Evaluating naloxegol for the treatment of opioid-induced constipation.
Marzieh DanialiShekoufeh NikfarMohammad AbdollahiPublished in: Expert opinion on pharmacotherapy (2020)
Similar to the management of functional constipation, non-pharmacological therapies are applied as the first step of the procedure. However, in most cases, laxative therpaies with or without stool softeners, which may not result in satisfactory relief are applied. In these instances, administration of prokinetic agents is recommended. Furthermore, studies have shown that the best second-line therapy option is a peripherally acting μ-opioid receptor antagonist (PAMORA), which antagonizes GI adverse events.