Can Mosapride Help Treat Chronic Constipation? Expert Insights - Gastroenterology and Hepatology

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Constipation issues?


Dear Doctor, can medications like mosapride be used to treat chronic constipation, such as with products like Cholan and Motilac? I have been suffering from long-term constipation, and previous laxatives and enemas have not been effective.
Would it be feasible to try these types of medications? Additionally, could you please advise which hospitals carry prucalopride (Resolor)? Thank you, Doctor!

Miss Hsu, 30~39 year old female. Ask Date: 2017/09/28

Dr. Chen Shidian reply Gastroenterology and Hepatology


Hello, Miss.
Mosapride can be used long-term in patients with constipation to promote gastrointestinal motility and can be used in conjunction with stool softeners.
For other medications, please consult the pharmacy at your medical center.
Changhua Hospital cares about your health.
Chen Shidian.

Reply Date: 2017/09/28

More Info


Mosapride is a medication that belongs to the class of prokinetic agents, which means it helps stimulate gastrointestinal motility. It works primarily by enhancing the action of serotonin in the gut, which can lead to increased peristalsis (the wave-like muscle contractions that move food through the digestive tract) and improved bowel movements. This mechanism makes Mosapride a potential option for treating chronic constipation, especially in cases where other treatments have failed.

Chronic constipation can be a challenging condition to manage, and it often requires a multifaceted approach. Traditional treatments for constipation include dietary modifications, increased fluid intake, and the use of laxatives. However, as you mentioned, some patients may find that these methods are ineffective, leading them to seek alternative options like Mosapride.

In clinical practice, Mosapride has been shown to be effective in improving bowel frequency and consistency in patients with functional constipation. It is generally well-tolerated, with a favorable side effect profile compared to stimulant laxatives, which can lead to dependency or cause electrolyte imbalances. However, it is essential to note that while Mosapride can help stimulate bowel movements, it may not address underlying causes of constipation, such as dietary habits, lifestyle factors, or other medical conditions.

Regarding your question about the availability of prucalopride (brand name Resolor), it is another prokinetic agent that has been specifically approved for the treatment of chronic constipation in adults. Prucalopride works by selectively stimulating serotonin receptors in the gastrointestinal tract, leading to increased bowel motility. It is particularly useful for patients who have not responded adequately to laxatives.

As for the availability of prucalopride, it is essential to consult with your healthcare provider or a local pharmacy to determine which hospitals or clinics in your area carry this medication. Availability can vary by region and healthcare facility, so your doctor may be able to provide you with specific recommendations or refer you to a facility that stocks it.

In summary, Mosapride can be a viable option for treating chronic constipation, especially for patients who have not found relief with traditional laxatives. It is crucial to discuss this treatment option with your healthcare provider, who can evaluate your specific situation and determine the most appropriate course of action. Additionally, if you are considering prucalopride, your doctor can assist you in finding a suitable facility that offers this medication. Always remember that managing chronic constipation often requires a comprehensive approach, including lifestyle modifications and dietary changes, in conjunction with pharmacological treatments.

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