Doctor insights on:
Would my family doctor be reluctant to prescribe me relistor (methylnaltrexone) for constipation from methadone maintenance? I've been clean for 4 years.
Constipation : Hi, no reason i can think of except that he is an individual and it is certainly true docs come in all colors and prejudices. ...Read more
I use oxymorphone ER for pain. I have constipation tried oc's & linzess, amitiza, relistor (methylnaltrexone). I use enema evry 3 days. Is this safe 4 long term usage?
Constipation: You don't say why you're using the narcotic or how much time or how much. Constipation is a serious problem over a long time. Using laxatives or any thing of the sort can can lead to dependence on those medications. You end up in later years being very miserable. Of course if you're legitimately taking opiates constipation is a side effect. Minimize the problem. ...Read more
Intractable pain, scs implanted, high morphine equivalent for survival. Severe constipation.Switched to relistor (methylnaltrexone). Worked 3 times, now 7 days can't go. Was on 12 osmoprep, 2 miralax & 3 colace.What now?
Constipation: You need to seek out the md who manages your scs. It needs to be adjusted. Also morphine may need to be changed to a different drug. Your body may not have the same response to fentanyl or oxycontin. You have to drink at least 8 glasses of water a day and eat foods high in fiber. In addition to the colace and MiraLAX (polyethylene glycol) the medicines are not substitutes for diet they are in addition. ...Read moreSee 2 more doctor answers
Why is methylnaltrexone only used for very sick palliative care patients? There are some very constipated post op patients
Limited studies: The best studies for effectiveness for methylnatrexone is for patients with opioid-induced constipation (it works on the same receptors as opioids like morphine). As many sick palliative care patients require opioids this is typically the group that would benefit if standard laxatives (many which are over the counter) do not work. Postop patients constipation or ileus may not be due to opioids. ...Read moreSee 1 more doctor answer
Chronic impactions and constipation bc of long term opioid use, tried miralax, (polyethylene glycol) lactulose, no help. How's methylnaltrexone?
Not effective: Medications start losing effectiveness once they expire. It is just like food which starys to degrade or spoil after the expiration date. It is a good idea only to take meds before the expiration date. Hope this helps! ...Read more
Latuda (lurasidone)?: I'm not sure, but might you have mis-spelled something and actually mean latuda (lurasidone)? This is an atypical antipsychotic medication, often used in bipolar i disorder (especially bipolar depression) and schizophrenia with hallucinations, delusions, and thought disorder. ...Read moreSee 1 more doctor answer
Sunscreen: If you tend to develop freckles, you'll discover they're less prominent if you use sunscreen, which is something that everybody should do anyway. There's no pill for this. If you talk with your genuine friends / people you might date, most will tell you that your freckles are just one of many things that they like about you. Why not embrace your genetic heritage? Photo Lady looks great. Best wishe ...Read moreSee 1 more doctor answer
Cervilane?: This drug is available in a number of countries. It is an ergot derivative used as a vasodilator. For a drug to be sold in the us it must pass rigorous fda testing and retesting phases before it can come to market. This can add up to millions an d millions of dollars which the manufacturer may not want to invest depending on how big a market the us represents. It is often a matter of economics. ...Read more