What is Colace and how does it work. What are the side effects of using Colace. How to use Colace safely and effectively. When should you consult a doctor about constipation. What are the alternatives to Colace for treating constipation.

Understanding Colace: Purpose and Mechanism of Action

Colace, known generically as docusate, is a widely used stool softener designed to alleviate constipation and facilitate easier bowel movements. This medication works by increasing the amount of water the stool absorbs in the intestines, resulting in softer, more easily passable stools.

How does Colace differ from other laxatives? Unlike stimulant laxatives that induce intestinal contractions, Colace acts as a surfactant, allowing water and fats to penetrate the stool. This gentle approach makes it suitable for various situations where straining during bowel movements needs to be avoided.

Primary Uses of Colace

• Treating occasional constipation
• Preventing constipation in certain medical conditions
• Reducing pain or rectal damage caused by hard stools
• Facilitating bowel movements after surgery

Are there any secondary uses for Colace? Some healthcare providers may recommend Colace to empty the bowels before certain diagnostic procedures, such as X-rays of the stomach. However, it’s crucial to follow medical advice for such specific uses.

Proper Usage and Dosage Guidelines for Colace

Adhering to proper usage guidelines is essential for maximizing the benefits of Colace while minimizing potential risks. The medication is available in various forms, including capsules, liquid, and enemas, each with specific administration instructions.

General Dosage Instructions

1. Take Colace with a full glass of water
2. Maintain adequate fluid intake throughout the day
3. Follow the dosage instructions on the label or as prescribed by your doctor
4. Do not exceed the recommended dosage or duration of use

How long does it take for Colace to work? The onset of action varies depending on the form of Colace used. Liquid and capsule forms typically take 1-2 days to produce effects, while enemas may work within 20 minutes.

Is it safe to use Colace long-term? Colace is generally recommended for short-term use. If constipation persists beyond one week of use, it’s advisable to consult a healthcare provider for further evaluation.

Potential Side Effects and Precautions

While Colace is generally well-tolerated, like all medications, it can cause side effects in some individuals. Understanding these potential effects and taking necessary precautions can help ensure safe and effective use.

Common Side Effects

• Mild stomach cramps
• Nausea
• Diarrhea
• Throat irritation (with liquid form)

Can Colace cause allergic reactions? Although rare, allergic reactions to Colace can occur. Symptoms may include hives, difficulty breathing, or swelling of the face, lips, tongue, or throat. Seek immediate medical attention if these symptoms occur.

Precautions and Contraindications

Certain conditions and factors may necessitate caution or avoidance of Colace use:

• Intestinal blockage
• Severe abdominal pain
• Nausea or vomiting
• Sudden changes in bowel habits lasting more than two weeks
• Pregnancy or breastfeeding (consult a healthcare provider)

Should Colace be used with mineral oil? Concurrent use of Colace and mineral oil is generally not recommended unless specifically advised by a healthcare provider, as it may affect the absorption of the mineral oil.

Colace During Pregnancy and Breastfeeding

The safety of Colace during pregnancy and breastfeeding is a common concern for many women experiencing constipation. While Colace is generally considered low-risk, it’s crucial to consult a healthcare provider before use in these situations.

Pregnancy Considerations

Limited studies have not shown an increased risk of birth defects with Colace use during pregnancy. However, as with any medication during pregnancy, it should only be used when clearly needed and under medical supervision.

Breastfeeding Considerations

Small amounts of docusate may pass into breast milk, but significant adverse effects on breastfed infants have not been reported. Nonetheless, breastfeeding mothers should consult their healthcare provider before using Colace.

Are there safer alternatives for constipation relief during pregnancy and breastfeeding? Lifestyle changes such as increased fluid intake, dietary fiber, and gentle exercise are often recommended as first-line treatments for constipation in pregnant and breastfeeding women.

Interactions with Other Medications and Substances

Understanding potential interactions between Colace and other medications or substances is crucial for safe and effective use. While Colace has relatively few known interactions, certain precautions should be observed.

