Bisacodyl 4 tablets. "Bisacodyl": instructions for use (tablets), description of the drug, reviews. Therapeutic effects and action

The tool helps to painlessly cleanse the intestines. It is used for constipation, and in other cases.

Bisacodyl for hemorrhoids - the composition and action of the drug

Release form

There are two forms of release of this drug: tablets and rectal suppositories.

Tablets

The package contains 3 blisters of 10 pcs. 1 tablet contains 5 mg of active ingredient.

Candles

Suppositories are packed in 10 pcs. 1 suppository contains 10 mg of active ingredient.

pharmachologic effect

Under the action of the drug, the amount of mucus in the intestine increases. The motor function of the intestine is restored due to the stimulation of mucosal receptors. The food lump moves faster along the walls of the organ to the exit.

Pharmacokinetics of the drug

Partial absorption occurs in the intestine. Biochemical transformation of the active substance occurs in the liver. Excreted with urine and intestinal contents.

Indications

With hemorrhoids

Helps to easily and painlessly empty the intestines in case of hemorrhoidal disease, as well as in the presence of anal fissures. Can be taken by patients with inflammation of the rectal mucosa.

Find out your risk level for hemorrhoid complications

Take a free online test from experienced proctologists

Testing time no more than 2 minutes

7 simple
questions

94% accuracy
test

10 thousand successful
testing

For constipation

For weight loss

It is forbidden to take a means for weight loss regularly. A single dose is allowed if necessary to improve the condition of the intestine.

How to take Bisacodyl

Tablets are taken after meals in the evening with water. Candles can be administered rectally at a convenient time. Adults need to take 1 tablet or use 1 suppository. If there is no effect, the dosage can be increased to 2-3 tablets (10-15 mg) or 2 suppositories (20 mg) can be administered. In children from 6 years old, 1 tablet or 1 suppository is prescribed.

If the patient is preparing for surgery or rectal examination, 10 mg should be used 24 hours before the procedure. Re-dosing is prescribed the night before the day of the study or operation.

How long does it take to work

If you take the tablets during the day, the effect can be seen after 6 hours. Taking before bed will ensure bowel movements in 8-10 hours. The effect of rectal suppositories can be seen after 1-2 hours.

Contraindications for use

Candles and dragees are not used for emptying the intestines with the following pathologies:

• intestinal obstruction;
• acute conditions of the pelvic organs;
• polyps in the intestine;
• bleeding from the uterus or gastrointestinal tract;
• disturbed water-electrolyte balance;
• bowel cancer;
• allergy to components;
• malabsorption of glucose - galactose;
• lactase deficiency.

In children under 3 years of age, candles are not prescribed, and tablets are contraindicated for up to 6 years.

Side effects when using Bisacodyl

After taking the tablets, there may be colic in the intestines, pain or swelling, nausea. In rare cases, mucus or spotting may come out with the feces. Long-term use leads to a violation of water-electrolyte metabolism, intestinal atony.

Overdose

In case of an overdose, adverse reactions from organs and systems increase. The concentration of potassium in the blood decreases, stool disorder and muscle weakness appear. Blood pressure may drop.

Special instructions for the use of Bisacodyl

The drug should not be taken for a long time. Do not use for weight loss purposes. In case of impaired renal function, take with caution.

Use during pregnancy and lactation

If a woman is breastfeeding or carrying a child, then it is necessary to consult a doctor before taking it.

Application for children

drug interaction

Avoid concomitant use with milk. It is not recommended to use tablets in conjunction with antacids, because there is a risk of premature dissolution of the shell.

Terms and conditions of storage

The package with the drug must be kept in a dry and dark place. The room temperature should not exceed +25°C. The shelf life of tablets is 5 years, and candles - 3 years.

Terms of dispensing from pharmacies

It can be purchased at the pharmacy without a prescription.

Price

Cost - from 30 to 60 rubles.

