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Some herbs may act as wetting laxatives and some as osmotic laxatives, and rhubarb acts as a stimulant laxative.
1 doctor-recommended stimulant laxative brand," says Hennig.
Stimulant laxatives (eg, bisacodyl, senna, cascara sagrada, casanthranol) cause rhythmic intestinal muscle contractions.
Such stimulant laxatives as Dulcolax offer the most effective relief of constipation brought on by prescription medications, outperforming such other types of laxatives as fiber products, executives note.
The company's Colon Cleanse and Super Colon Cleanse products compete in the over-the-counter stimulant laxatives category.
Colon Cleanse and Super Colon Cleanse compete in the over-the-counter stimulant laxatives category.
TABLE 2 Common treatments for constipation Bulk-forming laxatives absorb water, increasing fecal mass * psyllium seed (Metamucil) * methylcellulose (Citrucel) * calcium polycarbophil (FiberCon) * wheat Dextran (Benefiber) Surfactant agents lower the surface tension of stool, allowing water to enter the stool * docusate sodium (Colace) Osmotic laxatives contain poorly/nonabsorbed substances, leading to intestinal water secretion * polyethylene glycol (MiraLAX) * magnesium citrate (Milk of Magnesia) Stimulant laxatives increase colonic transit and alter electrolyte transport across the colonic mucosa * bisacodyl (Dulcolax) * senna (Senokot)
1) These plants are stimulant laxatives of well-established therapeutic use according to EMA (2006-2008).
In clinical practice, osmotic and stimulant laxatives are likely to be used before more expensive prescription medications," the researchers wrote.
A combination of softener and stimulant laxatives will probably be needed.
A therapeutic trial of fiber supplementation and/or osmotic or stimulant laxatives after discontinuing medications that can cause constipation and after performing blood and other tests as guided by clinical features, but before anorectal testing.