Medication Interactions

• Mineral oil: Avoid concurrent use unless directed by a healthcare provider
• Other laxatives: May increase the risk of electrolyte imbalances or dehydration
• Certain heart medications: Consult a healthcare provider if taking digitalis or other cardiac glycosides

Can Colace affect the absorption of other medications? While not common, there’s a theoretical possibility that Colace could affect the absorption of some medications. It’s advisable to separate the administration of Colace from other medications by at least 2 hours.

Food and Lifestyle Interactions

Colace does not have significant interactions with food. However, maintaining a healthy diet and lifestyle can enhance its effectiveness:

• Increase fluid intake, especially water
• Consume a diet rich in fiber
• Engage in regular physical activity

Does alcohol consumption affect Colace’s effectiveness? While there are no direct interactions between Colace and alcohol, excessive alcohol consumption can contribute to dehydration, potentially exacerbating constipation.

When to Seek Medical Attention

While Colace is generally safe for short-term use, certain situations warrant immediate medical attention. Recognizing these signs can help prevent potential complications and ensure appropriate care.

Warning Signs

• Rectal bleeding
• Severe abdominal pain
• No bowel movement after using Colace for several days
• Symptoms of allergic reaction (hives, difficulty breathing, swelling)
• Persistent constipation lasting more than one week despite Colace use

How can you differentiate between normal side effects and serious complications? Normal side effects of Colace are typically mild and transient. Any severe or persistent symptoms, especially those listed above, should be evaluated by a healthcare provider promptly.

Long-term Constipation Concerns

Chronic constipation may indicate an underlying health issue. Consult a healthcare provider if:

• Constipation persists despite lifestyle changes and over-the-counter remedies
• There’s a sudden change in bowel habits
• Constipation is accompanied by unexplained weight loss or fatigue

What diagnostic tests might be recommended for chronic constipation? Depending on the individual case, a healthcare provider might recommend blood tests, imaging studies, or colonoscopy to investigate persistent constipation.

Alternatives to Colace for Constipation Relief

While Colace is an effective option for many individuals, it’s not the only solution for constipation. Understanding alternative approaches can help in managing constipation more comprehensively.

Lifestyle Modifications

• Increase dietary fiber intake
• Stay well-hydrated
• Engage in regular physical activity
• Establish a consistent bathroom routine

How much fiber is recommended for constipation prevention? The general recommendation is 25-30 grams of fiber daily for adults. This can be achieved through a combination of high-fiber foods and, if necessary, fiber supplements.

Other Over-the-Counter Options

• Bulk-forming laxatives (e.g., psyllium)
• Osmotic laxatives (e.g., polyethylene glycol)
• Stimulant laxatives (for short-term use only)
• Lubricant laxatives (e.g., mineral oil)

Which type of laxative is most suitable for different situations? The choice depends on individual factors such as the cause of constipation, overall health status, and personal preferences. Consulting a healthcare provider can help determine the most appropriate option.

Natural Remedies

Some individuals prefer natural approaches to constipation relief:

• Probiotic foods or supplements
• Herbal teas (e.g., senna, cascara)
• Magnesium supplements
• Abdominal massage

Are natural remedies as effective as pharmaceutical options? The effectiveness of natural remedies can vary widely between individuals. While some may find relief with these methods, others may require more conventional treatments. It’s important to approach natural remedies with caution and consult a healthcare provider, especially if using them alongside other medications.

Colace (Docusate Oral/Rectal) – Side Effects, Interactions, Uses, Dosage, Warnings

uses

What is Colace (Docusate Oral/Rectal) used for?

• Constipation

warnings

What is the most important information I should know about Colace (Docusate Oral/Rectal)?

You should not use docusate if you are allergic to it.

Ask a doctor or pharmacist if this medicine is safe to use if you have:

• stomach pain;
• nausea;
• vomiting; or
• a sudden change in bowel habits that lasts over 2 weeks.

Ask a doctor before using this medicine if you are pregnant or breastfeeding.

Do not give this medicine to a child without medical advice.

Side Effects

What are the side effects of Colace (Docusate Oral/Rectal)?

Get emergency medical help if you have signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat.

Stop using docusate and call your doctor at once if:

• you have rectal bleeding;
• no bowel movement occurs after using a laxative;
• you need to use a stool softener for more than 1 week; or
• rash occurs.