Analogues

There are synonyms for this product with an additional inscription on the package "Altfarm", "Akrikhin" and "Hemofarm". Other laxatives can be purchased at the pharmacy:

1. . The active ingredients are sennosides A and B. It can be used for hemorrhoidal disease, cracks in the anus and inflammation of the rectal mucosa. Contraindicated in pregnancy, lactation, in children under 12 years of age. It is not recommended to take it for a long time, because the remedy is addictive. Cost - 600 rubles. per package (500 tablets).
2. . Available in the form of tablets and rectal suppositories. Similar in composition, contraindications and side effects. In inflammatory bowel diseases, it is prescribed with caution. The cost in the pharmacy - 200 rubles.
3. Guttalax. Contains sodium picosulfate. Can be purchased at the pharmacy or tablets. Assign to adults and elderly patients in violation of the motor function of the intestine. Contraindicated in the 1st trimester, with dehydration and acute diseases of the digestive tract. The tool can be purchased at a price of 200 to 400 rubles.
4. . The laxative contains psyllium husk powder. It is prescribed for stool disorders, constipation, hemorrhoids and irritable bowel syndrome. The tool restores the normal functioning of the intestine. Children under 12 years of age are not prescribed. The cost of granules for the preparation of a suspension is 500 rubles. for 20 pcs.
5. Phytotransit. The composition of the tablets includes dried thallus of kelp. It is used for chronic and atonic constipation. During pregnancy, nephritis and hemorrhagic diathesis, it is contraindicated to take. A laxative costs 130 rubles in a pharmacy.

Bisacodyl is a diphenyl acetic acid that directly affects the nerve endings of the mucous membrane and submucosal layer of the rectum of the large intestine. Has a laxative effect. Stimulates intestinal motility, prevents the absorption of electrolytes, increasing the water content in feces, causing liquefaction of feces and facilitating stools. Defecation occurs approximately 30–60 minutes after rectal administration and 6–12 hours after oral administration. The drug is metabolized by enzymes of the colonic mucosa to form the pharmacologically active form of diphenol (BHPM), which is conjugated with glucuronic and sulfuric acid. Bisacodyl is almost not absorbed into the systemic circulation; after absorption, the drug undergoes deacetylation in the liver with the formation of a phenyl derivative and is excreted in the urine. The remaining part of the drug in the large intestine is excreted in the feces.

Bisacodyl: indications for use

Short-term symptomatic treatment of constipation, including chronic constipation in bedridden patients and in the elderly. It is also used in preparation for diagnostic procedures, surgical and obstetric operations.

Bisacodyl: contraindications

Hypersensitivity to any of the components of the drug, abdominal pain, nausea or vomiting for unexplained reasons, especially if they indicate the presence of an acute disease in the abdominal cavity, for example, appendicitis, intestinal obstruction, colitis, Crohn's disease, gastrointestinal bleeding, severe dehydration . The drug in the form of suppositories should not be used for anal fissures or ulcerative hemorrhoids, due to the risk of irritation or pain. It is not recommended to use the drug in newborns. Long-term and regular use of bisacodyl should be avoided, as this leads to increased constipation, as well as to disturbances in the water and electrolyte balance, including hypokalemia. If daily use of laxatives is necessary, the cause of constipation should be determined. There have been reports of dizziness and/or fainting during bowel movements in patients taking laxatives, but it is not known whether these are due to straining during bowel movements or to a neurovascular reflex caused by constipation pain. Some patients may have blood in the stool; bleeding is minor and self-limiting. In the case of frequent use of the drug in the elderly, there may be an increase in weakness, the development of orthostatic hypotension, and coordination disorders associated with loss of electrolytes.

Interaction with other drugs

Bisacodyl increases the kaliuretic effect of diuretics and glucocorticoids. Long-term use of bisacodyl can lead to a decrease in serum potassium levels and a secondary increase in exposure to digitalis glycosides. Milk, antacids, and proton pump inhibitors reduce the effect of oral bisacodyl and increase the risk of gastric mucosal irritation; these drugs or milk should be taken one hour before taking bisacodyl or one hour after taking it.

