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10 Best Laxatives For Severe Constipation 2026 in the United States

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#1

Winner

MiraLAX Laxative Powder, Gentle Constipation Relief for Adults, Stool Softener with PEG 3350, Nonstimulant Laxative, No Harsh Side Effects, Osmotic Laxative, 45 Dose

Rating
10.0
Chosen by1,196
Duration of Use

Most important from
40352 reviews

Duration of Use
It works wonders and is gentle, making it suitable for regular use.

MiraLAX Gentle Constipation Relief is an osmotic laxative powder designed for individuals facing severe constipation. One of its main strengths is how it works naturally with the water in your body to hydrate and soften stools, making bowel movements easier without the harsh side effects often associated with stimulant laxatives. Users can expect results within 1 to 3 days, which is a reasonable timeframe for relief.

Physician recommendations back MiraLAX, having been the #1 OTC laxative brand since its launch in 2007. This level of trust may give users confidence in its effectiveness. Additionally, the product is free from gluten, sugar, and preservatives, making it a suitable choice for those with dietary restrictions.

On the downside, while the gentle action of MiraLAX is a plus, it may not provide immediate relief for individuals who need quicker results, as other types of laxatives may work faster. The powder must be dissolved in a beverage, which could be inconvenient for some users who prefer more straightforward forms of laxatives.

Rating
10.0
Chosen by1,196
Duration of Use

Most important from
40352 reviews

Duration of Use
It works wonders and is gentle, making it suitable for regular use.
#2

MiraFAST Soft Chews, from The Makers of MiraLAX, Gentle Constipation Relief, Fast Acting Laxative, Stimulant Free Saline Laxative, Magnesium Hydroxide, Blueberry & Raspberry Flavor, 60ct

Rating
10.0
Type of Laxative
Onset of Action
Duration of Use

Most important from
4329 reviews

Type of Laxative
Provides gentle relief from severe constipation without causing cramping or diarrhea.
Onset of Action
Works faster than traditional powder laxatives, often taking effect within a couple of hours.
Duration of Use
Ideal for occasional use to supplement regular laxative routines, especially during travel or acute constipation.
Side Effects
Provides gentle relief from severe constipation without causing cramping or diarrhea.
Underlying Health Conditions
Contains sugar and some ingredients that might not suit all users looking for a cleaner formula.

MiraFAST Soft Chews are a saline laxative designed to relieve constipation relatively quickly, usually within 30 minutes to 6 hours. They contain magnesium hydroxide, which works by drawing water into the intestines to soften stools, making it easier to pass without causing the cramps some stimulant laxatives might bring. These soft chews come in kid-friendly blueberry and raspberry flavors and are suitable for ages 4 and up, which makes them convenient for family use. Because they are stimulant-free, they tend to be gentler on the digestive system.

The product is easy to carry around, fitting well into a busy lifestyle or travel plans. However, saline laxatives like MiraFAST are generally meant for short-term use and might not be suitable for people with certain health conditions like kidney problems or severe dehydration, so it's important to check with a doctor before use if you have underlying health concerns. While effective and fast-acting, frequent or long-term use isn't recommended as it can lead to electrolyte imbalances.

MiraFAST Soft Chews provide a reliable, quick, and gentle option for those needing fast relief from occasional severe constipation without the harsher side effects of stimulant laxatives.

Rating
10.0
Type of Laxative
Onset of Action
Duration of Use

Most important from
4329 reviews

Type of Laxative
Provides gentle relief from severe constipation without causing cramping or diarrhea.
Onset of Action
Works faster than traditional powder laxatives, often taking effect within a couple of hours.
Duration of Use
Ideal for occasional use to supplement regular laxative routines, especially during travel or acute constipation.
Side Effects
Provides gentle relief from severe constipation without causing cramping or diarrhea.
Underlying Health Conditions
Contains sugar and some ingredients that might not suit all users looking for a cleaner formula.
#3

GenCare - Maximum Strength Senna Laxative 25mg (100 Tablets) - Gentle Constipation Relief Sennosides USP Stimulant Laxatives Digestion Pills - Natural Overnight Relief while You Sleep - Generic Ex Lax

Rating
8.5
Onset of Action
Duration of Use
Side Effects

Most important from
1146 reviews

Onset of Action
Delivers fast relief and works quickly, making it ideal for overnight use.
Duration of Use
Offers excellent value with an affordable price and large tablet count, especially beneficial for daily use.
Side Effects
Provides strong effectiveness, sometimes requiring caution for sensitive systems as advised by healthcare professionals.
Underlying Health Conditions
Gentle on the stomach despite being a stimulant laxative, suitable for individuals with slow intestinal motility.