Less serious side effects may be more likely, and you may have none at all.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Pregnancy & Breastfeeding

Can I take Colace (Docusate Oral/Rectal) if I’m pregnant or breastfeeding?

Ask a doctor before using this medicine if you are pregnant or breastfeeding.

Interactions

What drugs and food should I avoid while taking Colace (Docusate Oral/Rectal)?

Avoid using mineral oil, unless told to do so by a doctor.

Dosage Guidelines & Tips

How to take Colace (Docusate Oral/Rectal)?

Use Colace (Docusate Oral/Rectal) exactly as directed on the label, or as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended.

What should I do if I missed a dose of Colace (Docusate Oral/Rectal)?

Since docusate is used when needed, you may not be on a dosing schedule. Skip any missed dose if it’s almost time for your next dose. Do not use two doses at one time.

Overdose Signs

What happens if I overdose on Colace (Docusate Oral/Rectal)?

If you think you or someone else may have overdosed on: Colace (Docusate Oral/Rectal),  call your doctor or the Poison Control center

(800) 222-1222

If someone collapses or isn’t breathing after taking Colace (Docusate Oral/Rectal), call 911

911

What to Expect

The liquid and capsule forms of docusate typically take about one to two days to work. Docusate enemas usually take effect within 20 minutes.

It’s best to use this medicine only for short periods of time. Let your doctor know if you’re still constipated after one week.

Secondary Uses

Your doctor may recommend docusate for other uses. For example, it’s sometimes given to empty the bowels before an X-ray of the stomach.

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Colace: Side Effects, Uses, & Dosage

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Generic name: docusate [ DOK-ue-sate ]
Drug class: Laxatives

Medically reviewed by Philip Thornton, DipPharm. Last updated on Mar 3, 2022.

What is Colace?

Colace is a stool softener. It makes bowel movements softer and easier to pass.

Colace is used to treat or prevent occasional constipation, and to reduce pain or rectal damage caused by hard stools or by straining during bowel movements.

Colace may also be used for purposes not listed in this medication guide.

Warnings

You should not use Colace if you have a blockage in your intestines.

Do not use Colace while you are sick with nausea, vomiting, or severe stomach pain.

You should not use docusate if you also use mineral oil, unless your doctor tells you to.

Before taking this medicine

You should not use Colace if you are allergic to docusate.

Ask a doctor or pharmacist if this medicine is safe to use if you have:

Ask a doctor before using this medicine if you are pregnant or breastfeeding.

Do not give this medicine to a child without medical advice.

How should I use Colace?

Use Colace exactly as directed on the label, or as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended.

Take this medicine with a full glass of water. Drink plenty of liquids while you are taking this medicine.

Read and carefully follow any Instructions for Use provided with your medicine. Ask your doctor or pharmacist if you do not understand these instructions.

Colace generally produces bowel movement in 12 to 72 hours. Call your doctor if your symptoms do not improve after 72 hours.

You should not use this medicine for longer than 1 week, unless your doctor tells you to. Call your doctor if your symptoms do not improve, or if you have not had a bowel movement within 1 to 3 days. Overuse of a stool softener can lead to serious medical problems.

Store at room temperature away from moisture, light, and heat. Do not freeze liquid medicine.

Dosing information

Usual Adult Dose for Constipation:

50 to 300 mg daily divided in 1 to 4 doses each day.

Usual Pediatric Dose for Constipation:

Less than 2 years: Check with your doctor.

2 to 12 years: 50 to 150 mg daily divided in 1 to 4 doses each day.

What happens if I miss a dose?

Since Colace is used when needed, you may not be on a dosing schedule. Skip any missed dose if it’s almost time for your next dose. Do not use two doses at one time.

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

What should I avoid while using Colace?

Avoid using mineral oil, unless told to do so by a doctor.

Colace side effects

Get emergency medical help if you have signs of an allergic reaction to Colace : hives; difficult breathing; swelling of your face, lips, tongue, or throat.

Stop using this medicine and call your doctor at once if:

• you have rectal bleeding;

• no bowel movement occurs after using a laxative;

• you need to use a stool softener for more than 1 week; or

• if a rash occurs.

