How to Talk to Your Doctor About Chronic Constipation

Millions of adults have chronic constipation. Even though it’s a personal condition, it’s important to have an honest conversation with your doctor about your symptoms.

This Doctor Discussion Guide can help you capture your symptoms, the effect they have on your daily life, and your current treatments. By sharing these details with your doctor, you are taking an important first step toward finding an appropriate treatment for you.

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Doctor Discussion Guide

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To create your personalized guide, you’ll be asked about your symptoms, lifestyle, and experience with chronic constipation—everything your doctor needs to know about your condition.

The personal information you provide as part of this tool will be used solely to allow you to generate a discussion guide to share with your healthcare provider. Takeda and other third parties will not collect, store, or use the information you provide in connection with this feature of the AMITIZA website for any other purpose.

Now, think about the different ways you may have tried to treat your chronic constipation. During your appointment, it might help to go into additional detail about your experiences.

Well done!

Your Doctor Discussion Guide is complete. Download your guide to save and print it. You can also send the guide by email. Then, get ready to have a productive doctor appointment!

Here are some conversation starters to help your doctor get a clear understanding of how chronic constipation is affecting your life.

  • How do your symptoms affect you? 
    (Example: The constipation keeps me up at night)
  • How does your condition affect your home/family life? 
    (Example: Abdominal discomfort or belly pain kept me home Tuesday; missed son's soccer game)
  • How does your condition affect your work/school life? 
    (Example: Missed two days of work because of my constipation or pain in my belly)
  • How does your condition affect your social life? 
    (Example: Skipped dinner out on Thursday because of constipation)

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Uses & Important Safety Information

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AMITIZA is used for 3 types of chronic constipation: CIC in adults, OIC in adults with chronic pain that is not caused by active cancer, and IBS-C in women ≥ 18 years. Effectiveness in patients taking methadone has not been established.

Important Safety Information

AMITIZA (lubiprostone) is not for everyone. If you know or suspect you have a bowel blockage, do not take AMITIZA. If you are unsure, your healthcare provider (HCP) should evaluate your condition before starting AMITIZA.

Some patients taking AMITIZA may experience nausea. Take AMITIZA with food and water to reduce the occurrence of nausea.

Do not take AMITIZA if you have severe diarrhea. Some patients taking AMITIZA may experience diarrhea. If your diarrhea becomes severe, stop taking AMITIZA and tell your HCP.

Patients may experience fainting and low blood pressure after taking the first dose or repeated doses of AMITIZA. Stop taking AMITIZA and tell your HCP if these reactions occur. Symptoms usually go away before the next dose but may recur with repeated use. Tell your HCP if you are taking any medications to lower blood pressure. Other side effects such as diarrhea or vomiting may increase the risk of fainting and low blood pressure.

Within an hour of taking AMITIZA, a sensation of chest tightness and shortness of breath may occur. These symptoms usually go away within three hours, but may recur with repeated use. Tell your HCP if you experience these symptoms.

The most common side effects of taking AMITIZA 24 mcg twice daily for CIC are nausea, diarrhea, headache, abdominal pain, abdominal distension, and gas. The most common side effects of taking AMITIZA 24 mcg twice daily for Opioid-Induced Constipation are nausea and diarrhea. The most common side effects of taking AMITIZA 8 mcg twice daily for IBS-C are nausea, diarrhea, and abdominal pain. These are not all the side effects associated with AMITIZA.

Tell your HCP if you are taking a diphenylheptane opioid (e.g., methadone).

AMITIZA has not been studied in pregnant women. Based on animal studies, AMITIZA may cause fetal harm. AMITIZA should only be used during pregnancy if the potential benefits justify the potential risk to the fetus. If you are pregnant or become pregnant while being treated with AMITIZA, talk to your HCP to evaluate the risks to the fetus. Tell your HCP if you are nursing and monitor infants for diarrhea.

Tell your HCP if you have liver problems.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.

Indications

AMITIZA (lubiprostone) 24 mcg capsules twice daily is approved to treat Chronic Idiopathic Constipation (CIC) in adults. “Idiopathic” means the cause of the constipation is unknown and not due to an underlying illness or medication. AMITIZA 24 mcg twice daily is also approved to treat constipation caused by opioids, a type of prescription pain medicine, in adults with chronic pain that is not caused by active cancer. The effectiveness of AMITIZA has not been established if you are taking a diphenylheptane opioid (e.g., methadone). AMITIZA 8 mcg capsules twice daily is approved to treat Irritable Bowel Syndrome with Constipation (IBS-C) in women ≥ 18 years of age.

Please click here for complete Prescribing Information.

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