All information is correct at time of printing and is subject to change without notice. The Devon Formulary and Referral Website is not in any way liable for the accuracy of any information printed and stored by users. For the most up-to-date information, please refer to the website.
Formulary
Contact us about this page
1.6.1 Bulk-forming laxatives
NHS England (NHSE) has published new prescribing guidance for various common conditions for which over the counter (OTC) items should not be routinely prescribed in primary care (quick reference guide). One of these conditions is infrequent constipation.
Many laxatives are cheap to buy and are readily available OTC along with advice from pharmacies. Some self-care medicines are available from shops and supermarkets. Please click here for further information, exceptions, and a patient leaflet.
Ispaghula husk
- Granules 3.5g sachets sugar free gluten free (£4.77 = 30 sachets)
Indications
Dose
- One sachet twice daily, with at least 150ml of water
Notes
- Time to effect: 2-3 days
- Useful as a first-line choice in adults when it is difficult to get enough fibre in the diet. Better tolerated than bran
- Must not be taken immediately before bed
- Adequate fluid intake is important, to prevent intestinal obstruction. This may be difficult for the frail or fluid restricted patients