Less serious Colace side effects may be more likely, and you may have none at all.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

What other drugs will affect Colace?

Other drugs may interact with docusate, including prescription and over-the-counter medicines, vitamins, and herbal products. Tell your doctor about all your current medicines and any medicine you start or stop using.

Popular FAQ

Any drug that is classified as an “opioid” can cause constipation. Examples of commonly prescribed opioids that may cause this side effect include morphine, tramadol, fentanyl, methadone, hydrocodone, codeine and oxycodone. Continue reading

More FAQ

• What is the maximum dosage for Colace stool softener at one time?

References

1. Colace Product Label

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Other brands

Dulcolax Stool Softener, DOK, Surfak, Doc-Q-Lace, . .. +2 more

Professional resources

• Prescribing Information

Other formulations

• Peri-Colace
• Colace Microenema

Related treatment guides

• Constipation

Further information

Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use Colace only for the indication prescribed.

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

Medical Disclaimer

Copyright 1996-2023 Cerner Multum, Inc. Version: 5.01.

top 12 rating according to KP

Constipation (which is what doctors officially call constipation) indicates problems in the gastrointestinal tract. If the process becomes chronic, then this is already a serious cause for concern. Obviously: it’s time to see a doctor, because the problem cannot be solved by auxiliary drugs alone.

Treatment of chronic constipation should be complex. It is necessary to change the lifestyle – increase physical activity, reconsider the nature of nutrition, accustom yourself to the optimal water regime, and, of course, choose medications together with the doctor.

To combat constipation, a number of drugs are used that help soften the intestinal contents and increase its volume, increase peristalsis and facilitate the process of defecation. Our top 12 best laxatives for colon cleansing combines remedies with different mechanisms of action. The rating includes syrups, tablets, capsules and powders for oral solution preparation. The drugs in the rating are divided into groups according to the active substance.

Top 12 ranking according to KP

Important! Any drugs and dietary supplements have side effects and contraindications. Our list is an overview and does not serve as a guide to action. Before using any drug, consult your doctor.

Lactulose products

Lactulose is a synthetic disaccharide that is not absorbed in the intestines, but serves as food for beneficial bacteria living there. These bacteria break down lactulose into lactic, formic and acetic acids, as a result, the contents of the intestine “acidify” and begin to attract water. This increases the osmotic pressure, the stool becomes softer, and the peristalsis of the colon increases ¹ . All this contributes to the gentle cleansing of the intestines.

But it is important to know that lactulose has a very low level of evidence.

Duphalac

Lactulose syrup at a dosage of 667 mg/ml is packaged in individual sachets. Each sachet contains 15 ml of the drug, in total there are 10 sachets in the package. But the manufacturer also offers other forms of release: bottles containing 200, 500 and 1000 ml of syrup. These packages come with a measuring cup.

The preparation is a viscous liquid which may be colorless, yellowish or yellow-brown. It has no smell, and the taste is slightly sweet due to the presence of sugars in the composition. “Duphalac” is indicated for use in constipation, hepatic encephalopathy and for softening stools for medical purposes. It is allowed to use during pregnancy and lactation, as well as in childhood.

Contraindications : galactosemia, galactose and fructose intolerance, individual hypersensitivity to the components, obstruction of the gastrointestinal tract, perforation of the digestive tract or the threat of its occurrence. A complete list of contraindications is in the instructions.

Pros and cons

is suitable for children, pregnant and lactating women.

high price in the segment.

Portalak

Lactulose clear viscous syrup is supplied in 500 ml vials. The syrup has a neutral smell and a sweetish taste. The active ingredient lactulose is an osmotic laxative that increases the volume of fluid in the intestines, helps soften the stool and improve peristalsis. The drug is used in the treatment of chronic constipation, for the treatment and prevention of hepatic encephalopathy, and for diseases that require relief from defecation.

Contraindications : intestinal obstruction, hypersensitivity to lactulose, suspected appendicitis, acute inflammation in the abdominal cavity, rectal bleeding not associated with hemorrhoids, glucose-galactose malabsorption and others. Use during pregnancy and lactation is possible only with the permission of a doctor.

