Tag laxatives

Bisacodyl

In a class of medications called stimulant laxatives, bisacodyl is used on a short-term basis to treat constipation. It also is used to empty the bowels before surgery and certain medical procedures. It works by increasing activity of the intestines to cause a bowel movement.

How Should Bisacodyl be used?

Bisacodyl comes as a tablet to take by mouth. It is usually taken the evening before a bowel movement is desired. Bisacodyl normally causes a bowel movement within 6 to 12 hours. Do not take bisacodyl more than once a day or for more than 1 week without talking to your doctor.

Follow the directions on the package or on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take bisacodyl exactly as directed. Frequent or continued use of bisacodyl may make you dependent on laxatives and cause your bowels to lose their normal activity. If you do not have a regular bowel movement after taking bisacodyl, do not take any more medication and talk to your doctor.

Swallow the tablets whole with a glass of water; do not split, chew, or crush them.

Do not take bisacodyl within 1 hour after drinking or eating dairy products.

What special precautions should I follow?

Before taking bisacodyl,

tell your doctor and pharmacist if you are allergic to bisacodyl, any other medications, or any of the ingredients in these products. Check the label or ask your pharmacist for a list of the ingredients.

tell your doctor and pharmacist what prescription and nonprescription medications, vitamins, nutritional supplements, and herbal products you are taking or plan to take. Your doctor may need to change the doses of your medications or monitor you carefully for side effects.

if you are taking antacids, wait at least 1 hour before taking bisacodyl.

tell your doctor if you have stomach pain, nausea, vomiting, or a sudden change in bowel movements lasting more than 2 weeks.

tell your doctor if you are pregnant, plan to become pregnant, or are breast-feeding. If you become pregnant while taking bisacodyl, call your doctor.

What special dietary instructions should I follow?

A regular diet and exercise program is important for regular bowel function. Eat a high-fiber diet and drink plenty of liquids (eight glasses) each day as recommended by your doctor.

What should I do if I forget a dose?

This medication usually is taken as needed. If your doctor has told you to take bisacodyl regularly, take the missed dose as soon as you remember it. However, if it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule. Do not take a double dose to make up for a missed one.

What side effects can this medication cause?

Bisacodyl may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away:

stomach cramps

faintness

stomach discomfort

Some side effects can be serious. If you experience this symptom, stop taking bisacodyl and call your doctor immediately:

rectal bleeding

Bisacodyl may cause other side effects. Call your doctor if you have any unusual problems while taking this medication.

What other information should I know?

Ask your pharmacist any questions you have about bisacodyl.

It is important for you to keep a written list of all of the prescription and nonprescription (over-the-counter) medicines you are taking, as well as any products such as vitamins, minerals, or other dietary supplements. You should bring this list with you each time you visit a doctor or if you are admitted to a hospital. It is also important information to carry with you in case of emergencies.

Lactulose Syrup

Lactulose is a synthetic sugar used to treat constipation. It is broken down in the colon into products that pull water out from the body and into the colon. This water softens stools. Lactulose is also used to reduce the amount of ammonia in the blood of patients with liver disease. It works by drawing ammonia from the blood into the colon where it is removed from the body.

How should Lactulose be used?

Lactulose comes as liquid to take by mouth. It usually is taken once a day for treatment of constipation and three or four times a day for liver disease. Your prescription label tells you how much medicine to take at each dose. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take lactulose exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor.

What special precautions should I follow?

Before taking lactulose,

tell your doctor and pharmacist if you are allergic to lactulose or any other drugs.

tell your doctor and pharmacist what prescription and nonprescription medications you are taking, especially antacids, antibiotics including neomycin (Mycifradin), and other laxatives.

tell your doctor if you have diabetes or require a low-lactose diet.

tell your doctor if you are pregnant, plan to become pregnant, or are breast-feeding. If you become pregnant while taking lactulose, call your doctor.

if you are having surgery or tests on your colon or rectum, tell the doctor that you are taking lactulose.

What should I do if I forget a dose?

Take the missed dose as soon as you remember it. However, if it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule. Do not take a double dose to make up for a missed one.

What side effects can this medication cause?

Lactulose may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away:

diarrhea

gas

nausea

If you have any of the following symptoms, stop taking lactulose and call your doctor immediately:

stomach pain or cramps

vomiting

What should I know about storage and disposal of this medication?

Keep this medication in the container it came in, tightly closed, and out of reach of children. Store it at room temperature and away from excess heat and moisture

It is important to keep all medication out of sight and reach of children as many containers (such as weekly pill minders and those for eye drops, creams, patches, and inhalers) are not child-resistant and young children can open them easily. To protect young children from poisoning, always lock safety caps and immediately place the medication in a safe location – one that is up and away and out of their sight and reach.

What other information should I know?

Keep all appointments with your doctor.

To improve the taste of lactulose, mix your dose with one-half glass of water, milk, or fruit juice.

Do not let anyone else take your medicine. Ask your pharmacist any questions you have about refilling your prescription.

It is important for you to keep a written list of all of the prescription and nonprescription (over-the-counter) medicines you are taking, as well as any products such as vitamins, minerals, or other dietary supplements. You should bring this list with you each time you visit a doctor or if you are admitted to a hospital. It is also important information to carry with you in case of emergencies.

Brand names

Cholac®

Constilac® Syrup

Constulose®

Enulose®

Evalose® Syrup

Generlac®

Heptalac®

Kristalose®

Laxilose®

Portalac®

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