Can't get an Rx for Relistor approved. Help!

I’m a retired nurse, a chronic pain pain who uses buprenorphine patches for pain and I’ll try to explain. The treatment for your OIC in my opinion would not be a medication, it would be fluids and foods not another drug that may be a tier 4. I have been on narcotics for pain since 1988 and control my potential GI issues with fluid and roughage in foods I eat. I also walk 2 miles a day which helps move food downward through your gastrointestinal system. Your GI system breaks down nutrients from food and liquids in the small intestines and the excess fluid that is left over aides at making your colon slippery. If you don’t have sufficient fluid in your system on an ongoing bases you become constipated.
I looked into Relistor and it’s indicated for “advanced disease” meaning constipation and for those who have failed a home laxative program. If you haven’t seen a GI doc it is recommended is you’ve done everything I’ve suggested. Also, a GI doc might have other recommendations too. Good luck.

Thanks Jena,

Actually, it was my GI Dr who prescribed Relistor. It is very expensive but I have a one-year supply paid for.

It helps a little but I still need help from a stimulant laxative. The Relistor also makes me dizzy and that is one of the top side effects.

I may just go back to Motegrity which stimulates the intestines. And believe me, I eat a lot of fruit with high fiber content, I eat muesli and all bran and I take Miralax every day. So when Ido get BMs there is no straining at all.

But it's all or nothing. If I don't periodically use stimulant laxatives, mu diet alone won't do the trick. Very frustrating and one thing about gettin older (69 y/o) that I really don't like.

I’m 71 and have been on narcotic pain meds since 1988 and have never had an issue with constipation. I believe the reason is my water and fruit intake as well as walking. I’ve always been a walker and now walk 2 miles daily. How is your activity?