Pros and cons

reasonable price; large bottle.

extensive list of contraindications; in the reviews there are complaints about too sweet taste.

Lactulose

Lactulose syrup appears as a viscous, clear liquid that varies in color from colorless to yellowish brown. Sometimes crystals are visible in the liquid, which dissolve when heated. Release form – individual sachets, which contain 15 ml of syrup. The drug can be used for the prevention and treatment of hepatic encephalopathy, chronic constipation and other diseases and conditions in which defecation is difficult.

Among contraindications indicated intestinal obstruction, individual intolerance to lactulose, suspicion of appendicitis, acute inflammatory diseases of the abdominal cavity, intolerance to galactose and fructose, lactase deficiency and others. Use in pregnant and lactating women is allowed only after consulting a doctor.

Pros and cons

convenient packaging; you can take with you, reasonable price.

many contraindications; may not be available for sale.

Macrogol Laxatives

Macrogol 4000 is an osmotic laxative that increases the water content of the intestinal lumen and thereby increases the volume and softens its contents. Macrogol is not absorbed into the blood and is excreted from the body unchanged. Due to this, preparations with macrogol practically do not have side effects ² .

Like lactulose, macrogol has a very low level of evidence.

Forlax

Macrogol laxative is intended for use in adults and children over 8 years of age and appears as a white powder with a slight citrus scent. The characteristic aroma of the preparation is given by orange and grapefruit oil and concentrated orange juice. A solution for oral administration is prepared from the powder. “Forlax” is used for the symptomatic treatment of constipation, and it is allowed for pregnant and lactating women.

The list of contraindications for includes: individual intolerance to components, total or partial intestinal obstruction or suspected of it, abdominal pain of unknown origin, toxic megacolon, Crohn’s disease and other serious inflammatory bowel diseases, perforation or risk of perforation of the gastrointestinal tract.

Pros and cons

pleasant smell; convenient packaging; availability in pharmacies.

tastes too sweet according to some users.

Lavacol

This drug is a white or off-white powder for oral solution. The composition includes macrogol and electrolytes, including sodium and potassium. Macrogol increases the volume of fluid in the intestines and facilitates defecation, while electrolytes maintain the composition of the blood plasma. The drug can be used for the symptomatic treatment of constipation and bowel cleansing before surgery and endoscopy.

Contraindications : general serious condition of the patient, individual sensitivity to the components, obstruction and obstruction of the gastrointestinal tract, malignant tumors of the colon, perforation of the gastrointestinal tract or the risk of its occurrence, toxic colitis or toxic megacolon and others. Pregnant and lactating women can use the drug after consulting a doctor.

Pros and cons

reasonable price; retail availability.

many contraindications.

Macrogol Lekas ​​

Macrogol laxative is a white powder that is used as an oral solution. The finished solution has a neutral smell and a sweetish taste. Indications for the use of the drug: symptomatic treatment of constipation and bowel cleansing before surgical and diagnostic interventions on the colon.

The contraindication list for includes idiosyncrasy, gastrointestinal obstruction, severe heart failure, dehydration, gastric ulcers, tumors or other conditions involving the colon mucosa, inflammatory bowel disease, and toxic megacolon associated with spastic stenosis. The entire list of contraindications is indicated in the instructions. Use during pregnancy and lactation – only with the permission of a doctor.

Pros and cons

inexpensive drug; convenient packaging.

many contraindications.

Laxatives with hay and sodium picosulfate

These drugs have a stimulating effect on the colonic mucosa, increasing the amount of water and electrolytes in the intestinal lumen. This activates peristalsis and accelerates the passage of feces from the lower gastrointestinal tract ³ . Please note that these drugs are not suitable for long-term use.

Picosulfate has moderate evidence and senna has low evidence.

Guttalax

Sodium picosulfate is available as oral drops. A 30 ml vial contains a clear, colorless or slightly yellowish viscous liquid. The drug is dosed in drops that can be mixed with water or taken in pure form.

“Guttalax” is intended for the treatment of constipation of various origins, including against the background of intestinal atony and hypotension, dysbacteriosis, after taking medications. It can be used for diseases of the gallbladder and irritable bowel syndrome, which are accompanied by constipation.

