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.

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 ?
Coroner Mark Johns, during a court hearing Wednesday, floated the idea that over-the-counter laxatives such as Dulcolax and others like it should be restricted, (https://www.9news.com.au/national/2018/05/23/13/59/sa-coroner-calls-for-laxative-sale-regulation-after-woman-claudia-la-bella-took-hundreds) 9 News reported.
Doctor's orders said begin with four Dulcolax tablets at 1300 hours.
Kate Arnold does not endorse Dulcolax or any other medicine.
| TO help manage constipation and ensure it doesn't get in the way of summer plans, Dulcolax has launched a free guide.
Visit www.myconstipationrelief.com for a free guide by Dulcolax.
Medication orders are changed to: NSS at 50 ml/hr, Vicodin (every 4-6 hours PRN), Dulcolax (100 mg PO daily), and continue with current treatment with Ancef (I g every eight hours IV).
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)
So we have formed a partnership with constipation brand Dulcolax to answer people's bowel health questions and get everyone talking.
So nangyayari talaga siya eh, kahit kanino, kahit saan, kahit anong oras," she said at "The Big Move" event hosted by Dulcolax, the product she endorses.
For patient preparation before the procedure, patients taking Aspirin or Warfarin were asked to discontinue them 7 days before ESWL, bowel preparation with Bisacodyl (Dulcolax) 10 mg single oral dose and fasting from midnight before ESWL.
Mintees contain and spearmint, from pharmacies and nationwide '' by constipation Dulcolax shows that five (18%) of us suffer overseas breaks"When we were told what it was, it was a really difficult time.
Sucking an after-dinner mint is a great way to acknowledge that we have come to the end of the meal, helps us avoid second helpings and that 'too full' feeling." | Setlers Mintees contain peppermint oil and spearmint, from PS1.29 from pharmacies and supermarkets nationwide TIME TO GO A NEW survey by constipation treatment, Dulcolax shows that around one in five (18%) of us suffer from it on overseas breaks.