An effective, fast-acting laxative. Which laxatives for constipation are better and more effective
Constipation is a difficult act of defecation due to various reasons: malnutrition, insufficient physical activity, drug abuse, pregnancy, intestinal pathology, etc. In any pharmacy there is a wide range of laxatives for constipation. But, like all drugs, laxatives also have their own indications and contraindications for use.
Irritating drugs
These funds are the fastest and most effective laxatives for constipation. Their action is due to irritation of receptors, with the help of chemical substances, large intestine, which enhances peristalsis and causes it to empty after a few hours. An irritant laxative is recommended for acute, occasional constipation. It is not recommended to use the funds of this group for more than 10 days, since there is a high probability of complications: intestinal atony, destruction of nerve receptors, dehydration and loss of salts by the body.
| Bisacodyl - tablets, suppositories (analogues: Dulcolax, Bisacodyl-Akri, Bisacodyl-Hemofarm) |  |
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Active substance:
Bisacodyl. |
Description:
A laxative used in acute constipation, which increases the contraction of the intestinal walls. |
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Properties:
A laxative for constipation, which increases the contraction of the intestinal walls, contains substances that activate the intestinal glands, contributing to the production of mucus. Thereby stool come out painlessly. |
Application:
Treatment begins with 1 tablet or 1 suppository. The tablet is taken in the evening, after dinner, the suppository is injected into the rectum at bedtime. If the expected effect does not occur in the morning, the amount is increased to 2-3 tablets (or 2 suppositories). In preparation for an examination or surgery, drink 2 tablets before going to bed or 1 suppository of the drug is administered rectally per day or on the eve of the procedure or surgery. |
Indications:
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Contraindications:
With caution, the drug should be used:
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Side effect:
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Price:
From 20 to 50 rubles. |
| Guttalax - drops, tablets (analogues: Slabilen, Laxigal, Guttasil,) |  |
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Active substance:
Sodium picosulfate monohydrate. |
Description:
A mild laxative that irritates the intestinal receptors responsible for its peristalsis. |
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Properties:
A laxative for constipation stimulates the contraction of the intestinal walls, and also reduces the loss of water and electrolytes from the body. |
Application:
Tablets are taken orally at night, in the amount of 1-2 pcs. Drops - 10-20 drops (5-10 mg). Drops and tablets should not be used for more than 10 days. |
Indications:
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Contraindications:
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Side effect:
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Price:
From 200 to 300 rubles. |
| Senade - tablets (analogues: Senadeksin, Gerbion Laksana, Glaksenna) |  |
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Active substance:
Senna leaf extract. |
Description:
Herbal laxative for constipation, stimulating the peristalsis of the intestinal walls. |
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Properties:
Laxative with senna leaves promotes quick and gentle emptying. Not addictive, stool changes. Laxative fast action, the average time of onset of the expected effect is 8 hours. |
Application:
Tablets are taken orally at night in the amount of 1 pc. If there is no effect, the number of tablets can be increased to 3 pcs. per day. |
Indications:
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Contraindications:
Caution should be taken when taking the drug in the following cases:
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Side effect:
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Price:
From 550 to 600 rubles. |
| Buckthorn - tablets (extract), bark |  |
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Active substance:
Dry extract of buckthorn. |
Description:
Laxative preparation based on herbal ingredients. |
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Properties:
The composition of the plant includes anthraglycosides, which cause irritation of the receptors of the intestinal walls, and as a result, a laxative effect. The tannins in the composition of the product soothe the irritated intestinal mucosa, which is injured due to stagnant feces. |
Application:
Take 1-2 tablets at night. The bark is brewed according to the instructions for use. |
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Indications:
Chronic constipation. |
Contraindications:
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Side effect:
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Price:
From 50 to 200 rubles. |
| Phytotransit - tablets (analogues: Laminaria tablets) |  |
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Active substance:
Laminaria thallus. |
Description:
Herbal laxative. |
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Properties:
Active substance plant origin has an irritating effect on the nerve receptors of the intestine, restoring its peristalsis and enhancing the work of the glands that produce mucus. This contributes to the soft evacuation of feces. |
Application:
For the treatment of constipation, take 1 tablet 2 times a day. |
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Indications:
Chronic constipation caused by impaired intestinal motility. |
Contraindications:
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Side effect:
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Price:
From 170 to 230 rubles. |
| Rektaktiv - candles |  |
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Active substance:
Extract of chestnut fruit. |
Description:
A laxative drug prescribed for occasional constipation. |
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Properties:
Extract horse chestnut stimulates the natural contraction of the intestinal walls, causing rapid evacuation of feces. |
Application:
Apply 1 suppository 1 time per day, in the evening. It is allowed to increase the dose up to 3 pcs. per day to normalize the act of defecation. The use of the drug for more than 10 days is allowed only after the approval of a specialist. |
Indications:
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Contraindications:
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Side effect:
Burning in rectum. Usually, this symptom goes away on its own after a few minutes. |
Price:
From 230 to 350 rubles. |
| Glycelax - candles (analogues: Glycerin, Glycerin suppositories) |  |
