If dietary and lifestyle changes fail to control constipation in pregnancy and lactation, moderate doses of poorly absorbed laxatives may be used. A bulk-forming laxative should be tried first. An osmotic laxative, such as lactulose, can also be used. No effect during pregnancy and lactation are anticipated since the systemic exposure to lactulose is negligible. The use of lactulose may be considered during pregnancy and lactation if necessary.
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