AgentTypical dosingApproximate cost*Treatment notes
Bulking agents
Methylcellulose powder2 g per day$16 for one 479-g bottleInsoluble fiber; start with low dose and increase gradually
Polycarbophil (Fibercon)1.25 g one to four times per day, maximum: 5 g per day$7 for one 140-capsule bottleSoluble fiber; start with low dose and increase gradually
Psyllium (Metamucil)2.5 g to 30 g per day in divided doses$11 for one 300-capsule bottleSoluble and insoluble fiber; start with low dose and increase gradually
Osmotic laxatives
Polyethylene glycol 3350 formula (Miralax)17 g per day$13 for one 510-g bottleTitratable; response may take up to 72 hours; use shortest effective treatment duration; concern for dependence with long-term use
Lactulose15 mL to 30 mL per day$15 for one 473-mL bottleResponse may take up to 48 hours; cramps and abdominal distention common
Magnesium hydroxide30 mL to 60 mL$5 for one 769-mL bottleNot for daily use; takes effect within six hours; may cause electrolyte disturbances
Magnesium citrate195 mL to 300 mL$3 for one 296-mL bottle (one dose)
Magnesium sulfate (Epsom salt)10 g to 20 g$6 for one 3.6-kg container
Stimulant laxatives
Bisacodyl (Dulcolax)5 mg to 15 mg once per day$28 for a one-month supplyShort-term use; avoid use within one hour of consuming antacids or milk
SennaOne to two 8.6-mg tablets twice per day, maximum: four 8.6-mg tablets twice per day$5 for a 60-tablet bottleMay cause urine discoloration and melanosis coli
Stool softener
Docusate calcium240 mg once per day$12 for a 100-tablet bottleGenerally well tolerated
Secretagogues
Linaclotide (Linzess)145 mcg once per day$509 for a one-month supplyDosing differs for chronic constipation vs. irritable bowel syndrome with constipation
Lubiprostone (Amitiza)24 mcg twice per day$158 for a one-month supplyRarely can cause hypotension or syncope
Plecanatide (Trulance)3 mg to 6 mg per day$540 for a 30-tablet bottleCan cause hypersensitivity reaction
Serotonin agonist
Prucalopride (Motegrity)1 mg to 2 mg per day$508 for a 30-tablet bottleSerious adverse effects include suicidal thoughts and depression