CKS is no longer commissioned by the National Institute for Health and Clinical Excellence (NICE). NICE remains committed to providing a replacement service for CKS and is currently reviewing its options. In the meantime, although CKS content is now not being maintained, it still remains relevant and will continue to be made available. CKS content was generated under a programme of topic creation and update. To check if the topic you are viewing is current or out of date, please refer to the topic publication details by clicking on the 'How up-to-date is this topic?' link in the left hand menu on individual topic pages.
Irritable bowel syndrome - Management
What should I consider when prescribing a bulk-forming laxative?
- Flatulence and bloating are the most common adverse effects. They can usually be avoided or reduced by increasing the dose gradually.
- Adequate fluid intake is important to prevent intestinal obstruction. This may be difficult for frail or elderly people, and for children.
- If intestinal obstruction is suspected, do not use bulk-forming laxatives.
[ABPI Medicines Compendium, 2006]
© NHS Institute for Innovation and Improvement