Head-to-head comparisons of medication uses, side effects, warnings, and more.
Key takeaways
Movantik (naloxegol) and Senna-S (docusate/senna) are both used to treat constipation, but they work in different ways and are used for different types of constipation. Movantik is an opioid antagonist specifically designed to treat constipation caused by opioid medications in adults. It blocks opioid receptors in the intestines, helping to move waste through the gut more easily. You take it once daily on an empty stomach, and it requires a prescription. Common side effects include stomach pain, diarrhea, and nausea. On the other hand, Senna-S is a combination of a stool softener and a stimulant laxative, used for occasional constipation. Docusate draws water into the intestines to soften the stool, while senna stimulates the intestines to push the stool out. It is available over-the-counter and can be taken daily, usually at bedtime, to produce a bowel movement by morning. Common side effects include stomach cramps and loose stools. Unlike Movantik, Senna-S should only be used short-term, typically less than 7 days.
Movantik (naloxegol)
Docusate/senna
Movantik (naloxegol)
Docusate/senna
Summary of Movantik vs. Senexon-s
Summary for Opioid antagonist
Prescription only
Movantik (naloxegol) is an opioid antagonist that's used to treat opioid-induced constipation, or constipation from opioid medications, in adults. It's a tablet that's taken by mouth once every morning on an empty stomach. The dosage is typically 25 mg, but it can be lowered to lessen side effects or risks from interactions with other medications. Common side effects include stomach pain, diarrhea, and nausea. Movantik (naloxegol) is available as a brand-name medication only; there's no lower-cost generic version yet.
Summary for Stool softener / Stimulant laxative
Docusate/senna is a combination medication containing docusate and senna. The two laxatives work together to treat constipation.