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Active substance:
Glycerol. |
Description:
Rectal laxative suppositories for constipation. |
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Properties:
When injected into the rectum, the active substance irritates the intestinal walls, which causes reflex contractions and increases peristalsis. Glycerol envelops the feces, so emptying does not cause pain. |
Application:
Rectal suppositories are injected into the rectum in the morning in the amount of 1 pc. It is allowed to use no more than 1 candle per day. |
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Indications:
Constipation arising from age-related changes, psychogenic factors, with limited mobility. |
Contraindications:
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Side effect:
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Price:
From 80 to 160 rubles. |
| Mucofalk (Analogues: Phytomucil) |  |
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Active substance:
Psyllium seed coat powder. |
Description:
Laxative phytopreparation for oral solution preparation with orange flavor. |
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Properties:
The active substance of the drug increases in volume upon contact with liquid in the gastrointestinal tract. Due to this, mechanical irritation of the intestinal walls occurs, its peristalsis increases and constipation is eliminated. Psyllium seeds have an anti-inflammatory effect, so it is advisable to use the remedy at any stage of hemorrhoids. |
Application:
Apply 1 sachet 1 time per day. The contents of one package are dissolved in 150 ml of cold boiled water. The prepared solution is drunk immediately after preparation. It is allowed to drink it with a glass of liquid. The use of the drug has no age restrictions. It can be used as a laxative during pregnancy, breastfeeding, as well as people old age and children. |
Indications:
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Contraindications:
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Side effect:
In rare cases, in the first days of taking the drug, bloating in the abdomen and heaviness increase. |
Price:
From 450 to 600 rubles. |
Osmotic laxatives
A group of laxatives recommended for use for a one-time bowel cleansing in case of acute constipation or before an endoscopic examination of the large intestine or with food and drug poisoning. Osmotic drugs are not addictive, they do not form the "lazy gut" syndrome. They act symptomatically and do not eliminate the root cause that provoked constipation.
The main action of laxatives for constipation is based on an increase in osmotic pressure due to the retention of water in the intestinal ducts. This causes softening of the stool and its increase in volume and, as a result, creates a laxative effect. It is not recommended to use osmotic agents for chronic constipation. Despite their mild effect, their use for more than three months causes a serious imbalance of water and electrolytes in the body, which leads to dehydration and the loss of important micronutrients in the body.
| Magnesium sulfate - powder (analogues: bitter salt, Epsom salt, Magnesia, Epsom salt) |  |
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Active substance:
Magnesium sulfate. |
Description:
Osmotic laxative. |
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Properties:
Magnesium sulfate increases the flow of water into the intestinal ducts and is not absorbed into the blood. As a result, the feces soften, increase in volume, which causes a natural urge to defecate. |
Application:
For constipation, a laxative is taken in an amount of 20 g on an empty stomach, 1 time per day - adults; 5 g - children 6-12 years old; 10 g - adolescents under 18 years old. |
Indications:
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Contraindications:
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Side effect:
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Price:
From 50 to 100 rubles. |
| Fortrans - powder (analogues: Forlax, Realaksan, Osmogol, Tranzipeg) |  |
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Active substance:
Macrogol. |
Description:
A laxative for constipation with osmotic properties, used to cleanse the intestines. |
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Properties:
The laxative does not affect other organs, since it is not absorbed into the general bloodstream from the stomach. Fortrans has a very powerful and fast laxative effect, completely cleansing the intestines even from unformed feces. |
Application:
The contents of one sachet are dissolved in 1 liter of cold boiled water. The drug is taken every hour in an amount corresponding to the calculation: 1 liter of the finished solution per 15-20 kg of human body weight. If the agent is used to cleanse the intestines before procedures, it should be completed at least 4 hours before the diagnosis. |
Indications:
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Contraindications:
Caution should be used in the elderly. |
Side effect:
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Price:
From 100 to 150 rubles for 1 sachet. |
| Microlax - microclyster with sodium citrate |  |
Active substance:
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Description:
Combined remedy with a laxative effect: has an irritating effect and softens the stool. |
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Properties:
Micro enema has an almost instantaneous effect, liquefying stool within 15-20 minutes. The main advantage of the remedy is that it does not affect the functioning of the intestines as a whole, it is not addictive. Substances in the composition of microclysters actively stimulate the flow of water into the intestines, which contributes to the rapid liquefaction of feces and their rapid evacuation. In this case, all components of the drug are excreted in the feces and are not absorbed by the body. |
Application:
The tip of the microclyster is inserted all the way into the rectum. Used on the offensive characteristic symptoms constipation. If the violation of the stool continues long time, expert advice is required. |
Indications:
It has no age restrictions: microclysters can be used to cleanse the intestines during pregnancy and breastfeeding, children and the elderly. |
Contraindications:
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Side effect:
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Price:
From 300 to 450 rubles. |
Laxatives with prebiotics
These funds are characterized by a slow, but mild and safe action. They can be used by pregnant and lactating women, the elderly, recovery period after surgery and childbirth. Prebiotics are recommended for acute and chronic disorders chair. The substances that make up laxatives have a beneficial effect on the state of the intestinal microflora, increasing the number of beneficial bacteria.
