Constipation
-
Constipation affects nearly all patients receiving strong opioid treatment
-
Prescribe a laxative at an effective dosage level for all patients initiating strong opioids (eg, polyethylene glycol, senna)
-
Optimize laxative treatment for managing constipation before considering switching strong opioids
-
Support bowel movements by providing a diet rich in fiber, good hydration, and mobilization