Table 1.
Characteristics of various constipation medications
Classification 1 | Classification 2 | Common name | Form | Compliance, times/day | Adaptation | Water secretion action | Peristaltic stimulant action | Recovery of defecation desire |
---|---|---|---|---|---|---|---|---|
Bulking agents | Polycarbophil calcium | Tablet | 1–3 | Bowel movements (diarrhea/constipation) and gastrointestinal symptoms in irritable bowel syndrome | 〇 | |||
Carmellose sodium | Powder | 3 | Constipation | 〇 | ||||
Osmotic laxative | Sugar-based laxative | Lactulose | Syrup, jelly | 1–2 | Constipation (children only), bowel movements after obstetrics, and gynecology surgery | 〇 | 〇 | |
Chronic constipation (excluding organic diseases), bowel movement disorder after obstetrics, and gynecology surgery | ||||||||
Salt-based laxative | MgO | Tablet, powder | 1–3 | Constipation, gastric/duodenal ulcer | 〇 | |||
Abnormal upper gastrointestinal function | ||||||||
Polyethylene glycol | Powder | 1–3 | Chronic constipation (excluding organic diseases) | 〇 | ||||
Small bowel stimulant laxatives | Castor oil | Liquid | Constipation, elimination of intestinal contents before and after surgery | 〇 | ||||
Large intestine stimulant laxative | Anthraquinone | Senna | Tablet, powder | 1 | Constipation | 〇 | ||
Sennoside | ||||||||
Aloe | ||||||||
Rhubarb | ||||||||
Diphenyl | Sodium picosulfate | Liquid | 1 | Constipation, postoperative defecation assistance | 〇 | 〇 | ||
Intestinal secretagogues | Chloride channel activator | Lubiprostone | Capsule | 1–2 | Chronic constipation (excluding organic diseases) | 〇 | ||
Guanylate cyclase C receptor agonist | Linaclotide | Tablet | 1 | Chronic constipation | 〇 | |||
Constipation-type irritable bowel syndrome | ||||||||
Ileal bile acid transporter inhibitor | Elobixibat | Tablet | 1 | Chronic constipation (excluding organic diseases) | 〇 | 〇 | 〇 | |
External medicine | Enema | Glycerin enema | Enema | On-demand | 〇 | 〇 | ||
Suppository | Bisacodyl suppository | Suppository | On-demand | Constipation | 〇 | |||
Sodium bicarbonate/anhydrous sodium dihydrogen phosphate suppository | Suppository | On-demand | Constipation | 〇 | ||||
Peripherally acting μ-opioid receptor antagonist | Naldemedine | Tablet | 1 | OIC | 〇 | 〇 |