| Portalak - syrup (analogues: Lactulose, Normaze, Duphalac) |  |
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Active substance:
Lactulose. |
Description:
Laxative for constipation with osmotic properties. |
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Properties:
The laxative enhances intestinal peristalsis by increasing the osmotic pressure in the intestinal ducts. Also, the drug normalizes the composition of the intestinal microflora, enhancing the growth of beneficial bacteria. |
Application:
To eliminate constipation, take 15 ml orally 3 times a day. This dosage is maintained for three days. Further, the amount is reduced to 10 ml 3 times a day. |
| Indications: |
Contraindications:
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Side effect:
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Price:
From 265 to 350 rubles. |
| Exportal - powder |  |
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Active substance:
lactitol monohydrate. |
Description:
Laxative-prebiotic for the treatment and prevention of constipation with osmotic properties. |
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Properties:
Lactitol is an active prebiotic that reaches the large intestine unchanged. The drug softens the feces, increases the osmotic pressure inside the intestinal ducts, promotes gentle bowel movements. It also has a beneficial effect on the qualitative and quantitative composition of the intestinal microflora, creating a favorable environment for the development of beneficial microorganisms. |
Application:
The powder is mixed with water, tea, coffee, juice and drunk immediately. In this case, the entire daily dose (20 g) is taken as 1 dose. With the normalization of the stool, when the effect obtained is stable (the bowel movement occurs 1 time per day), the amount of the drug taken can be reduced by 2 times. The course of treatment is long - 5 months. |
Indications:
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Contraindications:
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Side effect:
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Price:
From 240 to 300 rubles. |
Preparations of complex action
This group of drugs has a complex effect, is intended for the treatment of chronic diseases of the digestive tract, as well as for the elimination of chronic constipation and stool disorders.
| Allochol UBF |  |
Active substance:
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Description:
A drug that enhances the secretion of the digestive tract, restores intestinal motility, reduces flatulence and has a laxative effect. |
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Properties:
The active substances of the drug have a complex effect on the functioning of the liver, stomach and intestines. Due to the normalization of bile formation, it increases the motor activity of the intestinal walls, eliminates the reproduction of putrefactive and fermentative bacteria in the intestine. |
Application:
For the treatment of constipation, take 2 tablets 3 times a day after meals. The duration of treatment is 20-30 days. |
Indications:
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Contraindications:
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Side effect:
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Price:
From 20 to 100 rubles. |
| Spazmonet - tablets (analogues: Drotaverine, No-Shpa) |  |
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Active substance:
Drotaverine hydrochloride. |
Description:
An antispasmodic used to treat disorders in the functioning of organs caused by spasm of smooth muscles. |
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Properties:
The active substance of the drug helps to normalize the stool, with constipation caused by spasm of the smooth muscles of the intestine. The drug relieves pain, eliminates spasm, restores normal work organ and prevents tissue necrosis. |
Application:
It is allowed to take up to 6 tablets per day until the spasm of the smooth muscles of the intestine is eliminated to obtain a laxative effect. |
Indications:
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Contraindications:
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Side effect:
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Price:
From 70 to 150 rubles. |
Folk remedies for constipation
If the causes that caused violations of the act of defecation are not diseases of the digestive tract or inflammatory, purulent processes in the intestines, then for the treatment of constipation, you can use folk laxatives prepared at home. When choosing herbal ingredients for them, it is necessary to take into account the individual intolerance of the ingredients.
Decoctions and infusions
For constipation, it is advisable to use herbal preparations from medicinal plants for oral administration. They have a complex effect: they increase peristalsis, reduce irritation, and restore intestinal microflora.
To eliminate constipation caused by spasm of the smooth muscles of the intestine:
- dill or fennel seeds;
- dried mint or lemon balm leaves;
- mistletoe inflorescences;
- three-leaf watch;
- dandelion root, valerian and rhubarb.
