Dulcolax


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Related to Dulcolax: Dulcolax Stool Softener

bisacodyl

Alophen, Apo-bisacodyl (CA), Biolax (UK), Bisac-Evac, Biscolax, Carter's Little Pills (CA), Correctol, Dacodyl, Doxidan, Dulcolax, Ex-Lax Ultra, Femilax, Fleet Bisacodyl, Fleet Stimulant Laxative, Gentlax (CA), Laxoberal (UK), Veracolate

Pharmacologic class: Stimulant laxative

Therapeutic class: Laxative

Pregnancy risk category B

Action

Unclear. Thought to stimulate colonic mucosa, producing parasympathetic reflexes that enhance peristalsis and increase water and electrolyte secretion, thereby causing evacuation of colon.

Availability

Enema: 0.33 mg/ml, 10 mg/ml

Powder for rectal solution: 1.5 mg bisacodyl and 2.5 g tannic acid

Suppositories (rectal): 5 mg, 10 mg

Tablets (enteric-coated): 5 mg

Indications and dosages

Constipation; bowel cleansing for childbirth, surgery, and endoscopic examination

Adults and children ages 12 and older: 5 to 15 mg P.O. or 10 mg P.R. as a single dose

Children older than age 3: 5 to 10 mg or 0.3 mg/kg P.O. as a single dose

Children ages 2 and older: 5 to 10 mg P.R. as a single dose

Children younger than age 2: 5 mg P.R. as a single dose

Contraindications

• Hypersensitivity to drug
• Intestinal obstruction
• Gastroenteritis
• Appendicitis

Precautions

Use cautiously in:
• hypersensitivity to tannic acid
• severe cardiovascular disease, anal or rectal fissures
• pregnant or breastfeeding patients.

Administration

• Make sure patient swallows tablets whole without chewing.
• Don't give tablets within 1 hour of dairy products or antacids (may break down enteric coating).
• Know that drug should be used only for short periods.

Adverse reactions

CNS: dizziness, syncope

GI: nausea, vomiting, diarrhea (with high doses), abdominal pain, burning sensation in rectum (with suppositories), laxative dependence, protein-losing enteropathy

Metabolic: hypokalemia, fluid and electrolyte imbalances, tetany, alkalosis

Musculoskeletal: muscle weakness (with excessive use)

Interactions

Drug-drug.Antacids: gastric irritation, dyspepsia

Drug-diagnostic tests.Calcium, magnesium, potassium: decreased levels

Phosphate, sodium: increased levels

Drug-food.Dairy products: gastric irritation

Patient monitoring

• Assess stools for frequency and consistency.
• Monitor patient for electrolyte imbalances and dehydration.

Patient teaching

• Instruct patient to swallow (not chew) enteric-coated tablets no sooner than 1 hour before or after ingesting antacids or dairy products. Tell him not to chew tablets.
• Advise patient not to use bisacodyl or other laxatives habitually because this may lead to laxative dependence.
• Suggest other ways to prevent constipation, such as by eating more fruits, vegetables, and whole grains to increase dietary bulk and by drinking 8 to 10 glasses of water daily.
• As appropriate, review all other significant and life-threatening adverse reactions and interactions, especially those related to the drugs, tests, and foods mentioned above.

Dulcolax

(dŭl′kō-lăks′)
A trademark for an over-the-counter laxative containing bisacodyl.

Dulcolax

a trademark for a stimulant laxative (bisacodyl).

bisacodyl

A laxative used to manage constipation, especially in the elderly, as well as neurogenic bowel dysfunction.

Mechanism
Enteric nerve stimulation, increases fluid and salt secretion.
References in periodicals archive ?
Kate Arnold does not endorse Dulcolax or any other medicine.
Dulcolax was only slightly higher in all three channels.
TO help manage constipation and ensure it doesn't get in the way of summer plans, Dulcolax has launched a free guide.
LOOZE SYRUP, CREMASSIN SYRUP, DULCOLAX TABLETS, AMONG OTHERS.
Speaking at an event hosted by Boehringer Ingelheim, maker of Dulcolax (generic name Bisacodyl), a formulation for constipation relief, Ignacio, who, as a gastroenterologist is a specialist in digestive system disorders, defined the problem as having fewer than three bowel movements in a week (normal ranges from three times a week to three times a day).
Our presenting partner, Dulcolax, has helped us grow these events by bringing in retail partners, who include many of America's major pharmacies and retailers," he says, adding that Dulcolax has also created a matching program for the retailers.
SA Pendopharm, (Canada) Pharmascience (Canada) Bisacodyl Dulcolax Bisacodyl Boehringer Ingelheim Laxative Tablets Dulcoiax ECT 5 mg Boehringer Ingelheim (Canada) Canada Ltd.
Stimulants (like castor oil, Correctol, Dulcolax, ex-lax, Purge, and Senokot) cause rhythmic contractions in the intestines to move the stool along.
The company and its worldwide subsidiaries market the popular over-the-counter remedies Zantac and Dulcolax, as well as chemicals and farm and pet medications.
With services that encompass strategic planning, broadcast and print production, and media planning and buying, Winglatino's clients include: Dulcolax, British Petroleum, ARCO, Lilly, Goya, P&G, Clairol, Cover Girl, Downey, Time Warner Cable, and U.
Bowel programmes include the use of laxatives such as Depuran, Senokot and Dulcolax and medications such as Movicol, in combination with specialised diets and strict fluid regimens.