A 78-year-old female patient is suffering from heart failure, GERD, diabetes, and depression. She presents with complaints of frequent episodes of constipation. Her last bowel movement was 1 week ago
Upon examination, you palpate a hard mass is the left lower quadrant of the abdomen. You review her list of medications. Which of the following of her medications cause constipation?
A. Digitalis (Lanoxin)
B. Amlodipine (Norvasc)
C. Sertraline (Zoloft)
D. Metformin (Glucophage)
ANS: B
Medications that frequently cause constipation include:
- Analgesics/narcotics
- Antacids containing aluminum
- Anticonvulsants
- Antidepressants
- Antihypertensives (calcium-channel blockers, beta blockers)
- Antiparkinsonism agents
- Antispasmodics
- Calcium supplements
- Diuretics
- Iron supplements
- Sedatives/tranquilizers
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