Page 61 - Community pharmcy practice E-book 2025

01/11/2025, 22:08 Medication Errors & Constipation Management

Special Warnings for Docusate

'Do not use this drug if it contains more than 975 mg of potassium in the daily
dose if you have kidney disease without supervision by a doctor.'
'Do not use this drug if it contains more than 345 mg of sodium in the daily dose
if you are on a low salt diet without supervision by a doctor'

"My wife is pregnant and she is complaining of constipation. If you don't mind
recommend her the appropriate medication illustrating how it works. And how to
use it properly?"

Recommended Stepwise Treatment of Constipation in
Pregnancy

Step 1: Non-pharmacological management

Increased fiber
Increased fluids
Increased exercise

Step 2: Pharmacological management

Bulk-forming laxatives (Safe OTC medication for treatment of chronic
constipation in pregnant)
Lactulose: Pregnancy Category: B (POM)
Glycerin suppositories (OTC)

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