If you have recently started drug treatment, maybe you have noticed an unexpected effect: a change in your intestinal habits … Indeed, certain drugs can constitute. Here are the most common with Dr Gérald Kierzek, medical director of True Medical.
Painkillers (pain relievers)
Treatments taken against pain, opioid in mind (such as morphine, codeine, tramadol and oxycodone) have the effect of slowing down digestion. “”They are a very common, sometimes severe cause of constipation “ confirms the doctor. In fact, they are often associated with prevention laxatives.
Non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen, or naproxene can also have this effect, even if it is less frequent.
Psychotropic drugs
The drugs of antidepressants, neuroleptics (antipsychotics) and anxiolytics (benzodiazepines) can also have a blocking effect on the passage of food in the digestive system. These treatments affect the circulation of nervous signals in the body, slowing in particular the activity of the digestive tract. They also block the nervous signals which contribute to intestinal transit and the softness of the stool.
Antihypertensives and heart -aimed drugs
Diuretic drugs, calcium inhibitors, and beta-blockers in particular prescribed against hypertension and for the heart can also have this constipation effect.
Calcic inhibitors act by relaxing the blood vessels muscles to improve blood circulation. They can also relax the muscles of the digestive tract, thus slowing down the movement of the stool. Diuretics reduce the amount of liquid in the body.
Anti-acids
Anti acids like Maalox®, or Gaviscon® can also slow down your transit. Antacids, in particular those containing aluminum or calcium, can increase the risk of constipation due to their ability to slow muscle activity of the digestive tract.
Iron supplements
These supplements can also increase the risk of constipation, as the body does not absorb them entirely. Non -absorbed iron can irritate the wall of the digestive tract and slow down intestinal transit, often causing uncomfortable stools.
Do not stop your treatment yourself
If you think that one of these drugs is behind your discomfort, do not stop taking without medical advice. According to Dr. Kierzek, only your doctor can help you determine whether the dose adjustment, the change of medication or the complete treatment of treatment constitute the safest solution.
However, some measures may relieve you.
- Drink a lot of water (1.5 to 2 l/day);
- Increase your fiber consumption (fruits, vegetables, oats);
- Exercise (this stimulates transit);
- Use laxatives if necessary and with caution.
“If constipation persists, an adjustment of the treatment is possible. Ask your pharmacist or your doctor for advice to adapt the management” advise our expert.