To eliminate atonic constipation caused by sluggish peristalsis intestines:
- hop cones;
- dill or fennel seeds;
- dandelion root;
- toadflax;
- inflorescences of tansy;
- centaury.
All ingredients are taken in equal proportions: to prepare 1 tbsp. infusion - 0.5 tsp. every plant. Next, the dry mixture is poured into 200-250 ml of boiling water, insisted and drunk in one or more doses throughout the day until a laxative effect is obtained. Every day a new decoction is prepared.
Oils
To eliminate constipation at home as a laxative, you can use various oils. They are taken orally or added to a cleansing enema solution. This method used for adults only. For children, oils are used only as external agents. The following means cause defecation:
- linen;
- pumpkin;
- vaseline;
- castor.
The oil is taken orally 15-30 g for half an hour. Do not use such a laxative for more than three days. Oil is added to the cleansing enema solution in an amount of 50 ml.
Food
Foods included in the daily menu can also help normalize stools and prevent frequent constipation. In case of defecation disorders, first of all, alcohol, fatty and fried foods, sweets and rich pastries should be abandoned and products with a laxative effect should be preferred:
- raisins and prunes;
- figs (it is recommended to eat it on an empty stomach);
- beet;
- beet, carrot, pumpkin juices;
- honey mixed with walnuts;
- dairy products;
- seaweed.
It is very useful for constipation before going to bed to drink a glass of kefir or fermented baked milk at night. And it is very important to consume less than 2 liters of non-carbonated water during the day.
Which laxative to choose?
Any laxative should be not only effective, but also harmless to the body. Before using absolutely any drug, you should carefully read the instructions, especially with contraindications and side effects. It is necessary to select drugs, taking into account the following factors:
- Acute, occasional constipation that does not have a chronic course - in this case, you can take irritant laxatives or eliminate constipation by increasing the osmotic pressure inside the intestinal duct: Fortrans, Bisacodyl, Guttalax. But it should be remembered that it is they who have multiple contraindications and side effects, the only exception is Microlax microclysters.
- Chronic constipation - in this situation, it is better to give preference to laxatives with prebiotics: Portalak, Exportal. They act gently, restore the intestinal microflora, are not addictive. Means of this group are most suitable for children, pregnant women and the elderly.
- Spasmodic constipation (impaired bowel movements caused by spasm of the intestinal muscles) - to eliminate disease state you should use painkillers that relax muscles and reduce tone: Spazmonet, No-Shpa, Drotaverine.
It should be remembered that all laxatives for constipation do not treat the root cause of its appearance, but only eliminate the characteristic symptoms. Therefore, in case of systematic violations of the stool, a visit to the doctor is mandatory. Only a specialist will help identify factors that disrupt the functioning of internal organs, and help you choose the most effective drug taking into account all indications and contraindications for its use.
Constipation is a rather controversial condition of the body, despite the fact that from 30 to 50 percent of the adult population and from 5 to 20 percent of children face this problem. The World Health Organization considers delayed, obstructed, or insufficient bowel movements to be a disease, as evidenced by the "International Statistical Classification of Diseases and Health Problems".
At the same time, international gastroenterological organizations and associations of gastroenterologists designate constipation as a symptom of various diseases. The same position is typical for domestic medicine. The classification of problems with bowel movements as a symptom determines the nature of their elimination: in gastroenterology, the main step in the fight against constipation is to eliminate the causes of their occurrence. But along with this, in most cases, fast and effective therapy, aimed at normalizing the stool, which is carried out with the help of medicines belonging to a large group - laxatives.
Characteristics of laxatives
Laxatives are medicines that are used exclusively to combat constipation. In general, the mechanism of their action can be divided into two directions:
- increased wave-like contraction of the colon (peristalsis) to accelerate the withdrawal of its contents to the outlet;
- inhibition of water reabsorption in the large intestine.
The history of the development of laxatives began with herbal remedies containing anthraglycosides. Over time, salt and synthetic preparations were created, which did not always differ in efficiency and safety of use. But now pharmacology has gone far ahead, enemas, syrups and tablets for constipation have become more advanced and we will consider them in as much detail as possible.
Classification of laxatives
According to international system Classification of drugs, laxatives are divided into six groups:
- emollient drugs;
- osmotic laxatives;
- laxatives that increase the volume of intestinal contents;
- laxatives in the form of enemas and suppositories;
- contact (irritable) laxatives;
- other laxatives.
Let's consider each of the groups in more detail.