Bisacodyl Side Effects

Often: abdominal cramps, abdominal pain, diarrhea, nausea; not very often: discomfort in the abdomen or around the anus, vomiting, blood in the stool, dizziness; rarely: hypersensitivity reactions, syncope, angioedema, anaphylactic reactions, dehydration, colitis. Symptoms of acute overdose may include diarrhea, intestinal cramps, abdominal pain, and clinically significant loss of fluid and electrolytes (especially potassium). In order to reduce the absorption of the drug, induce vomiting or do a gastric lavage; the drug does not have a specific antidote; in case of poisoning, symptomatic treatment is used, primarily the alignment of the water and electrolyte balance, the use of antispasmodics. Long-term use can lead to the development of chronic diarrhea, abdominal pain, hypokalemia, secondary hyperaldosteronism, kidney stones and addiction; hypokalemia can lead to damage to the renal tubules, metabolic alkalosis, muscle weakness. In rare cases, the drug can cause intestinal atony and chronic proctitis.

Pregnancy and lactation

Category B. There are insufficient data on use during pregnancy; the use of the drug during pregnancy is not recommended. Bisacodyl and its glucuronic derivatives do not pass into breast milk; not recommended for use during lactation.

Bisacodyl: instruction

Tablets should be swallowed whole without chewing, the most effective single dose at bedtime or 30 minutes before breakfast; candles are best used in the morning. Constipation. Adults. 5–10 mg 1x/day orally or 10 mg 1x/day rectally. Children over 10 years old. Orally 5–10 mg once/day. Children 4–10 years 5 mg 1x/day. Bowel cleansing before diagnostic tests and surgical procedures. Adults and children over 10 years of age: 10 mg orally in the morning and 10 mg in the evening, the day before the examination or surgery; an additional use of bisacodyl in the form of suppositories is usually recommended on the morning of the examination or operation. Children 4–10 years: 5 mg in the evening the day before examination or surgery; according to some sources, the additional use of bisacodyl in the form of suppositories is recommended on the morning of the examination or operation.

Hi all! In pursuit of the desired numbers on the scales, the young ladies seem to be ready for anything: diets, workouts, infusions and pills, among which Bisacodyl is especially popular. Bisacodyl for weight loss is used quite often, but is this drug safe? Or will it do more harm than good? Let's see if it's a good idea to drink it to lose those extra pounds.

Bisacodyl is a drug indicated for the symptomatic treatment of constipation. As you can see, the original appointment is completely unrelated to weight loss. But after it appeared on the shelves, the young ladies quickly noticed that taking this medicine leads to weight loss.

Can you lose weight with this medication?

With the help of Bisacodyl, you can lose a few extra pounds in a short time, but this can hardly be called weight loss, because weight is lost primarily due to the removal of fluid from the body and cleansing the body of feces.

How much can you lose with bisacodyl

Weight can also decrease by 5-10 kilograms, depending on the duration of the intake. Be sure to remember that by extending the recommended time of admission, you increase the likelihood of addiction, complications and harm yourself.

Terms of sale

The drug is sold in online pharmaceutical stores or pharmacies without a prescription with a fixed dosage. The approximate price of Bisacodyl is from 25 to 50 rubles (the cost depends on the form of the drug and the manufacturer).

The low price is the main advantage of Bisacodyl over analogues.

How does it affect the body

Bisacodyl increases intestinal motility and has a laxative effect on the body.

Pharmacokinetics and pharmacodynamics

The active substance of the same name is broken down in the alkaline environment of the intestine and acts as an irritant for the mucous membrane, thereby increasing the amount of secreted mucus from the large intestine. All this enhances and accelerates intestinal peristalsis and facilitates the process of defecation. When taking tablets, the substances are practically not absorbed from the gastrointestinal tract.

Slimming mechanism

A single use of the drug leads to a sharp decrease in weight by 2-4 kg. As I said, first of all, this happens due to the removal of fluid from the body. Further intake leads not only to the depletion of fat cells, but also to the loss of a large number of useful elements and vitamins. Against the background of limited nutrition, the body begins to produce the necessary energy from the fat layer, but after the stress experienced, it will again begin to stock up on useful substances for the future, which can lead to re-gaining weight.

