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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Does Amiodarone Cause Constipation?

is my continuing constipation likely caused by the amiodarone I am taking ? I had very normal and regular bowel habits until I started amiodarone and then started having constipation. When my dose of amiodarone was increase recently, I started to have significant lower back distress, that was aleaviated with bowel movement. Movements have gone from about 1 per day to 1 everyother day, sometimes to the next day. Amiodarone is prescribed for me for idiopathic AF. When initially on Ami, at 400 mg/day, constipation was significant (no stool for 2-4 days then very hard) As dose reduced to 100 mg/day stool issues only needed to use stool softener to have normal 1 bm per day. when dose uped due to break thru AF, stool activity reduced in frequency You should also know I had spinal surgery (L3-L5 and S1 fusion) in early March 17 started ami about may 17. Had constipation due to opiodes immediately post surg. Stopped all opiodes due to no need, pain controlled by ibuprophen within 1 week post hospital stay. Constipation returned within 1-2 weeks post initiation of amiodorone.
Tue, 10 Jul 2018
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General Surgeon 's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

As per my surgical experience, the current issue of constipation is surely due to Amiodarone side effect, which can be exacerbated with lack of liquids or fiber intake in diet. I recommend to increase intake of liquids, fiber; raise your activity level and discuss the dose or molecule alteration of Amiodarone.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Bhagyesh V. Patel
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Does Amiodarone Cause Constipation?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. As per my surgical experience, the current issue of constipation is surely due to Amiodarone side effect, which can be exacerbated with lack of liquids or fiber intake in diet. I recommend to increase intake of liquids, fiber; raise your activity level and discuss the dose or molecule alteration of Amiodarone. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Bhagyesh V. Patel