Emollient laxatives (plasticizers)
| The main drugs of the group |
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| Mechanism of action | Emollient laxatives work at the level of the small intestine. The result of their work is the softening of feces, stimulation of peristalsis, a decrease in the absorption of fluid by the walls of the intestine, and the simplification of the sliding of feces to the outlet. |
| Indications for use | They are prescribed for people who should not push (women after childbirth, people after operations), patients with coprostasis (colon obstruction). Also, drugs of this group are recommended for various poisonings and in preparation for diagnostic procedures. |
| Contraindications | Do not use emollient laxatives for pregnant women, children under 12 years of age, people with chronic constipation, hemorrhoids, kidney disease, uterine and intestinal hemorrhages. |
| Side effects | Possible decrease in defecation reflexes, inflammation of the rectal mucosa, malignant neoplasms of the intestine |
Osmotic laxatives
| The main drugs of the group | There are three subgroups of osmotic laxatives:
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| Mechanism of action | Salt laxatives act throughout the intestine, increasing the osmotic pressure in its lumen. This action draws fluid from the plasma and fatty tissues into the intestines, which leads to softening of the feces. Prebiotics have an effect on the colon. During their bacterial fermentation in the colon, acidity in this area increases, which leads to an increase in volume and softening of the feces. Macrogol stimulates the hydration process, balancing the volume of the colon and its contents. Does not affect the intestinal microflora and does not irritate it. |
| Indications for use | Osmotic laxatives are prescribed for various types poisoning, in preparation for laboratory tests and surgery, with acute and chronic constipation. |
| Contraindications | The salt subgroup of laxatives is contraindicated in children, pregnant women and women during lactation. Also, saline laxatives should not be used in heart failure. Prebiotics and Macrogol have practically no contraindications. They are most often prescribed for constipation in children. |
| Side effects | Salt preparations can cause an uncontrolled laxative effect, dehydration, nausea, vomiting, and diarrhea. Prebiotics are often accompanied by flatulence, and Macrogol can cause diarrhea and minor abdominal pain. |
Bulk laxatives
| The main drugs of the group |
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| Mechanism of action | At the heart of this group of laxatives are components that are not digested in the intestines. In fact, they expand the volume of the rectum while retaining water, which leads to a reflex acceleration of bowel movements. The intake of the drugs themselves should be accompanied by the simultaneous use of a large amount of liquid - up to one and a half liters. |
| Indications for use | They are prescribed for chronic constipation, people who cannot push (postpartum and postoperative periods), patients with irritable bowel syndrome. |
| Contraindications | The presence of allergies to the components of the drugs. |
| Side effects | Taking bulk laxatives may be accompanied by bloating, minor pain, and a feeling of fullness in the colon. Considered the safest group of laxatives. |
Laxatives in the form of enemas and suppositories
| The main drugs of the group |
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| Mechanism of action | Render local impact on the rectum, softening the feces and increasing them in volume. |
| Indications for use | Appointed before laboratory research, in the postpartum and postoperative periods, as well as with occasional constipation. |
| Contraindications | Remedies for constipation in the form of enemas and suppositories are contraindicated in uterine bleeding, with exacerbation of hemorrhoids, with inflammatory processes in the large intestine and with cracks in the anus. |
| Side effects | With short-term use, laxatives of this group do not have side effects. Prolonged use may be accompanied by pain and itching in anus, inflammation of the rectum, diarrhea. |
Contact (irritant) laxatives
| The main drugs of the group |
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| Mechanism of action | The drugs of this group have an irritating effect on the mucous membrane and nerve endings in the colon, thereby stimulating the process of peristalsis. Also, contact laxatives prevent the absorption of fluid from the intestines, preventing the stool from hardening. |
| Indications for use | They are prescribed mainly for acute constipation. |
| Contraindications | Not prescribed for children and the elderly, as well as patients with limited mobility due to the unpredictable course of the laxative effect. In addition, most of the drugs in this group have individual contraindications, and their long-term use is not recommended. |
| Side effects | Dysbacteriosis, dehydration, addiction. |
Other laxatives
Other laxatives include, mainly, combined preparations. Their characteristics, indications and contraindications, as well as the list of side effects depend on the components that make up each particular drug. The most common pills for constipation in this group:
The nuances of the use of laxatives
Quite often, people believe that laxatives for constipation are absolutely harmless and easy to use, and they prescribe them to themselves without consulting a doctor. This is fundamentally wrong. Most laxatives have a significant list of contraindications, without taking into account which a person exposes himself to serious danger.
In addition, the use of drugs for constipation is quite often addictive, so modern medical protocols involves the combination of various laxatives with short term application of each of them.