Interaction with other drugs

• Cardiac glycosides, tk. there is a possibility that they will be enhanced.
• Diuretics, tk. this is fraught with rapid leaching of potassium from the cells and the corresponding side effects (muscle weakness, heart rhythm disturbances, swelling, convulsions),
• Medicines for heartburn, because. they weaken the action of bisacodyl and provoke pain in the abdominal cavity.
• Drugs that slow down the emptying.
• psychotropic substances.

Release form

The tool is available in two forms: suppositories for rectal use and tablets for oral use.

Tablets and dragees

The tablets are packaged in blisters and containers with a dosage of the active substance of 5 mg. The tablets are coated with a sugar-containing shell, which quickly dissolves in the intestines and the drug begins to act after a few hours. The tablets themselves are small, biconvex, yellow in color.

Candles

There is more active ingredient in suppositories than in tablets - 10 mg. Candles are produced in the usual torpedo-shaped form for such preparations in the composition with solid fat. The main advantages of suppositories are that they are used once a day and, due to the rapid absorption of the mucosa, they begin to act within half an hour after ingestion. The use of suppositories has nothing to do with the time of eating, and the rectal route of administration helps to avoid discomfort from the gastrointestinal tract.

Compound

The main active ingredient in tablets and suppositories is bisacodyl. For better absorption, the composition of the tablets includes such excipients as: lactose monohydrate, sugar, starch, microcrystalline cellulose, talc, calcium stearate, silicon dioxide. The composition of suppositories includes semi-synthetic glycerides, which allow you to give the suppository the desired consistency.

Benefit and harm

Since Bisacodyl is primarily a drug, it will benefit only when used for its intended purpose in the treatment of constipation.

The use of laxatives provokes the leaching of fluid and beneficial trace elements, such as potassium ions, from the body. To avoid dehydration while taking these drugs, you need to drink enough fluids.

In addition, long-term use of the drug causes addiction and atony of the colon (that is, the loss of the ability to independently contract and push food). For normal peristalsis, the body will require a new dose. To avoid such consequences, it is necessary to introduce into the diet as much fiber-rich food as possible during the intake.

Indications and contraindications

Direct indications for the use of bisacodyl are:

• Chronic constipation of various origins, including bedridden patients and the elderly.
• Preoperative preparation, preparation for x-ray examination.
• Stool regulation for proctitis, hemorrhoids, anal fissures.

The medicine can not be used for:

• Spasmodic constipation.
• Acute hemorrhoids.
• Allergies to active substances.
• Intestinal obstruction.
• Strangulated hernia.
• Acute inflammatory diseases of the abdominal cavity.
• Bleeding of the gastrointestinal tract.
• Acute proctitis.
• Cyst.
• Uterine bleeding.

Also, the drug is not intended for children under 2 years of age. The use of the drug during pregnancy and lactation, hepatic or renal failure, suspected inflammatory bowel disease is limited.

Possible side effects

The tool has a lot of shortcomings. The list of side effects is quite extensive. It:

• Abdominal pain and flatulence.
• Severe diarrhea.
• Dehydration of the body and violation of water and electrolyte balance.
• Convulsions, decreased blood pressure, weakness.
• Allergic reactions.
• Atony of the intestine.
• Fainting.
• For candles - pain in the anal region.

Overdose

Overdose symptoms are associated with increased side effects. Severe diarrhea is observed, as a result - the loss of a large amount of fluid and electrolytes. Loss of potassium leads to muscle weakness, irregular heartbeat, seizures, and decreased blood pressure. With a serious deterioration in well-being, gastric lavage may be required.

How long is the package

Candles come in packs of 10 pieces, tablets - in blisters and in jars of 10, 20 and 30 pieces.

Storage conditions

The drug should be stored in a dry place, protected from light and children, at an air temperature not exceeding 25°C.

Best before date

Depending on the manufacturer, the shelf life can vary from 2 to 3 years.

How to take

Before taking the medicine, be sure to read the instructions and follow the recommendations indicated in it.

