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A Newly Defined Type of Constipation: Opioid Induced Constipation

Nurses Article   (11,507 Views 42 Replies 838 Words)
by Brenda F. Johnson Brenda F. Johnson (Member) Writer Verified

Brenda F. Johnson has 25 years experience and specializes in Gastrointestinal Nursing.

5 Followers; 72 Articles; 104,329 Visitors; 247 Posts

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Americans suffer from many bowel issues with constipation being on the top of the list. We can blame our diet, inactivity, not enough fluids, mechanical problems, and pain medication but whatever the reason, constipation all to often affects our daily living. There is a relatively new terminology describing a very specific type of constipation called Opioid induced constipation. OIC is a result of taking opioids for chronic pain relief You are reading page 2 of A Newly Defined Type of Constipation: Opioid Induced Constipation. If you want to start from the beginning Go to First Page.

loriangel14 specializes in Acute Care, Rehab, Palliative.

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Since when is it "news" that opioids cause constipation?

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Are any of these new meds developed for a population who couldn't find an effective bowel program and/or effective traditional meds and methods were contraindicated?

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Tenebrae has 6 years experience as a BSN, RN and specializes in Primary Health, Gerontology, Palliative.

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As others have said, opioids causing constipation is not new. As a nurse, if I have a patient who is on regular opiods and does not have some form of aperients charted, you can bet your bottom dollar I'll be getting the doc to chart some.

A newer drug Clozapine is one of those drugs that everyone worries about agranulocytosis, when infact constipation is a much more common and potentially more harmful side effect and more recent occurence

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amoLucia specializes in LTC.

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This is new?

Not trying to be sarcastic. This has always been a recognized issue.

Exactly what I was thinking.

And just thinking which specific pt population is most likely to be affected - which population really cares a flying fig? Do I think it's the occ pain med user? Or the chronic pain onc pt? Hmmmm... no & no.

And right now, I know MY insurance won't cover it.

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A newer drug Clozapine is one of those drugs that everyone worries about agranulocytosis, when infact constipation is a much more common and potentially more harmful side effect and more recent occurence

You can't seriously be comparing the two? Clozaril has been around since the mid 70s so not so new and agranulocytosis is an acute medical emergency that has the potential to quickly kill your patient. Please don't spend time focusing on your constipated patient at the expense of the one with a plunging ANC.

This smacks of another disgraceful Harm Reduction model, instead of coming up with a highly advertised, expensive therapy which I personally suspect is targeted toward the chronic pain population, it would be make more sense to find something that is actually shown to be effective long term to treat pain, which opiates are not.

Instead of addressing the elephant in the room lets just give everyone Naloxone, something extra special to poop and ignore the underlying opiate dependence epidemic. I know this makes me sound older than dirt but our cowardly society is going to hell in a handbasket. Let's just give everyone a trophy, sigh.

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needlesmcgeeRN has 3 years experience as a ASN, RN and specializes in Care Coordination, Care Management.

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Right? I was like newly defined??? :cheeky:

This is new?

Not trying to be sarcastic. This has always been a recognized issue.

Is this perhaps a "sponsored" article?

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calivianya specializes in ICU.

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I just really want to know who skips work for constipation. The article clearly says increased constipation = increased employee absenteeism.

I am wondering if that part of the article was tangential, i.e. people with constipation tended to have more health problems in general, or if they really found out that people were calling out because they were constipated.

I would like to see the original research on that part so I can have a good laugh.

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Tenebrae has 6 years experience as a BSN, RN and specializes in Primary Health, Gerontology, Palliative.

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You can't seriously be comparing the two? Clozaril has been around since the mid 70s so not so new and agranulocytosis is an acute medical emergency that has the potential to quickly kill your patient. Please don't spend time focusing on your constipated patient at the expense of the one with a plunging ANC.

.....

A more recent issue than opiate induced consitption. Didnt say it was still particularly new issue.

agranulocytosis a medical emergency that can kill, no way, I didn't know that.

Interestingly enough, agranulocytosis in my country affects up to 1% of the population. Constipation related to clozapine use affects 4% of the population. ANC killed one person, complications related to clozapine constipation killed four people.

Clozapine: Fatal 'constipation' more common than fatal agranulocytosis

http://psychrights.org/research/digest/nlps/DeathbyClozapineConstipation.pdf

So the next time you are tempted to speak to me like I have no idea, please dont. I've had first hand experience working with patients with clozapine induced constipation and the complications that arise as a result. And annecdoctal evidence aside, research supports the fact that clozapine induced consitpation affects more people than agranulocytosis

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idialyze is a BSN, RN and specializes in Dialysis.

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I agree with everyone, this just seems like Big Pharma wants even MORE money than they already make. In all my years of nursing I have yet to find something didn't work. Some people just needed a little more to keep things moving!

Wonder what insurance company what actually cover something like this, I'm sure it's outrageously expensive.

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Heck, I knew opioids caused constipation when I was in Nursing school back in 1980. So how is this a new idea? Because some pharmaceutical companies want to market to opioids users "ask your doctor (sic - what about NPs/PAs?) for our great new med."

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djh123 has 5 years experience and specializes in LTC, Rehab.

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If I don't go before work, I can sometimes have WIC (Work-Induced Constipation) :^) - 'cuz I rarely have time to do *that* at work!

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Farawyn has 25 years experience and specializes in A little bit of everything..

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If I don't go before work, I can sometimes have WIC (Work-Induced Constipation) :^) - 'cuz I rarely have time to do *that* at work!

I never do that at work. Unless I'm sick. Yes, I'm one of those nurses.

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