed.

              I have tried getting off the Oxycodone for a couple days awhile back and had normal bowel movements a day or so later.

              Comment


                #8
                My wife uses polyethylene glycol (Miralax); she also gets extra fiber from Citrucel.
                - Richard

                Comment


                  #9
                  Hi!
                  I have done Oxycodone before. I was taking one tablet at night before getting back into bed.. mini vacation I found that if I drank enough water, and tailored my diet a bit, I was ok to take the Oxy for a week or two, one tab every night. (I do not like physical addiction, so I do not take it anymore, except on a very rare occassion, and then one night is it)
                  nikki
                  T6 complete since Oct, 2001
                  TiLite ZRa, Spinergy LX 24", Shox Firm tires, 3" volcanic glare rollerblade wheels for casters

                  Comment


                    #10
                    250 mg magnesium twice a day w/meals

                    ground flax seed
                    sigpic

                    Comment


                      #11
                      Been relieved!!!!!!!

                      Constipation is a nightmare... i'd been constipated for months. Laxatives help but everyday use does only do harm than good. Thanks i've found this thread....
                      "thanks GOD i'm still alive"

                      Comment

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