laxative



References: Laxative






Nurs Homes Sr Citiz Care. 1988 Jan-Feb;37(1):5-8.
Reduction of irrational drug duplication in geriatric nursing homes.

Cooper JW.

The reduction of irrational drug duplication by rigorous drug regimen review, in-service education, and physician acceptance of consultant pharmacist recommendations in a 72-bed geriatric long-term-care facility is described. In decreasing order of frequency of duplication, laxatives, analgesics, NSAIDs, diuretics, hypnotics, antipsychotics, KC1 supplements, hematinics/vitamins, antacids, and antinauseants and antidiarrheals were the drug classes most often duplicated. Apparent reasons for the duplications were confusion over the term "of choice," physician convenience, failure to review medication orders actively, and individual nurse preferences for different agents in each duplicated drug class.

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=10314654&dopt=Abstract constipation laxative



Leber Magen Darm. 1987 Oct;17(5):313-24.
[Constipation]

[Article in German]

Dancygier H.

II. Med. Klinik und Poliklinik, Technischen Universitat Muchen.

Constipation is a symptom of various diseases that must be differentiated in the diagnostic work-up of the patient. Most frequently however, no structural abnormalities can be identified and constipation is part of the irritable colon syndrome. A diet deficient in bulk is the main cause of constipation in western countries. As the complaints usually last for years before a physician is consulted many patients are chronically abusing laxatives. Therefore treatment is difficult and behavioral modifications of the patient are not easily achieved. He should learn that laxatives do not "clean" the bowel and that it functions normally even if there is not "one stool a day". Although there are many laxatives that can be prescribed usefully for a short time, for long term treatment only bulk forming agents and dietary fiber supplementation are recommended.

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=2824945&dopt=Abstract constipation laxative



Postgrad Med. 1988 Mar;83(4):339-40, 343-5, 349.
Treatment of constipation in the elderly.

Rousseau P.

Veterans Administration Medical Center, Phoenix.

About $250 million a year are spent on laxatives in the United States, attributable in large portion to the elderly. However, before laxative therapy is started in these patients, adequate exercise, ample fluids, and a high-fiber diet should be recommended. If these measures are unsuccessful and underlying disease is excluded, laxative use may be considered. Selection of the most appropriate cathartic for the clinical situation is vital. Bulk-forming laxatives and lactulose are favored. Dietary and drug intake should be discussed with the patient and constipating items eliminated when possible. Enema therapy may be necessary to retrain or evacuate an atonic, constipated colon. The mnemonic, right, summarizes the major points in treating constipation.

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=2832838&dopt=Abstract constipation laxative



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