MACROGOL ORAL POWDER, COMPOUND

Clinical Indication

Constipation - Osmotic Laxative

Comments

Cost of brand varies according to setting.
Primary Care: Laxido is currently the first line brand in primary care for adults. Use Laxido paediatric in children. Brand prescribing is preferred in primary care as lower cost than generic.
Secondary care: Movicol is currently the brand of choice.
Macrogol oral powder compound is more costly than lactulose at usual starting doses so review regularly, chronic use may only require one sachet on alternate days.

Date of classification

September 2025

Green

Medicines which could be started in any health care setting and do not require oversight by a specialist and which primary care would have full responsibility for prescribing and monitoring.