Dosage and timing

The maximum daily dosage is 15 mg (3 tablets). Reception should begin with a minimum dose of 1 tablet. Take the tablet at bedtime or 30 minutes before breakfast. The tablet is not chewed, it should be washed down with a small amount of water. To avoid premature dissolution of the tablet shell in the upper intestines, the drug should not be mixed with the consumption of foods and drugs that lower the acidity of the gastrointestinal tract. If you are taking heartburn medication, take at least 3 hours between medications.

Suppositories are applied 1 time per day at a dosage of 1-2 suppositories rectally.

Duration of admission

Like any medicine, bisacodyl should not be taken for long periods of time. The maximum reception time is 7-10 days (be sure to check what time the manufacturer indicates in the instructions). To reduce the likelihood of side effects and addiction to the use of the drug should be abandoned immediately after obtaining the desired result.

How long does it take to work

The active substance from the tablets absorbs longer and begins to act 6-8 hours after consumption. Depending on individual characteristics, this time may be reduced or, conversely, increased. The effect of suppositories manifests itself much faster - within 30-60 minutes.

How to speed up the action of bisacodyl

There are several ways to speed up the action of active substances:

• Drink more water.
• Do active exercises.
• Make an enema.

But it is best to choose the right time of reception, so as not to get into an unpleasant situation.

How not to buy a fake

Do not buy the drug from your hands - go to a pharmacy or a trusted online store that sells medicines. Choose products from well-known manufacturers: Nizhpharm, Balkanfarm, Hemofarm.

What should be the packaging

The original bisacodyl is packaged in a cardboard box, as a rule, with a relief application for the visually impaired. Inside there will be an insert with instructions for use. The blister itself will be smooth with smooth edges, all tablets will be the same shape, size and color. Watch the overview of the tool in the video:

Fake and genuine: what's the difference

The difference is in the components used. In the most harmless version, the fake version will consist of harmless substances, the dosage of the active substance will be changed or it will be replaced by a cheaper analogue. But it may also be that the drug will be completely replaced by an unknown substance, and then the consequences are unpredictable.

Bisacodyl is a laxative that stimulates the peristaltic activity of the intestine (in other words, causing the intestinal walls to contract more intensively) in order to combat such pathogenetic evils as constipation. The latter is understood as a long (more than two days) pause in the regular schedule of intestinal emptying, accompanied by a feeling of incomplete emptying with the release of a scanty amount of feces of "reinforced concrete" hardness. In no case should the problem of constipation be underestimated: this phenomenon is quite common and in the future threatens the patient with much more serious troubles. There are no specific statistics on constipation among the inhabitants of Russia, but I think it will be quite comparable with that in the UK, where 50% of the population suffer from this disease, in Germany (30%) and in France (25%).

There are several groups of laxatives: agents that increase the volume of intestinal contents; stimulants and stool softeners. If we talk about stimulant laxatives, then many gastroenterologists, taking into account the analysis of the ratio of all the advantages and disadvantages, pay tribute to diphenylmethane derivatives, namely, bisacodyl. The active substance of the same name interacts with the nerve endings of the colon mucosa, increasing its motor functions and accelerating the passage of feces through it. Bisacodyl mobilizes the body's water resources, facilitating their secretion into the intestinal lumen while inhibiting reabsorption.

Bisacodyl tablets are enteric-coated, disintegrating in alkaline pH. For this reason, the pharmacologically active substance of the drug is not absorbed in the small intestine, but is released precisely at its destination - in the large intestine. The drug has been thoroughly studied, its effectiveness has been confirmed in randomized clinical trials conducted in accordance with all standards of evidence-based medicine. Meanwhile, in order to avoid secretory diarrhea, which, in turn, is fraught with dehydration and electrolyte imbalance, you should limit the period of taking bisacodyl to 5-7 days within one therapeutic course (or take it 1 time in 3-4 days), and also use the minimum effective dose of the drug. Thus, it will be possible to maintain the body's susceptibility to bisacodyl and avoid the above negative phenomena.

Bisacodyl is available in two dosage forms: tablets and rectal suppositories. The first is recommended to take 1-3 pharmacological "combat units" at a time 1 time per day before bedtime or half an hour before breakfast (adults and adolescents over 14 years old), 1-2 tablets (children 8-14 years old), 1 tablet (children 3-7 years old). Bisacodyl rectal suppositories are administered once a day at bedtime. Bisacodyl is not recommended to be taken with dairy products, acid-reducing drugs, and alkaline mineral water.

