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. 2023 Sep 11;105(1):40–48. doi: 10.1159/000533548

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    
Carmellose sodium Powder 3 Constipation    
Osmotic laxative Sugar-based laxative Lactulose Syrup, jelly 1–2 Constipation (children only), bowel movements after obstetrics, and gynecology surgery  
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    
Abnormal upper gastrointestinal function
  Polyethylene glycol Powder 1–3 Chronic constipation (excluding organic diseases)    
Small bowel stimulant laxatives   Castor oil Liquid Constipation, elimination of intestinal contents before and after surgery    
Large intestine stimulant laxative Anthraquinone Senna Tablet, powder 1 Constipation    
Sennoside
Aloe
Rhubarb
Diphenyl Sodium picosulfate Liquid 1 Constipation, postoperative defecation assistance  
Intestinal secretagogues Chloride channel activator Lubiprostone Capsule 1–2 Chronic constipation (excluding organic diseases)    
Guanylate cyclase C receptor agonist Linaclotide Tablet 1 Chronic constipation    
Constipation-type irritable bowel syndrome
Ileal bile acid transporter inhibitor   Elobixibat Tablet 1 Chronic constipation (excluding organic diseases)
External medicine Enema Glycerin enema Enema On-demand  
Suppository Bisacodyl suppository Suppository On-demand Constipation    
Sodium bicarbonate/anhydrous sodium dihydrogen phosphate suppository Suppository On-demand Constipation    
Peripherally acting μ-opioid receptor antagonist   Naldemedine Tablet 1 OIC