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If constipation develops, discuss appropriate laxative options with your healthcare provider

If you like when clinics show all their cards, Ivy Rx keeps a few close to the chest

If you develop a persistent, unexplained change in bowel habit particularly if you are aged 40 or over or have other risk factors your GP may wish to assess you in line with NICE guidance on suspected cancer (NG12), which sets out referral thresholds for persistent bowel changes

This includes selecting appropriate starting doses, adjusting gradually, and scheduling follow-ups to monitor side effects or progress

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Never assume that clear appearance means the medication is safe