- Senna is a stimulant laxative (Q). It acts by stimulating the enteric nerves to increase peristalsis, promoting bowel movements.
- Lactulose is an osmotic purgative (P). It draws water into the colon, softening stools and increasing bowel movement frequency.
- Lubiprostone causes fecal softening (R) by activating chloride channels in the intestinal epithelium, increasing fluid secretion into the bowel.
- Prucalopride is a selective 5-HT₄ receptor agonist (S) that enhances colonic motility by stimulating serotonin receptors.
This classification aligns with the pharmacological mechanisms of these laxatives used in clinical practice.