TherapyDosage
Oral
Osmotics
Polyethylene glycol 3350 (Miralax)*1.5 g per kg per day
Polyethylene glycol solution (Golytely)*25 mL per kg per hour via nasogastric lavage
Magnesium citrate< 6 years: 2 to 4 mL per kg per day
6 to 12 years of age: 100 to 150 mL per day
> 12 years: 150 to 300 mL per day
Stimulants
Senna (Senokot)2 to 6 years of age: 2.5 to 7.5 mL (8.8 mg per 5 mL); ½ to 1 ½ tablets (8.6 mg per tablet) per day
6 to 12 years of age: 5 to 15 mL; 1 to 2 tablets per day
Bisacodyl (Dulcolax)≥ 2 years: 5 to 15 mg (1 to 3 tablets) per day in a single dose
Lubricants
Mineral oil15 to 30 mL per year of age per day
Rectal agents
Enemas (one per day)
Saline5 to 10 mL per kg
Mineral oil15 to 30 mL per year of age up to 240 mL
Phosphate soda2 to 12 years of age: 66-mL enema (should not to be used in children < 2 years because of the risk of electrolyte abnormality)
> 12 years: 133 mL
Suppository (one per day)
Bisacodyl≥ 2 years: 5 to 10 mg (½ to 1 suppository)
Glycerin*½ to 1 infant suppository; adult suppository for those older than 6 years
Other
Manual (used rarely; general anesthesia needed)