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Osmotic/Stimulant Suppository·Gastrointestinal - Laxatives
Acute relief of distal (rectal) constipation, bowel retraining in spinal cord injuries
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Dose
1 Supp PR STAT
Onset
15-30 mins
Route
PR ONLY
Systemic Abs.
NONE
Avoid / Cautions
Rectal bleeding, severe undiagnosed abdominal pain, acute perianal surgery/trauma. Pregnancy Category A.
Overview
Locally acting osmotic and mildly irritant suppository. Draws water into the rectum and triggers the defecation reflex. Highly effective for distal impaction.
Clinical Focus
Must be inserted into the rectum against the bowel wall (not buried in stool) to act effectively.
Bottom Line
Glycerol suppository is a simple, safe rectal osmotic laxative for acute constipation, but provides only local effect and is insufficient for chronic or opioid-induced constipation.
Brand Names
Glycerin Suppositories
Parenteral
Rectal suppositories: adult 2.8 g/4 g product and paediatric sizes. Use the age-appropriate product.
Prescribing & PBS
Over The Counter (OTC).
Primary
Acute relief of distal (rectal) constipation, bowel retraining in spinal cord injuries.
Clinical Place
First-line physical intervention on the ward when a patient hasn't opened bowels in days and oral agents are too slow.
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