Pharmacology

Laxative, a derivative of diphenylmethane. Increases the secretion of mucus in the colon, accelerates and enhances its peristalsis. The action is due to direct stimulation of nerve endings in the mucous membrane of the colon.

Pharmacokinetics

Release form

10 pieces. - cellular contour packings (2) - packs of cardboard.
10 pieces. - cellular contour packings (3) - packs of cardboard.
30 pcs. - cellular contour packings (1) - packs of cardboard.

Dosage

Inside adults - 5-15 mg, children aged 8-14 years - 10 mg, 2-8 years - 5 mg. The frequency of admission is 1 time at night or in the morning 30 minutes before meals. Rectally for adults - 10-20 mg; children aged 8-14 years - 10 mg each, 2-7 years old - 5 mg each.

Interaction

With simultaneous use, a decrease in the concentration of digoxin in the blood plasma is possible.

Side effects

On the part of the digestive system: possible colicky pain in the intestines, diarrhea (may lead to excessive loss of fluid and electrolytes and, consequently, the development of muscle weakness, convulsions, arterial hypotension).

Indications

Constipation due to hypotension and sluggish peristalsis of the colon (especially in elderly patients; constipation after surgery, childbirth). Stool regulation for hemorrhoids, proctitis, anal fissures. Preparation for surgical operations, instrumental and X-ray studies.

Contraindications

Intestinal obstruction, strangulated hernia, acute inflammatory diseases of the abdominal organs, abdominal pain of unknown origin, peritonitis, gastrointestinal bleeding, uterine bleeding, cystitis, spastic constipation, acute proctitis, acute hemorrhoids.

Application features

Use during pregnancy and lactation

Application for violations of liver function

Application for violations of kidney function

Use in children

special instructions

Use with caution in patients with liver and kidney disease.

Do not apply for a long time.

A laxative drug that irritates the intestinal receptors and has an effect on its mucous membrane - Bisacodyl (Bisacodyl). The drug enhances intestinal motility, activates the production of mucus secretion in the colon. Bisacodyl is tablets or rectal suppositories (candles). Before starting therapy, you should consult with your doctor.

Composition and form of release

Laxative is produced in tablets and suppositories. The first dosage form has a soluble shell, pills are sold in blister packs of 20 or 40. Torpedo-shaped rectal suppositories with an oily, smooth surface are packaged in 6 or 10 pieces. They are placed in blister packs and cardboard packs. The composition of the dosage forms of the drug:

Pharmacodynamics and pharmacokinetics

The drug has a strong laxative effect. The mechanism of such a reaction of the human body is explained by a significant increase in the amount of mucous secretion in the large intestine, as well as an increase and activation of the peristalsis of the organ. Bisacodyl acts directly through the stimulation of nerve endings that are located in the lining of the large intestine.

After hydrolysis of the active ingredient in an alkaline medium, a substance is formed that irritates the colon mucosa. The laxative effect occurs 6-8 hours after taking the tablets and one hour after using the suppositories. The drug has a contact effect, its small part (about 5%) is absorbed from the intestine. After conjugation (connection) in the liver, the active components take part in the hepato-intestinal blood circulation. Partially excreted through the kidneys.

Indications for use

Instructions for use include a number of conditions in which a laxative helps. The medicine Bisacodyl is prescribed in such cases:

treatment of symptoms of acute constipation;

before obstetric intervention or surgery;

elimination of the chronic form of constipation in the elderly or in patients who observe bed rest for a long period;

relief of bowel movements after surgery;

bowel cleansing before diagnostic procedures;

severe form of cardiovascular disease;

atony (absence or decrease in peristalsis) of the intestine due to significant changes in the diet or environmental factors.

Method of application and dosage

There are two dosage forms of the laxative drug. Each of them has its own dosage and features. Instructions for use Bisacodyl contains detailed information on the required doses of tablets and rectal suppositories, as well as the rules for their use. Before starting therapy, it is necessary to consult with your doctor.

