nhs forth valley formulary 11 - Community Pharmacy

Forth Valley Formulary Eleventh Edition 2012/13Appendix 4Forth Valley Acute Hospitals ServicesGuidelines For The Prevention Of Constipation In AdultsReassureDetermine normal pattern of bowel movements for individual.Identify the causeThe following factors may be responsible for the development of constipation:• poor diet/change in diet• underlying disease e.g. hypothyroidism, hypercalcaemia• change of environment• immobility• pregnancyMedication reviewThe following drugs may exacerbate constipation. Where possible these drugs should bereviewed if constipation develops.• Opioid analgesics• Antacids containing aluminium• Anticholinergics e.g. oxybutinin, procyclidine• Antihistamines e.g. chlorpheniramine• Calcium channel blockers e.g. verapamil• Diuretics• Iron salts• Antidepressants and antipsychoticsEducateAdvise patient on the following:• adequate dietary fibre intake e.g. Weetabix®, pulses, fruit - refer to Dietician ifnecessary• adequate fluid intake - 8 to 10 cups per day• increase mobility - refer to physiotherapist if necessaryIf necessary - prescribe a laxativePage 53