Key takeaways:
Miralax (polyethylene glycol 3350) is an over-the-counter (OTC) medication that can relieve occasional constipation.
The typical Miralax dosage is 17 g (one capful or packet) dissolved in 4 oz to 8 oz of a beverage and taken once daily as needed. Don’t give Miralax to children under age 17 without a healthcare professional’s OK.
Miralax is available OTC as a brand-name medication. But you can also find it as a lower-cost generic. GoodRx can help make your medication more affordable.
Irregular. Stopped-up. Clogged. No matter what you call it, constipation affects a lot of us. In the U.S., about 16% of adults have constipation symptoms. If you’re looking at over-the-counter (OTC) options for relief, you may be considering Miralax (polyethylene glycol 3350).
If you decide to try Miralax, it’s important to know exactly how much to take. Below, we cover everything you need to know about choosing the right Miralax dosage.
Miralax treats occasional constipation. It comes as a powder and can be dissolved in any beverage (hot, cold, or room temperature). You can buy Miralax as pre-measured, single-use packets or as a bottle of powder with a measuring cup in the cap.
The typical Miralax dosage for adults and adolescents age 17 and older is:
Dissolve 17 grams (one capful or one packet) in 4 oz to 8 oz of your preferred beverage.
Stir well to fully dissolve the powder, then drink.
Take once daily as needed for up to 7 days.
Miralax is considered a gentle laxative. It takes about 1 to 3 days to start working. Keep in mind that taking more Miralax than recommended won’t make it work faster. Miralax is only meant for occasional use when you take it without a healthcare professional’s guidance. Talk to your healthcare team if you need to take Miralax for longer than 7 days in a row.
Miralax is only FDA approved for people age 17 and older. However, many healthcare professionals prescribe it off-label for younger children. Talk with your child’s pediatrician before using Miralax for kids. They can help you choose the best laxative for your child.
If your child’s pediatrician recommends Miralax, be sure to clarify how much to give. You should also ask how long you should give it to them. There is no standard dosing for this age group.
Some health conditions may require dose changes, closer monitoring, or avoiding Miralax altogether. Check in with your healthcare team if you have any of the conditions below.
Our kidneys have the important job of balancing fluids and electrolytes in the body. Miralax works by keeping extra water in the intestines. But this shift in water can also cause a shift in electrolytes for people with kidney problems or kidney disease. Depending on your kidney function, your healthcare team may recommend more monitoring or a different laxative.
People with kidney problems might still be able to take Miralax at the standard dose. But it’s best to ask a healthcare professional before using it. The manufacturer of Miralax has not provided any standard dose adjustments for people with kidney problems. So your dose would be unique based on your specific situation.
Miralax shouldn’t be used if you have certain bowel conditions, including:
Bowel obstruction (current or previous)
Inflammatory bowel disease (IBD)
A perforated bowel (a hole in the bowel wall)
When does Miralax start working? Get the answer to this and other frequently asked questions about Miralax.
What to expect: Learn about common and rare Miralax side effects, as well as how to manage them.
What to drink for constipation: Read about the best drinks that can relieve constipation, plus which ones to avoid.
A bowel obstruction (blocked intestine) includes symptoms like nausea, vomiting, or abdominal pain along with constipation. Call your healthcare team for next steps if you’re experiencing these symptoms, especially if they’re severe.
If you need to thicken liquids to prevent choking, you can still take Miralax. But you need to pay attention to what’s in your thickener. Although Miralax can be dissolved in most beverages, it interacts with starch-based thickeners and can prevent them from working.
If you need to use Miralax with a thickening agent, use thickeners containing xanthan gum instead of starch. If these thickeners aren’t an option for you, discuss alternative constipation medications with your healthcare team.
Miralax is generally taken once a day as needed. If you forget a dose, you can either skip it or take it later that day. But don’t take extra Miralax to make up for missed doses.
The biggest risk of taking too much Miralax is diarrhea. And diarrhea can lead to dehydration. Keep in mind that it can take up to 3 days to have a bowel movement after taking Miralax. So it’s important to be patient and give it enough time to work. Talk to your healthcare team if Miralax doesn’t seem to be working at the standard dose, or if you need to take it daily for longer than 7 days.
There are ways to save on Miralax, which is available as both a brand-name and generic medication. By having a healthcare professional write a prescription for OTC Miralax, GoodRx can help you save over 90% off the average retail price. Generic Miralax's price at certain pharmacies is less than $14.08 with a free GoodRx discount.
The typical Miralax dosage is 17 grams (1 capful or packet) once per day, for no more than 7 days in a row. You shouldn’t take Miralax more than once a day. If you feel like you need to take Miralax longer than 7 days, contact your healthcare team. They will likely want to evaluate you to make sure nothing more serious is going on.
You typically shouldn’t take a double dose of Miralax unless a healthcare professional tells you to do so. Taking extra can lead to side effects. Common ones include diarrhea, nausea, and cramping.
Miralax is sometimes used to prepare for a colonoscopy. In this case, you’ll consume a very large amount of the laxative over several hours. But you shouldn’t take Miralax this way if you’re using it for occasional constipation relief.
If you’re self-treating constipation with Miralax, you shouldn’t take it every day long term. If your constipation doesn’t improve after taking it for 7 days, contact your healthcare team. Long-lasting constipation can be a symptom of other problems.
A healthcare professional may recommend you take Miralax longer than 7 days. Studies suggest long-term use is safe for chronic constipation. But you should only do this with your healthcare team’s OK.
You can take Miralax at any time of day, with or without food. Just make sure you’re only taking one dose per day. Miralax is a gentle laxative that takes 1 to 3 days to start working.
Miralax (polyethylene glycol 3350) is an over-the-counter laxative. It can be helpful for occasional constipation in adults and adolescents age 17 and older. The typical Miralax dosage is 17 gm (1 capful or packet) mixed with 4 oz to 8 oz of fluid once per day. Don’t use this laxative for longer than 7 days without a healthcare professional’s OK. If you have kidney problems or trouble swallowing liquids, talk to a healthcare professional before trying Miralax.
MedlinePlus. (2016). Polyethylene glycol 3350.
Menees, S. B., et al. (2022). Polyethylene glycol 3350 in the treatment of chronic idiopathic constipation: Post hoc analysis using FDA endpoints. Canadian Journal of Gastroenterology and Hepatology.
National Institute of Diabetes and Digestive and Kidney Diseases. (2018). Definition & facts for constipation.
National Kidney Foundation. (2024). Kidney function.
National Kidney Foundation. (n.d.). Tests to measure kidney function, damage and detect abnormalities.
Patel, S., et al. (2019). The swallowing characteristics of thickeners, jellies, and yoghurt observed using an in vitro model. Dysphagia.
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