Movicol Sachets 20

Movicol is macrogol 3350 with balanced electrolytes, and it sits at the top of modern constipation guidelines for a reason. The macrogol molecule binds water and carries it through to the stool, softening and bulking it without net loss of body fluid or salts, without stimulating the bowel wall, and without anything being absorbed. Head-to-head trials show it works more reliably than lactulose with less bloating, it does not create dependence, and it is suitable for weeks-long courses that genuinely re-establish a normal rhythm rather than forcing one-off evacuations. The 20-sachet pack is the course size, matching the guideline pattern of using macrogol daily for as long as it takes to re-establish rhythm.

If constipation keeps returning, the answer is not a harsher stimulant but the laxative with the best evidence of safely working for as long as it takes. This is the one NICE and Cochrane put first, and the one hospitals use when it truly matters. It is also the laxative that rehabilitates: weeks of soft, unforced rhythm retrain the habit that harsh one-off purges keep breaking.