Drugs & Aging

, Volume 6, Issue 6, pp 465–469

Epidemiology of Constipation in Elderly Patients

Drug Utilisation and Cost-Containment Strategies

Authors

  • Frank A. Lederle
    • Department of Medicine (III-0), One Veterans Drive, Minneapolis Veterans Affairs Medical CenterUniversity of Minnesota
Review Article Epidemiology

DOI: 10.2165/00002512-199506060-00006

Cite this article as:
Lederle, F.A. Drugs & Aging (1995) 6: 465. doi:10.2165/00002512-199506060-00006

Summary

Constipation is a common complaint among elderly people, resulting in large amounts of money being spent on laxatives. Strategies for improving patient care while reducing this expenditure include: (a) counselling patients that daily bowel movements and purging are not essential to good health, (b) greater use of non-pharmacological measures such as hydration, exercise and dietary fibre, and (c) considering safety, effectiveness and cost in the selection of a laxative. Generic preparations of psyllium and sorbitol can be recommended in this regard. The widespread use of stool softeners, magnesium hydroxide (‘milk of magnesia’) and stimulant laxatives is difficult to justify from the available data.

Copyright information

© Adis International Limited 1995