Candles Bisacodyl

According to the instructions, suppositories are administered through the anus. The candle is taken out of the package, slightly heated in the palm of your hand, and then gently pushed through the anus (as deep as possible). Rectal suppositories are used 1-2 pieces per day. The initial dose is 10 mg (1 suppository), if the desired effect is not obtained, then another suppository is introduced. Apply two suppositories with Bisacodyl at a time per day.

Rectal suppositories can be administered at any convenient time, just remember that they will work in an hour. Eating food has absolutely no effect on the effectiveness of the laxative. If candles are used to cleanse the intestines before diagnostic measures or surgery, then one piece is enough in the morning.

This dosage form is consumed whole, no need to bite or chew. It is recommended to drink water. If the pill is chewed and swallowed in this form, it will cause severe irritation of the gastric mucosa, which is accompanied by pain. In the process of taking the remedy, you must drink at least 1.5 liters of water per day. According to the instructions, the maximum duration of the use of Bisacodyl tablets is a week.

The dose depends on the specific indication. Average dosage:

child 2-7 years old: 1 tablet once a day;

children 8-14 years old: 1-2 pills per day;

adolescents and adult patients: from 1 to 3 pieces per day (the amount depends on the intestinal reaction);

before surgery or diagnostic procedures: 2-4 pills at bedtime and 2 more in the morning.

special instructions

Instructions for using Bisacodyl include a number of special instructions:

Cannot be used for a long period. It is intended for the short-term treatment of acute and chronic constipation. Prolonged use leads to addiction and a decrease in the sensitivity of receptors. A person loses the ability to go to the toilet "for the most part" in a natural way and without medication.

The drug is not washed down with alkaline waters or milk.

The tablets contain lactose, so patients with lactose intolerance should take it with caution.

It is forbidden to use the drug for pain in the abdominal cavity caused by unknown causes and accompanied by vomiting, nausea.

If the tool is used correctly and clearly according to the instructions, then it does not affect the management of transport and work with mechanisms. If the patient feels weak or dizzy, then hazardous activities should be avoided.

Bisacodyl during pregnancy

The drug is absorbed into the bloodstream slightly, so it does not give systemic effects. It does not poison the fetus with toxins and does not provoke uterine contractions. Bisacodyl can be taken by pregnant women who suffer from constipation or who are preparing for therapeutic measures. It is safe for the expectant mother and the embryo, but it should not be abused. The medicine can be used only after consulting a gynecologist.

In order for Bisacodyl to have the weakest effect on the gastrointestinal tract, it is better to use the medication in the form of suppositories. According to the instructions, the dosage of a laxative for pregnant women is 1-3 tablets or 1-2 suppositories per day. The minimum amount of medication is 1 suppository or 1 tablet. If the dose is ineffective, then it is allowed to drink 2 pills the next day or enter 2 suppositories at a time.

In childhood

You can use Bisacodyl from the age of 2, when the baby begins to eat at an adult table and his intestines begin to function fully (fully formed). Before the age of 6, a laxative should be given with caution and only after consulting a doctor. It is advisable to use the drug in the form of suppositories, this will help reduce the risk of irritation of the gastrointestinal tract with tablets.

According to the instructions, children are allowed to give medicine once a day. Tablets should be swallowed with water and should not be crushed or chewed. Otherwise, swallowing can cause severe irritation of the gastric mucosa and cause severe pain. The rectal suppository is gently and deeply inserted into the rectum. It is better for the parent to pre-lubricate the child's anus and his index finger with sunflower oil. After you need to carefully insert the candle.

You can give the child a drug at any time of the day, regardless of the meal. It must be remembered that the pills begin to act 8-12 hours after consumption. The rectal suppository gives a laxative effect 50-60 minutes after administration. The dosage is prescribed in accordance with the age category.

Bisacodyl for weight loss

Some choose to lose weight with Bisacodyl. This technique really gives results, which is associated with the removal of toxins and toxins from the human intestine. True, when a person stops using the drug, the extra kilos return, as new harmful deposits form on the walls of the digestive organ over time. Regular medication is prohibited, because of this, the intestines may stop functioning independently.