When choosing a remedy for constipation, you need to remember that microclysters and suppositories will bring the fastest effect, and it is best to fight chronic constipation with the help of prebiotics, which are most often found in the form of tablets for constipation. In addition to normalizing the stool, they stimulate the intestines and have a positive effect on the microflora, with virtually no contraindications.
Take laxatives before bed. Most of the medicines in this direction begin to act after 6-12 hours, so that the expected effect will be observed in the morning. In addition, after taking laxatives, it is worth planning your time in such a way that you stay at home throughout the day. This will avoid many unpleasant situations.
Folk methods of dealing with constipation
Considering the types of laxatives, it can be noted that many of them are based on herbal ingredients that have laxative properties. They are also widely used in folk medicine for constipation.
There are also a number of effective folk methods prevention and control of constipation, which are very easy to use, do not require any complex components and are an important part healthy lifestyle life. Let's consider them:
- after waking up, you should regularly drink at least a glass clean water room temperature, and postpone eating for half an hour after that. Water will cleanse the stomach and prepare it for the process of digestion;
- regular consumption of sufficient quantities of cabbage, prunes, beets, other vegetables and fruits in raw form is the key to the absence of constipation and the normal functioning of the intestines;
- before going to bed it is useful to drink a glass of yogurt. It is very easy to pickle and allows the intestines to prepare for a new day without overload;
- if it was not possible to avoid constipation, then castor oil will help to quickly overcome it. 30 g of oil once a day for three days normalize the stool, and the first effect of its intake will appear after 2-8 hours. This drug is considered one of the most effective, fast-acting and inexpensive, and therefore perhaps the most popular;
- Be sure to drink plenty of fluids when you are constipated. One and a half to two liters of water, drunk at a time, will make the stool softer and allow you to overcome the problem without serious therapy.
But the main thing with constipation is the elimination of the cause, due to which the bowel function was disturbed. By correctly identifying the prerequisites and getting rid of them, constipation will pass without a trace, and you will forget about this problem for a long time.
What is the cheapest fast-acting laxative for bowel cleansing in pharmacies today?
Laxatives should be used only when indicated, as they affect the microflora and intestinal motility. With constant uncontrolled use this group medication completely kills the possibility of natural bowel movement. In the presence of constipation and other problems requiring the use of laxatives, it is not necessary to choose the most expensive ones. You can turn to inexpensive but effective domestic substitutes for expensive foreign drugs for help.
medicinal product should be taken half an hour before breakfast or before going to bed. To obtain an adequate therapeutic result, adult patients should take 5-15 mg active substance. Tablets should not be chewed, the medication must be washed down only with water. The remedy is taken once, in some cases a longer course is allowed with urgent need. The cost of Bisacodyl is 15-150 rubles.
Herbal medicine that shows nice results at the right dose. To cleanse the intestines, one capsule of Defenorm should be taken every eight hours until the desired effect occurs. Under the supervision of a doctor, the medication can be used for a long time after the surgery, until the work of the gastrointestinal tract is established. The average cost of Defenorm is 150 rubles.
The drug significantly enhances intestinal motility, softens the feces and promotes its promotion. When treating problems with the gastrointestinal tract, you should take 10-20 drops of medication once a day. The real effect of Picolax occurs within 6-14 hours, it is advisable to drink the remedy before going to bed. The average price of tablets is 150 rubles.
Attention! These drugs are strictly prohibited to use in the presence of hemorrhoids, cystitis and allergic reaction for lactose.
Laxatives in the form of syrup
A feature of this syrup is its effect on physiological defecation. Normolact causes natural bowel cleansing processes to start, in rare cases, the syrup provokes severe headaches and long-lasting diarrhea.
The medication should be taken at a dosage of 15-30 ml once every 24 hours. In severe constipation, the dosage for an adult patient should be increased to 60 ml, also strictly once a day. The effect of using Normolact occurs within the first two days. The price of syrup is 180-250 rubles.
Medicine available in the form of drops for oral use. The medication should be taken before breakfast or half an hour before going to bed. Adult patients take 10-20 drops of the active substance. The duration of therapy is determined individually for each patient. Pikosen costs between 100-120 rubles.
Oral drops that have mild effects at minimal doses. Patients are usually prescribed 10 ml, which is equal to 1 mg of the active substance. Action from Proslabin comes very quickly within the first 3-6 hours. The exact course of therapy should be checked with your doctor, especially in the presence of chronic gastrointestinal diseases. The cost of Proslabin is 100-250 rubles.
Attention! Syrups at adjusted doses can also be given to young children if they are constipated due to dietary errors or medications.
Laxatives in powder form
This tool can be used up to three months, if necessary. Adult patients should take in the morning 1-2 sachets of powder dissolved in a small amount of clean water. The effect of the action of Forlax is achieved after 48 hours. If necessary, the dose can be divided into two doses. The average cost of the powder is 200 rubles.
