The most common stool softener used with children is
docusate sodium.
Options include stool softeners (
docusate sodium), osmotic laxatives (polyethylene glycol, magnesium hydroxide, magnesium citrate, and lactulose), lubricants (mineral oil), and stimulant laxatives (bisacodyl, sodium picosulfate, and senna).
Table Bowel regimen for chronic constipation Stool softener (daily)
Docusate sodium 100 mg twice daily Stimulant laxative (weekly and as needed) Bisacodyl, 5 to 15 mg/d, as needed Senna glycoside, 15 mg/d, as needed
Patients should be started on their home postoperative medication regimen in the recovery room, including an anti-inflammatory such as diclofenac, sublingual tramadol (in preference to an opioid, such as hydrocodone),
docusate, and sennosides.
His full medication list included potassium supplementation, hydroxychloroquine, indomethacin, tramadol,
docusate, acyclovir, levofloxacin, decitabine, allopurinol, gabapentin, aspirin, lisinopril, and metformin.
On admission, medications included acyclovir, amlodipine, ascorbic acid, calcium carbonate, cefoxitin,
docusate, fluconazole, furosemide, gabapentin, lisinopril, methadone, metoprolol tartrate, multivitamin, omega 3 fatty acids, pantoprazole, pravastatin, prednisone, ruxolitinib, sirolimus, sulfamethoxazole-trimethoprim, tamsulosin, tigecycline, trazodone, venlafaxine, cholecalciferol, and zinc acetate.
Patient's Home Medications Albuterol (Ventolin[R]) as needed Aspirin 325 mg two tablets three times daily Carisoprodol (Soma[R]) 350 mg three times daily Cinacalcet (Sensipar[R]) 30 mg Monday, Wednesday, and Friday Dicyclomine (Bentyl[R]) 10 mg two capsules every 4 hours as needed
Docusate (Colace[R]) 200 mg three times daily Folic acid 1 mg daily Fluticasone/salmeterol (Advair[R]) inhaler 250/50 one puff twice daily Magnesium 800 mg daily Multivitamin 1 tablet daily Oxycodone controlled release (Oxycontin[R]) 30 mg three times daily Oxycodone immediate release 5 mg three tablets every 3 hours as needed Senna 1 tablet three times daily as needed Valsartan (Diovan[R]) 160 mg daily Vitamin D 100 international units Monday to Friday Zoledronic acid (Reclast[R]) infusion yearly TABLE 2.
Her current medications include glipizide XL 10 mg/d and lisinopril-HCTZ 20-25 mg/d, which she has temporarily discontinued at the ED doctor's recommendation, as well as: amlodipine 10 mg/d, metformin 1000 mg BID, senna 8.6 mg/d,
docusate 100 mg BID, furosemide 40 mg/d, and ibuprofen 600 mg/d (for knee pain).
(1) Red mouthwash: glycerin, ethanol, water, benzyl alcohol, chlorhexidine, chlorobutanol, citral, citronellol, sodium
docusate, eugenol, limonene, linalool, menthol, and E124.
In fact, a multicenter double-blinded RCT involving 170 patients for two weeks revealed inferiority of sodium
docusate compared to psyllium at improving stool frequency [42].
On an as-needed basis, the following medications were added: acetaminophen 325-650 mg every four hours, ibuprofen 200-400 mg every four hours, naproxen 250-500 mg every six hours,
docusate sodium 100 mg twice daily, lactulose 30 mL daily, senna 17.2 mg at bedtime, nicotine 10 mg inhaler cartridge every one hour (to help with smoking cessation), benztropine 12 mg every one hour, lorazepam 0.5 mg every four hours, and zopiclone 7.5 mg at bedtime.
Now, Kmetz takes about an ounce and a half of Enemeez, which contains a dose of 283 milligrams of
docusate sodium, and other suppositories, and he only has to sit on a commode chair for an hour instead of sitting in a bathroom for half the day.