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Colace vs. Symproic

Head-to-head comparisons of medication uses, side effects, warnings, and more.

Key takeaways

Docusate (Colace) and Symproic (naldemedine) are both used to treat constipation, but they work in different ways and are used for different types of constipation. Docusate is an over-the-counter stool softener that helps with occasional constipation by drawing water and fat into your stool, making it easier to pass. It comes in various forms, including capsules and liquid, and can be used by both adults and children. On the other hand, Symproic is a prescription-only medication specifically for constipation caused by opioid pain medications. It works as an opioid antagonist, blocking the constipating effects of opioids in the gut. Symproic is taken once daily and is not a laxative. Symproic can be expensive and is not suitable for people taking opioids for cancer pain or those who have been on opioids for less than a month. While docusate is generally safe for short-term use, Symproic carries risks like gastrointestinal tears and opioid withdrawal symptoms.

Docusate

(Colace)

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Symproic

(naldemedine)

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Summary for Colace

Over-the-counter

Docusate, often known by the brand name Colace, is a stool softener that you can find over the counter (OTC). It helps relieve constipation in adults and children. You take this medication by mouth, and it comes as capsules, tablets, and a liquid. The dosage depends on the formulation you have and your age. Side effects aren't common, but some people might have stomach cramps. Even though Colace is a popular brand name, docusate is also sold under many other brand names and as a generic.

Indications for Colace

Pros and Cons for Colace

Pros

  • Softens your stool so you don't have to strain
  • Available OTC at local pharmacies so you don't need a prescription
  • Okay for children of certain ages to take

Cons

Common Side Effects for Colace

Summary for Symproic

Prescription only

Symproic (naldemedine) is a prescription opioid antagonist. More specifically, it's a peripherally acting mu-opioid receptor antagonist (PAMORA) that targets opioid receptors in the gut. It's a first-choice treatment option for opioid-induced constipation in adults. It comes as a tablet that's taken by mouth once per day with or without food. Side effects include stomach pain, diarrhea, and nausea. Symproic (naldemedine) is brand name only and not available as a generic.

Indications for Symproic

Pros and Cons for Symproic

Pros

Cons

  • Tablet only; might be hard to take for people who have trouble swallowing
  • Only for adults
  • Raises your risk for opioid withdrawal

Common Side Effects for Symproic

  • Stomach pain (11%)
  • Diarrhea (7%)
  • Nausea (6%)

Warnings for Symproic

  • Gastrointestinal (stomach or intestinal) injury
  • Opioid withdrawal

Prices with our coupons for Colace vs. Symproic

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Docusate Sodium30 capsules / 100mg
$8.18-
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Price Card Drug Icon
Symproic30 tablets / 0.2mg
$494.68$638.70
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