Page 72 - Community pharmcy practice E-book 2025
P. 72

02/11/2025, 00:10  Otic & Ophthalmic Disorders | Dermatological Disorders

Pharmaceutical Care for Constipation Patients

Systematic Approach:

 1. Collect: Gathering of information (history)

 2. Assessment: Differentiate patient's signs/symptoms and correctly identify the patient's primary
    problem(s) and identify exclusions for self-treatment

 3. Plan: Select an optimal therapeutic alternative to address the patient's problem, taking into
    account patient preferences

 4. Patient education: Provide comprehensive counseling on medication use, lifestyle
    modifications, and when to seek further care

 5. Evaluation of Patient Outcome: Follow up to assess treatment effectiveness and make
    adjustments as needed

Key Points for Constipation Management

   Nonprescription laxative treatment should not be recommended if exclusion criteria for self-
    treatment are met. Patients meeting these criteria should receive medical referral.
    Special circumstances and patient characteristics (e.g., pregnancy or age) should be considered
    when assessing the need for self-medication.
    Children: Constipation in children generally is defined as a delay or difficulty in achieving bowel
    movements over a period of 2 weeks or longer

Constipation in Children

Nonprescription laxatives approved for self-care in children 2 to <6 years of age include:
     Oral docusate sodium
    Magnesium hydroxide Senna

Rectal use of glycerin, mineral oil, or sodium phosphate products also is approved in this age group

                                                                                                         71
   67   68   69   70   71   72   73   74   75   76   77