Table 1: Principal groups of drugs which cause constipation [8].
Drugs Constipation mechanism
Opioid analgesics
Inhibition of peristalsis which prolong intestinal transit, causing increased absorption of water and electrolytes and lower response of defection.
Antidepressive Especially tricyclic antidepressants, due to anticholinergic effects.
Antimicrobial Peripheral neuropathies.
Antiparkinson Anticholinergic effects.
Antiepileptic Anticholinergic and dopaminergic effects.
Antineoplastic Peripheral neuropathies. (In few times can change intestinal innervation).
Antipsychotic Anticholinergic effects.
Antihypertensive Reducing smooth muscle contractility.