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Suggest laxatives that can be taken with Perocet

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General & Family Physician
Practicing since : 1991
Answered : 2841 Questions
Question
I have an appointment with a pain management specialist Feb 1,2018.
Until then I'm taking low dose Percocet as needed. I have developed OIC.
What type, brand or name laxative should I use as long as I take Percocet?
Sat, 9 Jun 2018 in Pain Management
 
 
Answered by Dr. Bonnie Berger-Durnbaugh 2 hours later
Brief Answer:
Questions so that I can advise.

Detailed Answer:
Hello,

Because management of OIC depends on a number of factors, can you please tell me a little bit more about this:

1. How long have you been taking an opiate?
2. When did you last have a BM?
3. Are you able to physically move around?
4. Are you able to tolerate fiber in your diet?
5. Are you having a lot of abdominal pain?
6. Are you having a lot of gas? dissension?
7. Are your stools very hard?
8. Have you tried any laxatives yet, and if so, what were the results?

Thanks - I'll write with information after I hear back.
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Follow-up: Suggest laxatives that can be taken with Perocet 19 minutes later
1-3 weeks
2-yesterday
3yes
4yes
5no
6no
7yes
8no
 
 
Answered by Dr. Bonnie Berger-Durnbaugh 27 minutes later
Brief Answer:
Information

Detailed Answer:
Thanks for the additional information.

Given that you wrote that your stools are hard, you don't have a lot of gas, and you were able to have a BM yesterday, I will recommend a fairly gentle laxative plus stool softener.

Senna products (which include Ex-Lax and other brands) work well as an initial laxative. You can use Senna safely every night.

Docussate can be used as a stool softener.

Best to take both at night. The senna, you can take 2 tablets at bedtime.

Increase your fluid intake.

Also increase your physical activity, which helps with moving the bowels.

Increase dietary fiber, especially of vegetables. Do this gradually so that your bowels get used to it without too much gas formation.

Although there isn't a lot about prunes in the literature, I recommend stewing a small pot of prunes in water and then drinking the juice. Best to drink it warm. You can do this as often you need, based on how your bowels are doing. Most ideal time to drink this is at bedtime. You can do this in addition to the Senna and Docusate too.

If you stop being able to move your bowels for several days then we have to step things up. Also, if you are not moving your bowels and develop a lot of pain, then do go in to be seen.
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