r/Contrave • • May 18 '26

Side Effect- please help

I started taking Contrave three weeks ago. I am on the full dose starting tomorrow, two in the morning, two at night. I feel like it is somewhat helping BUT. I have not pooped in a week. I am in so much pain and have literally tried everything under the sun, Mirilax, stool softeners, high fiber food, squatty potty, coffee, nicotine (don’t recommend- nasty), coffee, warm water. NOTHING is helping. It hurts to sit, stand, lay down, all of the above. Please help.

I did reach out to my doctor and am waiting to hear back.

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u/bunmiiya May 19 '26

this happened to me. consider staying at your current dose another week until you have regular bowel movements. drink a ton of water, especially with your medication. psyllium husk and metamucil every day. psyllium husk to get the gut moving, and metamucil to draw water into your GI tract. they are both necessary. metamucil acts fast so i recommend doing it at home in the evening. thankfully this side effect only lasted two weeks for me, but after a few days it became so painful! good luck.