GenCare Maximum Strength Senna Laxative offers a powerful dose of 25mg sennosides, a natural stimulant derived from senna leaves, designed for overnight relief from occasional severe constipation. Its natural approach gently encourages bowel movements by activating the intestines, usually within 6 to 12 hours, making it convenient to take before bedtime. This laxative can be effective for adults and children over 6, and it also helps ease gas and bloating linked with constipation.

Compared to brand-name options like Ex-Lax, it provides similar active ingredients at a more affordable price with a generous count of 100 tablets per bottle. However, as a stimulant laxative, it should not be used for extended periods without medical advice because prolonged use can lead to dependence or worsen bowel function. Some people might experience mild cramping or discomfort despite its claim of gentle action.

Those with certain health conditions, such as intestinal blockages, inflammatory bowel disease, or those who are pregnant, should consult a healthcare professional before use. This product is suitable for individuals seeking quick, natural relief from severe constipation episodes but is not ideal for long-term daily use or those with underlying health risks without doctor guidance.

Rating
8.5
Onset of Action
Duration of Use
Side Effects

Most important from
1146 reviews

Onset of Action
Delivers fast relief and works quickly, making it ideal for overnight use.
Duration of Use
Offers excellent value with an affordable price and large tablet count, especially beneficial for daily use.
Side Effects
Provides strong effectiveness, sometimes requiring caution for sensitive systems as advised by healthcare professionals.
Underlying Health Conditions
Gentle on the stomach despite being a stimulant laxative, suitable for individuals with slow intestinal motility.

Buying Guide for the Best Laxatives For Severe Constipation

Choosing the right laxative for severe constipation can be crucial for your health and comfort. It's important to understand the different types of laxatives available and how they work, as well as considering your specific needs and any underlying health conditions. Always consult with a healthcare professional before starting any new medication, including laxatives, to ensure it is safe and appropriate for your situation.
Type of LaxativeLaxatives come in various types, including bulk-forming, stimulant, osmotic, and stool softeners. Bulk-forming laxatives add fiber to your stool, making it easier to pass. Stimulant laxatives trigger the muscles of the intestines to contract, moving the stool along. Osmotic laxatives draw water into the intestines, softening the stool and making it easier to pass. Stool softeners add moisture to the stool to prevent straining. The type you choose should be based on your specific symptoms and how your body responds to different treatments. For severe constipation, stimulant or osmotic laxatives are often more effective.
Onset of ActionThe onset of action refers to how quickly the laxative takes effect. Some laxatives work within a few hours, while others may take a day or more. If you need immediate relief, a stimulant laxative might be the best choice as they typically work within 6 to 12 hours. Osmotic laxatives can take 1 to 3 days to work, making them a better option for ongoing management rather than immediate relief. Consider how quickly you need relief when choosing a laxative.
Duration of UseSome laxatives are intended for short-term use, while others can be used longer-term. Stimulant laxatives are generally recommended for short-term use due to the risk of dependency and potential for bowel damage with prolonged use. Bulk-forming and osmotic laxatives can often be used longer-term under medical supervision. If you have chronic constipation, a bulk-forming or osmotic laxative might be more appropriate for ongoing management.
Side EffectsDifferent laxatives come with different potential side effects. Stimulant laxatives can cause cramping and diarrhea, while osmotic laxatives might lead to bloating and gas. Bulk-forming laxatives can cause bloating and increased gas if not taken with enough water. Stool softeners generally have fewer side effects but may not be as effective for severe constipation. Consider your tolerance for potential side effects and discuss any concerns with your healthcare provider.
Underlying Health ConditionsCertain health conditions can influence which laxative is best for you. For example, if you have kidney disease, you should avoid certain osmotic laxatives that contain magnesium or phosphate. If you have a bowel obstruction or inflammatory bowel disease, some types of laxatives may be contraindicated. Always discuss your full medical history with your healthcare provider to ensure you choose a safe and effective laxative.

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