This is a domestic substitute for Forlax, but it is taken in smaller quantities and is more easily tolerated by patients. To obtain an adequate therapeutic result, one sachet of Lavacol should be dissolved in 200 ml of water. After the recommended dose of the drug has been drunk, it is necessary to drink 0.2 liters of pure water every 20 minutes until its amount reaches three liters. The price of Lavacol is 200 rubles.
Attention! Despite the possibility of long-term use, powders can cause the same side effects as regular syrups and laxative-type tablets.
See also magnesium oxide, Andrews Liversalt.
Flea Grass (Plantagopsyllium L.)
An annual wild and cultivated herbaceous plant, fam. plantains (Plantaginaceae).
Pharmachologic effect. The action is associated with the swelling of mucus, its enveloping and mild anti-inflammatory properties.
From the seeds and their shells, the purified substance Isagbol (Isagbol) is obtained and the following preparations are made from it:
NATUR-KER(Nature Care)
Indications for use. Chronic constipation, for the prevention of constipation with hemorrhoids (bulging and inflammation of the veins of the rectum) and anal fissures.
Method of application and dose. Assign inside adults 1 teaspoon of powder 1-3 times a day.
Children - 1/2 teaspoon 1-3 times a day. Drink a glass of water.
Release form. In a package of 100 g.
Storage conditions. In a dry, cool place.
NATURILAX (Naturilax)
Indications for use. Chronic constipation, for the prevention of constipation with hemorrhoids (bulging and inflammation of the veins of the rectum), anal fissures, surgical operations on the rectum.
Method of application and dose. 1 tablespoon or packet of powder 1 time per day. Before use, the powder is diluted with water.
Release form. Powder in sachets of 3.5 g or in jars of 100 g.
Storage conditions. In a dry, cool place.
Bisacodyl (Bisacodyl)
Synonyms: Acetphenolpicoline, Alaxa, Alsilax, Bicolax, Bisacolax, Bisalax, Biscolax, Brocalax, Contactolax, Kontalax, Demolaxin, Ducolax, Dulcolax, Durolax, Euulaxan, Enteralax, Phenolax, Laxacol, Laxacodyl, Laxadine, Laxorex, Megalax, Novolax, Oralax, Pentalax, Prontolax, Pirilax, Ritmil, Sedolax, Spirolax, Teralax, Videx, etc.
Pharmachologic effect. Refers to laxatives, irritates the intestinal receptors, and also enhances the secretion of mucus and liquefaction of the intestinal contents.
Indications for use. Chronic constipation of various etiologies (causes), including in long-term patients, elderly and senile people, etc.
Method of application and dose. Assign per os (through the mouth) and per rectum (into the rectum). Adults: 1-3 tablets at night or 1-2 suppositories (suppositories) rectally (into the rectum). Doses for children are set depending on age.
Side effect. Spasms of the gastrointestinal tract are possible.
Contraindications. Acute inflammatory diseases and varicose veins veins of the rectum (hemorrhoids); individual intolerance to the drug.
Release form. Dragee 0.005 g in a package of 30 pieces; candles of 0.01 g in a package of 12 pieces.
Storage conditions. List B. In a dry, cool place, pills in well-corked bottles.
GUGGALAX (Guttalax)
Synonyms: Sodium picosulfate, Contumax, Dibrolax, Elimin, Evacuol, Gotalax, Guttalan, Laxidogol, Laxoberon, Picobax, Picosulfol, Totalaxan, Verilaks, etc.
Pharmachologic effect. It has a strong and rapid laxative effect by direct stimulation of the rectum. Not addictive (reducing the effect with repeated use).
Indications for use. All types of constipation, both atonic (constipation associated with a decrease in the motor activity of the colon) and spastic (constipation associated with involuntary contractions of the colon). Especially indicated for constipation associated with diet, immobility, pregnancy, overweight, etc. Used to facilitate bowel movements in patients suffering from hemorrhoids (bulging and inflamed veins of the rectum), anal fissures (anal fissures), in the postoperative period .
Method of application and dose. Adults are prescribed 5 to 10 drops in a small amount of water. With persistent constipation, the dose can be increased to 15 drops or more. children
Contraindications. Contraindicated in acute abdomen (acute surgical diseases of the abdomen).
Release form. Vial containing 10 ml of the drug.
Storage conditions. In a place protected from light.
Joster laxative fruit (Frucrus Rhamni catharticae)
Synonyms: Buckthorn laxative fruit.
Contains anthraglycosides (rhamnokatarin, rhamnoxanthin, josterin), flavonoids (rhamnocitrin, xanthoramnetin, kaempferol), pectin substances, organic acids, sugar.
