Best treatments for constipation
8 products may treat constipation, spanning FDA drug classes such as guanylate cyclase-c agonist, osmotic laxative, chloride channel activator. The current highest-rated option is linzess. Ranked below by our independent recall-safety rating (rated where FDA data exists) — not medical advice; always consult a professional.
Quick answer: Of the 8 drugs we list for constipation, 3 are available as lower-cost generics, spanning classes such as guanylate cyclase-c agonist, osmotic laxative, chloride channel activator. They’re ranked by each drug’s FDA recall-safety record — not clinical effectiveness for constipation — so confirm the right choice with your prescriber.
New to this? See the plain-language over-the-counter & self-care guide →
Understanding constipation
Constipation is a common condition, generally defined as having fewer than three bowel movements a week. According to the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), it can also involve stools that are hard, dry, or lumpy, stools that are difficult or painful to pass, and a feeling that not all stool has passed. Common contributors include not eating enough fiber, not drinking enough liquids, not getting enough physical activity, ignoring the urge to have a bowel movement, pregnancy, getting older, travel, and certain medicines. It can also occur alongside conditions such as hypothyroidism, diabetes, celiac disease, or disorders affecting the brain and spine, including Parkinson's disease. Clinicians assess constipation using a medical and family history, a physical exam that may include a rectal exam, and, when needed, tests such as blood or stool tests, colonoscopy, colorectal transit studies, or anorectal manometry. Management usually starts with diet, fluids, and physical activity, adding laxatives or prescription medicines when needed. This is general information, not medical advice.
First-line treatment
In the joint American Gastroenterological Association (AGA) and American College of Gastroenterology (ACG) guideline on chronic idiopathic constipation, nonpharmacological therapies such as dietary changes (increased fluids and fiber) and behavioral changes like exercise often represent the initial steps in management. Among over-the-counter options, the guideline strongly recommends the osmotic laxative polyethylene glycol (PEG), a strong recommendation with moderate certainty of evidence. Fiber supplementation is suggested as a conditional recommendation based on low-certainty evidence. Stimulant laxatives such as bisacodyl are strongly recommended for short-term or rescue use. Among prescription medicines, linaclotide, plecanatide, and prucalopride carry strong recommendations, while lubiprostone is a conditional recommendation. A clinician individualizes the approach based on the person's symptoms, preferences, cost, and other health conditions.
Top-rated picks for constipation: 1. Linzess · 2. Lactulose · 3. Amitiza
| # | Drug | Rating | Type | Form | Class | Generic? | Pharmacy pays | |
|---|---|---|---|---|---|---|---|---|
| 1 | 70/100 | Prescription | Capsule | Guanylate Cyclase-C Agonist | No data | — | View → | |
| 2 | 68/100 | Prescription | Solution | Osmotic Laxative | Generic | $1 | View → | |
| 3 | Not yet rated | Prescription | Capsule | Chloride Channel Activator | Generic | $21 | View → | |
| 4 | Not yet rated | Prescription | Tablet | Serotonin-4 Receptor Agonist | Generic | $21 | View → | |
| 5 | Not yet rated | Prescription | Injectable | Opioid Antagonist | No data | — | View → | |
| 6 | Not yet rated | Prescription | Irrigant | — | No data | — | View → | |
| 7 | Not yet rated | Prescription | Tablet | Opioid Antagonist | No data | — | View → | |
| 8 | Not yet rated | Prescription | Tablet | — | No data | — | View → |
Narrow by drug class
Explore the class hubs: opioid antagonist
Full ranking · 8 treatments
linzess
Boxed warningPrescriptionFDA-sourced
Linzess (Linaclotide) is a guanylate cyclase-c agonist used to treat Constipation, Irritable Bowel Syndrome.
Price varies
lactulose
PrescriptionFDA-sourced
Lactulose is an osmotic laxative used to treat Constipation, Hepatic Encephalopathy.
Pharmacy pays
From ~$0.59/30· 4 formsamitiza
PrescriptionFDA-sourced
Amitiza (Lubiprostone) is a chloride channel activator used to treat Constipation, Irritable Bowel Syndrome.
Pharmacy pays
From ~$20.22/30· 2 formsmotegrity
PrescriptionFDA-sourced
Motegrity (Prucalopride Succinate) is a serotonin-4 receptor agonist used to treat Constipation.
Pharmacy pays
From ~$20.42/30· 2 formsrelistor
PrescriptionFDA-sourced
Relistor (Methylnaltrexone Bromide) is an opioid antagonist used to treat Constipation.
Price varies
sorbitol 3% in plastic container
PrescriptionFDA-sourced
Sorbitol 3% in Plastic Container (Sorbitol) is a medication used to treat Constipation, Poisoning.
Price varies
Frequently asked
- What treats constipation?
- Our catalog lists 8 products that may treat constipation, based on NIH RxClass (MED-RT “may treat”) drug-classification data — not the verbatim FDA label. They're rated where FDA recall-safety data exists; the current top-rated option is linzess.
- What is the best-rated treatment for constipation?
- By our independent recall-safety rating — not an efficacy measure — linzess ranks highest among the products we list for constipation. Always consult a professional.
- How are these treatments ranked?
- By our independent score, currently based on FDA regulatory recall-safety data (the methodology blends additional sources as they come online). See the How we rate page.
- What types of drugs treat constipation?
- Treatments for constipation span FDA drug classes including guanylate cyclase-c agonist, osmotic laxative, chloride channel activator, serotonin-4 receptor agonist, opioid antagonist. Compare every option side by side, ranked by independent rating, above.
Treatment associations are derived from NIH RxClass (MED-RT “may treat”) drug-classification data — not the verbatim FDA label. This is general reference, not medical advice — always consult a licensed professional.
Sources
The clinical overview above is written from these authoritative public-health and medical-society sources, independently reviewed against each.
- Symptoms & Causes of Constipation, NIDDK (National Institute of Diabetes and Digestive and Kidney Diseases) ↗
- Diagnosis of Constipation, NIDDK ↗
- Treatment for Constipation, NIDDK ↗
- ACG and AGA Guideline on Chronic Constipation Management (press release on the AGA-ACG Clinical Practice Guideline), American Gastroenterological Association ↗
- Constipation, MedlinePlus (U.S. National Library of Medicine) ↗