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 Post subject: Really Bad Constipation
PostPosted: Fri Oct 22, 2010 2:05 am 
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Well I was on suboxone before when they were the pills and I was just taking 1 8mg tablet a day and I was prescribed 2 and a half. I got so constipated that I would bleed when I went to the bathroom.

After more addiction to painkillers now I went back to a suboxone doctor and I am on 2 of the 8mg films a day and I have been on it for four days and have been taking stool softeners, dulcolax every day and I have not went to the bathroom.

Did anyone else have this much of a problem and how was it resolved??


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PostPosted: Fri Oct 22, 2010 8:32 am 
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Dear RD,

Yes, unfortunately it happens. Please read "First post, need some answers" below. To summarize, I recommend Miralax, increased fiber intake, increased fluid intake, and increased activity if possible. This is what has worked for me to prevent constipation.

To solve your immediate problem, if you are really uncomfortable, go and get a Fleet enema and give that to your self. Try to retain it for 5 minutes or as long as you can before expelling it.

It is not fun to talk about but is something that almost every opiate user can relate to - I know I can. I hope you feel better soon.

~Rossma


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PostPosted: Sat Oct 23, 2010 8:03 pm 
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I've experienced this side effect as well. But eventually it went away. Maybe this will be the case for you. Hang in there!


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PostPosted: Sat Oct 23, 2010 9:57 pm 
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IM HEAR TO HELP!

Ill tell you my story and what worked to help! but just so you know this is only for short term help. youll need to make a plan with your dr for long term!

MY STORY
Hey man i know what you are going threw. this is not a fun subject but it is something that comes up from time to time. I never had bathroom issues my whole life then once i started oxy i would go even more when i would come down. any ways when i first started suboxone i notice i was going but very lil each time. so a few weeks past then i noticed i didnt go to the bathroom the past 2 days well the next 8 days were hell i ended up in the ER cause i didnt go to the bathroom for 10 full days. i had a xray and the dr told me i was fully compacted! well lets just say what they gave me didnt work so i ended up in the er 2 more times till i found something that helped till i could get into shit doc lol. my case was as bad as it gets to were i had to have a colonoscopy. I dont think you will have to go down that route.

Your gonna want to get a oct laxative called milk of magnesia it comes in 2 flavors an a blue bottle, im 99.9% this will work for you its pretty powerfull. If that doesnt work the try mag citrate THIS WILL MAKE YOU GO PERIOD! i would try this b4 you got the enema direction just cause enemas are not fun well none of this is fun.

BUT 2 things man
1st you need to talk to your dr ASAP about the bleeding!!! cause im not trying to scare you but that could be something a lil more serious then just not going to the bathroom.

2nd It seems that you have it set in your mind that suboxone an constipation go hand in hand. grant they prolly do but for long term you have to try an change this cause no meds are strong enough to beat the how powerfull the human mind is.


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 Post subject: Opiate constipation
PostPosted: Sun Oct 24, 2010 10:22 am 
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Hi All,

I have an almost completely paralyzed bowel from a c4 spinal cord injury, and have to deal with opiate
constipation on top of it. The paralysis means that I cannot "bear down", if you can imagine that,
so I'm on a load of special bowel meds and diet and see a GI specialist.

Here are some of my own bowel meds (even with them I go about every 6 days on a mostly liquid diet)
I'm very close to having a colostomy.
I hope this helps.....Of course you should check with your doc on these......

Maintenance:
Colace (also sold OTC as "stool softener" at WM-)
Miralax Powder (Doctors usually suggest multiple daily doses mixed with water)
Senna or Sennakot (pretty mild and expensive, but works for some)
Amitiza- An amazing brand new drug, if you have insurance it's miraculaous www.amitiza.com- causes a liquid stool

BM-Producing (emergent):

(By Mouth)
Magnesium Citrate (OTC)- Glass bottles- Tastes terrible (this is what they give colonoscopy patients the day before)
Lactulose (Eunalose) Syrup- Rx- Very,very effective, Used a lot in nursing homes, produces BM's very quickly

(by rectum)
Bicocodyl 10mg Suppositories (Dulcolax)- Works!!-Make your colon burn & contract, forcing a BM, usually within 5 minutes
Fleet Saline Enemas- as someone Suggested- similar principle- irritates the bowel- but I find my arms are not long enough
Mineral oil emema- Used before previous 2 to lubricate (empty fleet bottle, fill with oil)

FYI- Your Rx diet may vary, but my doc has me avoid fiber like the plague, citing that it causes me to form hard, solid stool, which he says is much more difficult to pass than soft of liquid, which seems to make sense to me.

Good Luck & Happy Pooping!


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PostPosted: Sun Oct 24, 2010 10:22 pm 
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wow good call runner i cant belive i for got to mention im on this wonderfull drug Amitiza as well. that would be a great long term idea. smalll lil pill you take once or twice a day.

but like runner stated this med can be very very pricey if not covered luckily my gastro gives me free samples instead of writing a script.


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 Post subject:
PostPosted: Mon Oct 25, 2010 11:51 am 
Moderators - this topic is coming up so often that I'm wonering if we could find one informative thread on it and sticky it to the top of "side effects" forum. I seem to recall several months ago there was a thread on constipation that had maybe 15 replies which included about every remedy available as well as many personal experiences.


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 Post subject:
PostPosted: Wed Oct 27, 2010 7:04 pm 
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Magnesium Citrate or Milk of Magnesia. Both have magnesium that will draw water from your entire body into the large intestine. Miralax works O.K., although it IS the safest, but lots of people feel like they don't get everything out. Senna works great SHORT TERM. That's something your body can get dependant to, and your body will get used to the med contracting the large intestine, so when you stop, it's almost like rebound constipation, and the muscles won't contract. I've dealt with methadone/opiate constipation for 12+ years, and I flip-flop between Miralax and Senocot S, which is a stimulant w/a stool softener. Hope that helps some. Constipation SUCKS!


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PostPosted: Wed Oct 27, 2010 9:34 pm 
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Lilly - I made the "constipation. shit" thread a sticky. If I have time later I will copy some of the replies from this thread into that one.

thanks for the suggestion.

_________________
You can't stop the waves, but you can learn to surf.

-Jack Kornfield


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