TreatmentMechanism of actionRecommended dosageRelative cost
Soluble fibre (e.g., psyllium)Bulking agent6–12 g/d$
PEG 3350Osmotic17 g/d in water$$
LactuloseOsmotic15–30 mL/d$$
Stimulant laxative (e.g., bisacodyl)Motility stimulant10 mg as needed$$
PrucaloprideProkinetic2 mg/d$$$
LinaclotideGuanylate cyclase C agonist145 μg/d for chronic constipation$$$
290 μg/d for IBS with constipation$$$$
  • Note: IBS = inflammatory bowel syndrome, PEG = polyethylene glycol.