Medication-induced constipation Quiz: Ace Your Exams
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A 43-year-old woman is seen in the primary care clinic for an annual visit. The patient had a tooth removed four days ago due to infection and has been on amoxicillin-clavulanate since then. The patient has also been prescribed 5 mg tablets of hydrocodone-acetaminophen and has taken two doses per day for the past two days. Past medical history is significant for diabetes mellitus, mild gastroesophageal reflux symptoms, and iron deficiency anemia secondary to heavy periods. Current medications include metformin, ferrous sulfate, and as-needed magnesium hydroxide for reflux symptoms. The patient otherwise feels well. She mentions that she has not had a bowel movement in six days which is abnormal for her. Which of the following medications is the most likely cause of this patient’s decreased frequency of bowel movements?
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