Since very early usage of narcotics for chronic non-cancer pain, constipation has been one of the biggest side effects. I used an article that Roman D. Jovey, M.D. has been published in this regard.*** Manage constipation proactively and aggressively using
- dietary measures first (ie. bran, prunes, flax, 4-6 glasses water/day) - adding stool softeners next (ie. docusate) - osmotic agents next (ie. Milk of Magnesia, lactulose) and - finally adding stimulant laxatives (ie.senna) if the previous measures fail (see patient handout).
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AuthorDr. Ramin Safakish, anesthesiologist and pain interventionist, is a full time pain interventionist in Allevio Pain Management. Archives
November 2016
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