The dosage of a laxative for weight loss depends on the doctor's advice, the age category of the patient and his weight. Tablets are drunk in the morning before meals and in the evening before bedtime. One of the main conditions of the "diet": washing down the product with water (at least 200 ml). When the intestines are often emptied, dehydration is observed, the body's water reserves must be replenished. When using Bisacodyl, you need to drink at least 2 liters of water. You can get rid of 4 kilos per day.

The drug is taken in the presence of a complete and balanced diet. Some of the nutrients will be excreted with a laxative, so it is recommended to use complexes of minerals and vitamins. Contraindications for admission:

appendicitis;

cholecystitis (inflammation of the gallbladder);

strangulated hernia;

intestinal obstruction;

pregnancy and lactation;

kidney disease;

frequent cutting pains in the abdominal cavity;

intolerance to the constituent substances of the drug.

drug interaction

To avoid side effects and deterioration in health, the interaction of Bisacodyl with other drugs should be taken into account. The instruction describes such features of the simultaneous use of a laxative with various drugs:

The effect of taking Bisacodyl is reduced when interacting with psychotropic, anticholinergic drugs, opiates, cholestyramine.

The use of antacids (to reduce the acidity of the stomach), Cimetidine, Ranitidine, Omeprazole reduces the effect of a laxative, leads to irritation of the gastric mucosa and pain.

Long-term use of Bisacodyl with cardiac glycosides increases the concentration of the latter.

With a one-time use with Hydrochlorothiazide, Furosemide, Carbenoxolone, Hydrocortisone, Prednisolone, Methylprednisolone, Dexamethasone, potassium is washed out of the body. This can lead to a deficiency of a useful trace element.

Side effects and overdose

If the rules for using a laxative are violated, the permitted dosage is not observed, or the person has intolerance to the constituent components of the drug, then problems may arise. Main side effects:

flatulence (bloating);

pain in the anus (when using candles);

diarrhea that provokes dehydration, lack of electrolytes (as a result - hypotension, muscle weakness, convulsions);

dyspeptic disorders (heartburn, stomach pain, severe belching and other disorders of the digestive system);

allergy;

dysbacteriosis;

colic in the abdomen;

intestinal atony;

severe weakness, lowering blood pressure, impaired coordination of movements in the elderly.

Contraindications

There are a number of factors in the presence of which it is forbidden to take bisacodyl in any form. Contraindications:

acute inflammation of the peritoneal organs;

uterine bleeding;

subileus (impaired patency of the small intestine);

acute hemorrhoids;

the child is under 2 years of age;

peritonitis;

• bleeding of the gastrointestinal tract (gastrointestinal tract);

  intestinal obstruction;

  constipation with spasms;

  hypersensitivity to the constituent elements of a laxative;

  acute and chronic form of cystitis;

  violation of water and electrolyte balance;

  stomach ache;

  polyposis, oncological diseases of the intestine;

  acute inflammation of the rectum;

  take with caution in renal and hepatic insufficiency, pregnancy and lactation.

Terms of sale and storage

You can buy tablets or suppositories without a prescription. The drug should be stored in a dark place, inaccessible to sunlight, at a temperature of 15-25 degrees. The shelf life of the drug is 5 years.

Analogues

If the patient cannot carry out therapy with bisacodyl for a number of reasons, then it can be replaced with an analog agent. The most popular and effective medicines with a laxative effect are:

Pirilax has a positive effect on intestinal motility, helps to get rid of the increased accumulation of gases in the digestive tract. It is allowed to take from 2 (candles) and 4 (tablets) years.

Guttalax laxative can be purchased in drops or dragee. According to reviews, the drug shows high efficiency in the treatment of constipation caused by diseases or reactive conditions of the gastrointestinal tract.

Well-known analogues are Regulax, Slabilen, Senade, Naturolax, Senalex.

Bisacodyl price

A laxative can be purchased at almost every pharmacy kiosk or ordered from an online pharmacy under the catalog. The price depends on the dosage form of the release, the manufacturer and the specific place of sale. Approximate cost in pharmacies in Moscow and the region.