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How do you cope with Opiate Induced Constipaion (OIC)

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    How do you cope with Opiate Induced Constipaion (OIC)

    I would imagine there are others on this forum that has to deal with OIC. I was hoping to maybe get some pointers about dealing with this constipation, or just to commiserate. It has been getting worse over the years. At first it was just hard dry stools that would plug the toilet if I didn't cut them. Then I needed Miralax and senna and It was working but now they don't. I tried some Movantik samples and a stimulant laxative. That seemed to work but I can't afford them and so far my Dr. hasn't sent in the prior authorization form. I got a copy of the prior authorization form and I will take it to my next appointment. I was doing 1.5 quart coffee enemas but I'm really tired of that. Now sometimes I feel very very uncomfortable. I'm afraid to est.
    tom


    Welcome to The Flat Earth Society

    #2
    I do not have OIC but also have problems with emptying my bowels. I have been in the wheelchair for over 30 years and have used everything from laxatives to stool softners and everything else over the years. Last year my gastrologist suggested I try Linzess which is for chronic constipation. I take the 290 mcg tablet the morning of my bowel program at least a half hour before I eat breakfast. For me that does the trick and everything comes moving out within a hour of taking the pill. I try to do my bowel program every other day but sometimes go to the third day depending on my schedule. I only take the pill on the day I want to go because it tends to soften my stool to much and I do not want accidents.

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      #3
      Senokot or the generic

      After rotator cuff surgery I was morphine sulfate 30mg four times a day and developed OIC. I used Senokot $14 a bottle or Walmart Equate $1.98 a bottle. Senokot has sennosides USP 25mg per tablet which helped with OIC. Also increase eating peppers; green, red or yellow and carrots into your diet.

      Ti
      "We must overcome difficulties rather than being overcome by difficulties."

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        #4
        I don't have any experience Opiate Induced Constipation (OIC), but have recently heard an advertisement for Movantik (Naloxegol).https://www.movantik.com/about-movan...place=movantik

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          #5
          If the Movantik works and you are having trouble affording it, I would contact the pharmaceutical company that makes it. They often have programs for just this scenario. I would also encourage you to increase your fiber, if you can, drink plenty of water and exercise as able. Being constipated is not fun, and it certainly impacts the quality of your life.
          ckf
          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.

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            #6
            Don't take so many opiates

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              #7
              I've had good luck with Amitiza.

              and a bit random. taking allipurinol for gout, one of the side effects is it softens everything up !!!

              plus plenty of psyllium fiber..

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                #8
                I started this thread last April. Thanks for the comments. On my mystical journey to poo I'm now taking 900mg nuronton and I reduced the patch from 50mic to 12mic. Still take 40mg norco with a side of baclofen, 300mic IV. I will keep trying to reduce opiates, gets harder and harder.

                I signed up and received movantic for free, it didn't work. I then successfully signed up and received, for free, relistor. Ins wanted 600$. It caused sever withdrawal feelings. Now I now take linzess, copay is only 42$. It kind of works. Every three or 4 days I use bisacody (or M.O.M.l. I seem to be always fighting this. Sometimes I think its hard to breath. Sometimes I don't eat to help deal with that bloated feeling.

                Isn't there some procedure to stimulate BM with my finger?
                tom


                Welcome to The Flat Earth Society

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                  #9
                  I would try Bisacodyl suppository or Enemeez (mini enema)daily or every other day. If that doesn't clear it then use digital stimulation 15 minutes after suppository or Enemeez, insert index finger about 1 inch then in a clockwise motion on the sides of the rectum go in a circular motion for 30 seconds to one minute. you should fee; the peristalsis of intestine. Repeat x3 if needed,
                  CWO
                  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.

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                    #10
                    I would love to take opiates even if just an occasional basis but usually steer clear because of constipation. One pain is as bad as the other. I have an RX for vicoden and some old percosets, can definitely see why folks use them.Pain gets worse over the years , bowels seem to get slower too.

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                      #11
                      The bowels can slow down over time. It is important to adjust your diet to include more fruits and vegetables and stay away from constipation inducing foods, such as foods high in carbs (bagels, bread, pasta, rice, etc) and a lot of meat. Also coffee can cause constipation as can dairy products. The more active you are the better off you are. I know that is not always easy.
                      ckf
                      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.

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                        #12
                        Wow this is from a year ago, things are perty much the same. Damn...
                        tom


                        Welcome to The Flat Earth Society

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                          #13
                          Have you ever tried some of the vitamins that cause the opposite problem? Vitamin C and Magnesium come to mind.

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                            #14
                            I take a stool softener (started out with Colace back in 1998/1999 then just switched to any generic form of Colace) daily and then I am on a regular bowel regimen (every third night) so that morning I take a laxative (started out with Senokot but then switched to a generic) and that works along with digital stimulation if I don't go on my own. But I need the digital stimulation to make sure I am completely evacuated anyway.

                            I remember trying enemeez but OMG! I began going unexpectedly were certainly was not going to work for me. I have used a suppository called the Magic Bullet suppository since 1989 or 1990 after finding out about it from a quad friend of mine.

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                              #15
                              I have a baclofen pump including morphine in it.

                              Since I started with morphine in my pump my bowels slowed down dramatically. What should I do?
                              C5/C6 Complete since 08/22/09

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