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docusate

docusate

Brand names: Colace

Form	Strength
CAPSULE, ORAL	sodium 100 mg
LIQUID, ORAL	10 mg/mL

Display Cathartics and Laxatives Class: 561200

Medication comments:

Recommendations Update July 8, 2016: CDC continues to work with FDA, health departments and multiple healthcare facilities to investigate a multi-state outbreak of infections caused by Burkholderia cepacia complex (also known as “B. cepacia complex”). At this time, CDC continues to recommend that clinicians not use any liquid docusate product as a stool softener or for any other medical purpose. This recommendation is now expanded to all patient populations. If an oral liquid docusate stool softener is medically necessary, alternative medicines should be used.

Hierarchy in guiding laxative use
1. Docusate
2. Miralax if docusate ineffective
3. Dulcolax PO if Miralax ineffective; Dulcolax PR if patient unable to tolerate PO
4. Milk of magnesia if Dulcolax ineffective
5. Mag citrate if Milk of Magnesia ineffective
6. Fleets Enema if Mag citrate ineffective

Per policy, orders for these non-formulary agents will be changed to formulary equivalents.
Non-Formulary Agent	Formulary Equivalent
docusate (Colace) 50 mg	docusate (Colace) 100 mg
docusate (Surfak)	docusate (Colace) 100 mg

Per policy, these hazardous drugs have special waste requirements.
Generic (Brand)	Waste Requirements
docusate (Colace)	Liquid contains alcohol ⇒ BLACK BUCKET

Last updated: Apr. 17, 2024

Hazardous Waste BLACK BUCKET

Pharmacy Contact Info:

Main Inpatient Pharmacy: ext 4599, 3503
Fax: 704-878-7283

Director of Pharmacy - Randi Raynor, PharmD: ext 4501
Clinical Coordinator - Laura Rollings, PharmD: ext 4597
Pharmacy Informaticist - Stephen Pringle, PharmD: ext 7645
Pharmacy Technician Supervisor - Amy Wingler, CPhT: ext 7385
Pharmacy Automation Coordinator (Omnicell) - Melissa Fulford, CPhT: ext 3556

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While others may view accessible pages, Iredell Memorial Hospital makes no warranty, express or implied,
as to the use of this information outside of Iredell Memorial Hospital.
The content of this policy and procedure document serves as guidance to the delivery of quality patient care.
Care providers are expected to exercise critical thinking and situational awareness skills,
and in specific situations to take such action as is necessary for the delivery of quality patient care.