Contraindications : obstructive bowel disease, intestinal obstruction, intolerance to drug components, severe dehydration, abdominal pain with nausea and vomiting, acute inflammatory bowel disease and others.

Pros and cons

handy dispenser; economical consumption.

a large list of contraindications and possible side effects.

Senade

Herbal laxative contains dry extract of senna leaves. The active substance is able to irritate the receptors of the large intestine and thereby enhance its peristalsis. Tablets are recommended for constipation associated with atony and weak intestinal motility, as well as for regulating stool in certain diseases: hemorrhoids, proctitis, anal fissures.

Suitable for adults and children over 6 years of age, use with caution during pregnancy and lactation.

Contraindications : spastic constipation, abdominal pain of unknown origin, intestinal obstruction, peritonitis, strangulated hernia, cystitis, gastrointestinal and uterine bleeding, hypersensitivity to components, water and electrolyte imbalance.

Pros and cons

inexpensive drug; herbal ingredients.

long-term use may cause flatulence and abdominal pain.

Regulax Picosulfate

As the name implies, the drops contain sodium picosulfate, a laxative that has a stimulating effect on the colonic mucosa and causes the accumulation of water and electrolytes in it.

The drug facilitates defecation and is used to treat constipation associated with medication, intestinal atony and hypotension, and some diseases: diseases of the gallbladder and biliary tract, irritable bowel syndrome.

Contraindications : acute inflammatory bowel disease, severe dehydration, acute abdominal disease or severe abdominal pain, intestinal obstruction, intolerance to components and fructose.

Pros and cons

neutral odor and taste; convenient dosing.

waste packaging.

Laxatives with psyllium

Psyllium is the seed coat of psyllium ovata or Plantago ovata. This shell consists of almost 80% soluble fiber, which, when it enters the intestines, attracts moisture, swells and acquires the consistency of a gel. Due to this, the volume of intestinal contents increases, and it freely leaves the body in a natural way. In addition, psyllium serves as food for beneficial intestinal microflora and helps to avoid dysbacteriosis ⁴ .

Drink plenty of water while taking psyllium medications. It is worth noting that psyllium has a low level of evidence.

Phytomucil Norm

This dietary supplement contains 2 active ingredients – psyllium husk and plum fruit pulp. Soluble psyllium fiber helps form soft stools and aids in bowel cleansing. Homemade plum fruits contain insoluble dietary fiber – they stimulate the mucous membrane of the colon and improve its peristalsis.

BAA is produced in the form of granules, which are packaged in individual sachets of 5 g. The bioadditive is indicated for use as an additional source of fiber and flavonoids for constipation, irritable bowel syndrome with a predominance of constipation, hemorrhoids, rectal fissures.

Among the contraindications for are individual intolerance, acute inflammatory diseases and obstruction of the gastrointestinal tract, children under 3 years of age. The dietary supplement is approved for use in pregnant and lactating women.

Pros and cons

2 active ingredients; can be for children from 3 years old, women during pregnancy and lactation.

high price in the segment; small package size.

Psyllium

Dietary supplement in the form of capsules contains psyllium husks in the amount of 750 mg. The dietary supplement serves as a source of soluble and insoluble dietary fiber, which increases stool volume and stimulates intestinal contractility. Also, Psyllium can be an additional source of dietary fiber for people who suffer from constipation and follow a diet low in fiber.

Contraindications : individual intolerance, pregnancy and lactation, age under 18 years.

Pros and cons

high content of psyllium in 1 capsule.

small package.

Psyllium Husks Fiber

A dietary supplement from a popular brand is available in the form of capsules, each containing 500 mg of psyllium. The dietary supplement is intended to improve intestinal motility, as it helps to increase the volume of intestinal contents and make it softer. After entering the digestive tract, the dietary fibers of psyllium “swell” – the manufacturer reports that this allows you to create a feeling of satiety and reduce the number of absorbed calories.

BAA is not recommended to be taken during pregnancy and lactation, as well as in case of individual intolerance and under the age of 18 years.

Pros and cons

well-known manufacturer; big package.

is sometimes out of stock.

