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. 2011 Mar 16;23(8):697–710. doi: 10.1111/j.1365-2982.2011.01709.x

Figure 2.

Figure 2

Enterokinetic treatment algorithm. Once idiopathic chronic constipation has been identified (Rome III); and education, lifestyle and dietary measures; and treatment with laxatives (response evaluable after 2–4 weeks) have failed to provide adequate relief, an enterokinetic agent can be commenced (response to prucalopride evaluable after 4–12 weeks). If constipation symptoms are still refractory to pharmacological treatment, patients should be referred for physiological testing as outlined in the published Rome algorithm for refractive constipation and difficult defecation. 2 or 1 mg day−1 if the patient is >65 years.