Published Aug 21, 2015
GLORIAmunchkin72
650 Posts
Milk of magnesia used to be the star of our medpass but it's slowly been replaced with Miralax. Not sure if it's been replaced because of taste, efficiency or marketing...
BeachsideRN, ASN
1,722 Posts
I think there are fewer side effects and potential drug interactions with Miralax vs MOM
JBMmom, MSN, NP
4 Articles; 2,537 Posts
We have almost no-one on regularly scheduled MOM, but many residents have regularly scheduled miralax. If there's been no BM in three days, MOM is the go-to med at that point.
And yes, everyone hates the MOM, while the miralax is generally unnoticed in the drinks from the med pass.
casi, ASN, RN
2,063 Posts
We rarely use MoM, it's not even on our house standing orders. Too many renal patients who you can screw up electrolytes on.
Colace is still going strong...
ktwlpn, LPN
3,844 Posts
our house made bran prep on toast is very popular
Adele_Michal7, ASN, RN
893 Posts
If I had a nickel for every colace I've given I wouldn't have to work! lol.
ixchel
4,547 Posts
Unfortunately, colace just softens the BM, rather than stimulates one to happen much sooner. MOM and miralax, if effective, would hopefully give a BM that day. Quite honestly, though, I've noticed my patients tend to need a suppository to get results.
As for MOM, we still have it, but I've noticed it only gets given when the patients request it specifically. Miralax is preferred by the MDs otherwise.
wanderlustnurse88, RN
198 Posts
Our MD has changed all Colace to senekot. We also use peglyte and Lactulose as daily bowel meds. We also use fibre rite. MOM is my go to PRN bowel meds, followed by a dulcolx supp if ineffective.