How to choose a laxative for colon cleansing

– Of course, anyone can choose a laxative for themselves – after all, prescriptions are not required for them. But it is better to entrust this to a specialist, – emphasizes gastroenterologist Liliya Sagdutdinova . – Only a doctor, taking into account his education and experience, can choose the most effective medicine for a particular patient from a number of good drugs.

If you dare to solve the problem yourself, it is very important to first study the list of contraindications indicated in the instructions. Ignoring this is fraught with serious consequences.

What if the laxative doesn’t help?

– For patients who do not respond well to laxatives, a prokinetic 5-HT4 agonist is recommended. In general, to avoid problems with constipation, you need to move more (at least walk – at least 60 minutes a day), drink more water (30 ml per 1 kg of body weight), and add foods consisting of insoluble dietary fiber to the diet – for example, wheat bran, our expert adds.

Photo: market.yandex.ru, KP

Sources:

1. Clinical aspects of the use of lactulose in the practice of a gastroenterologist. I. G. Fedorov, L. Yu. Ilchenko, S. D. Kosyura, M. A. Chichkina.
   https://cyberleninka.ru/article/n/klinicheskie-aspekty-primeneniya-laktulozy-v-praktike-gastroenterologa/viewer
2. Evaluation of the efficacy of macrogol in chronic functional constipation. S. D. Kosyura, Z. R. Shcherbova. Medical business. 2018 year. https://cyberleninka.ru/article/n/otsenka-effektivnosti-makrogola-pri-chronicheskom-funktsionalnom-zapore/viewer
3. Possibilities of using sodium picosulfate in the pharmacotherapy of constipation in functional bowel disorders. 2019 year. V. N. Drozdov, K. I. Karnoukh, S. Yu. Serebrova, I. A. Komissarenko, A. K. Starodubtsev v-farmakoterapii-zaporov-pri-funktsionalnyh-rasstroystvah-kishechnika
4. Impaired bowel function in patients with metabolic syndrome. I. A. Komissarenko, S. V. Levchenko. 2022 https://cyberleninka.ru/article/n/narushenie-funktsii-kishechnika-u-patsientov-s-metabolicheskim-sindromom/viewer
5. Chang L et al. American Gastroenterological Association-American College of Gastroenterology clinical practice guideline: Pharmacological management of chronic idiopathic constipation. Gastroenterology 2023 Jun; 164:1086

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Updated: 1 7. 07.2023

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Normal etching is one of the most important factors that contribute to the correct functioning of the whole organism . The stasis of uncorrupted stool in the intestines can lead to various unhandedness, in the case of a worsened mood to pain symptoms. Constipation can be a sign of serious damage in the body, as well as provoke the accumulation of toxins in the body and take the development of more unsafe ailments – for example, hemorrhoids.

Causes of constipation

Causes of constipation can be:

How do you get carried and prevent constipation? Also, it is better to consult with a doctor as soon as possible, so that you can choose the best fit for yourself for your mood. Actual preparations can be practically relieved and allow to relieve acute constipation, acute, for example, stress or disruption, otherwise help relieve chronic constipation, gradually improving intestinal motility and chemical processes, who cares. They can be in absolutely different medicinal forms – tablets, prescriptions for enemas, suppositories.

The following groups of preparations are known:

1. Harch fibers (etulose, derived from flax). Absorb the motherland from the intestines, making the stool softer by the same. Rarely call out side effects, the prote can change the way other drugs are used.
2. Stimulate peristalsis (bisacodyl, sodium picosulfate, canopy preparation, buckthorn). To tease the receptors of the intestines, and at the same time to sip on the rhythmic speed of yoga melodies.
3. Osmotic transport (magnesium oxide, lactulose, sodium sulfate). Utrimuyut water in the intestines, mechanically teasing the walls, call defecation for decades. Patients who are ill with diabetes, when taking these diseases, it is necessary to change the electrolytic balance
4. Plasticizers, or softeners (rare paraffin, docusate sodium). To make the chair m’yakshe slacken, to reshuffle yoga znevodnennya. It is necessary to prescribe after operations and slopes, and also in other situations, if we are ill, we cannot bear. It is not possible to take it for a long time, as the electrical balance may be destroyed.
5. Health protection (mineral, algae, vaseline oil). It helps to make the stool easier and more protruding through the intestines.
6. Salt carry (sodium sulfate, magnesium sulfate). Moisten the motherland into the intestines, making it easier for the stool to pass. Call to prescribe for usunennia hospitable fastening, vyklikanih otruennyam, with the presence of obstruction of the intestine.
7. Chloride channel activator (lubiprostone). To improve intestinal motility, to increase the comfort of sitting in a new, comfortable, light and easy-to-pass stool.

How to combine drugs for constipation and diarrheal diseases and for the slug or the intestines and normalize the microflora. It is also important to look at the way of life – polypshiti yakіst їzhi, start peristalsis of the intestines for the help of physical rights, as far as possible to overcome stress.

How to take care of constipation and diarrhea in the Good Day Pharmacy

To buy the necessary medicines, you need to select them on the official side of the site or search by search row. After choosing the necessary parameters – the dosage form, the number of packages, dosing. Then a manager will contact you to discuss all the details and name the residual price. Our preparations will always cost you the most inexpensive way to the pharmacy’s retail approach to the choice of post-employees. You can change faces from any place in Ukraine – Vinnitsa, Chernihiv, Kiev.

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Virobnik

1. ABC Farmaceutici (Italy)

2. Ananta Medicare (India)

3. Beaufour Ipsen Pharma (France)

4. Cipla (India)

5. Delpharm Orleans (France)

6. Dr. Falk

7. Guna

8. Instituto de Angeli

9. Krewel Meuselbach

10. Kusum Healthcare (India)

11. Molteni (Italy)

12. Norgine Pharma (France)

13. SCHONEN (VAT), Switzerland

14. Solvay Pharmaceuticals (Netherlands)

15. Arterium

16. Borshchagivskiy KhPZ ZAT NVC (Ukraine, Kiev)

    9024 5

17. Viola FF ZAT (Ukraine, Zaporizhzhya)

18. Darnitsa PRAT (Ukraine, Kiev)

19. Zhytomyrska FF TOV (Ukraine, Zhytomyr)

20. Zdorovya TOV (Ukraine, Kharkiv)

21. Ilan Pharm (Ukraine) 9 0003
22. InterHim SP VAT (Ukraine, Odesa)

23. Istok-Plus TOV (Ukraine, Zaporizhzhya)

24. Lubnipharm VAT (U kraina, Lubni)

25. Stada Nizhpharm

26. Stoma AT (Ukraine, Kharkiv)

27. TOV “DKP” Pharmaceutical factory “

28. Farmak VAT (Ukraine, Kiev)

29. Farmina (Poland) 900 03
30. Yuriya-Pharm TOV (Ukraine, Kiev)

31. Janssen Sіlag (France)

Not found 3 Granules

32. Capsules

33. Enema

34. Drops

35. Oliya 90 003
36. Powder

37. Retail

38. Syrup

39. Suppositories

40. Tablets

41. Vial

Not found

Prescription

90 034 Brand

1. Kuchikoo

2. Bisacodyl

3. Guna-Bovel

4. Guttalax 9000 3
5. Duphalac

6. Enterolax

7. Legolax

8. Magnesium sulfate

9. Microlax

10. Picolax

11. Pikosen

For trans

Not found

Designated

1. Laxative

Pack quantity

1. 1

2. 4

3. 5

4. 6 9 0003
5. 10

6. 12

7. 20

8. 30

9024 3 500

Not known

Head drug

1. Bisacodyl

2. Vaseline

3. Guttalax

4. Duphalac

5. Enterolax

6. Laktuvit

   90 245

7. Legolax

8. Magnesium sulfate

9. Normolact

10. Picolax

11. Pikosen

12. Regulax

13. Senadexin

14. Farmina

Unknown

Volume

1. 5 ml

2. 15 ml 260 20 ml

3. 30 ml

4. 50 ml

5. 100 ml

6. 120 ml

7. 133 ml

8. 180 ml

9. 200 ml 500 ml

Not found

Applicant

1. Johnson & Johnson Ukraine

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