Pharmachologic effect. Laxative.
Indications for use.
Method of application and dose. In the form of a decoction (20.0:200.0) 1/2 cup at night.
Release form. In a package of 100 g.
Storage conditions. In a dry, cool place.
ISAMAN (Isamanum)
Pharmachologic effect. Laxative.
Indications for use. Spastic and atonic constipation (constipation associated with involuntary contractions of the large intestine or with a decrease in its motor activity), neurogenic dyskinesia (impaired mobility) of the large intestine.
Method of application and dose. The first 3 days daily, 1 tablet 1-2 times a day, then every other day and 1-2 times a week, with persistent constipation, 2 tablets once.
Release form.
Storage conditions. In a place protected from light.
ISAFENIN (Isapheninum)
Synonyms: Laxigen, Laxil, Acetalax, Bisatin, Ditin, Phenizan, Purgofen, Acetphenolysatin, Asitin, Bisatin, Difezatin, Euulaxin, Isacen, Laxaseptol, Neolax, Prulax, etc.
Pharmachologic effect. A laxative that increases gastric motility.
Indications for use. With chronic atonic constipation (constipation associated with a decrease in the motor activity of the colon), as a laxative.
Method of application and dose. 0.01-0.015 g 1-2 times a day, older children 0.005-0.01 g 1-2 times a day.
Higher single dose for adults - 0.025 g, daily - 0.05 g.
Side effect. In some cases, pain in the intestinal area is observed.
Contraindications. When taking isafenin, you should not use alkalis and mineral alkaline waters(while taking the drug and within an hour before and after taking it).
Release form. Tablets of 0.01 g in a package of 10 pieces.
Storage conditions. List B. In a dry place.
SEA CABBAGE (Laminaria)
Contains alginate (30%), mannitol (20-25%), vitamins Bi, 812, C, D, carotenoids, organic iodine compounds, trace elements (manganese, copper, silver, cobalt, boron).
Indications for use. As a mild laxative for chronic atonic constipation (constipation associated with a decrease in the motor activity of the colon) (especially for patients with atherosclerosis).
Method of application and dose. According to "/ 2-1 teaspoon at night (drink with water).
Contraindications. Nephrites (kidney disease), hemorrhagic diathesis (increased bleeding) and diseases in which iodine preparations are contraindicated.
Release form. In packs of 180 g.
Storage conditions. In a dry place.
LAMINARID (Laminaridum)
A mixture of polysaccharides with a protein component and alginic acid salts is obtained from seaweed.
Pharmachologic effect. Has a laxative effect.
Indications for use. Chronic constipation with severe spasms of the intestines.
Method of application and dose. Inside after meals, 5-10 g (1-2 teaspoons) 1-3 times a day, drinking "/4-"/2 glasses of water.
Release form. Granules (1 g of granules contains 0.2 g of the drug) 50 g per vial.
Storage conditions. In a dry place.
Castor Oil (Oleum Ricini)
Synonyms: Castor oil.
Pharmachologic effect. When taken orally, it is cleaved by lipase into small intestine with the formation of ricinoleic acid, which causes irritation of the intestinal receptors (along its entire length) and a reflex increase in peristalsis (wavy movements of the intestine). The laxative effect usually occurs after 5-6 hours.
When taking castor oil, there is also a reflex contraction of the muscles of the uterus.
Indications for use. Laxative. Also used externally as part of ointments and balms for burns, ulcers, wounds, to soften the skin and remove dandruff.
Method of application and dose. As a laxative, castor oil is prescribed orally for adults, 15-30 g, and for children, 5-10-15 g per dose (1 teaspoon, dessert or tablespoon). Castor oil can be used as gelatin capsules(ready-made) or emulsions.
Contraindications. Castor oil as a laxative is contraindicated in case of poisoning with fat-soluble substances (phosphorus, benzene, etc.), as well as male fern extract; during pregnancy.
Release form. In vials of 30 ml and 50 ml; capsules of 1 g in a package of 15 pieces.
Storage conditions. In a cool, dark place.
Buckthorn bark (Cortex frangulae)
Pharmachologic effect. Laxative.
Indications for use.
Method of application and dose. In the form of a decoction (20.0: 200.0) 1/2 cup, liquid extract 20-40 drops or dry extract of 0.2-0.4 g per dose.
Release form. Chopped bark in a package of 100 g; buckthorn extract liquid in vials of 25 ml; dry buckthorn extract in tablets of 0.2 g in a package of 50 pieces.
Storage conditions. Bark - in a dry cool place, extract (liquid and dry) - in a place protected from light.
DEPURAFLUX (Depuraflux)
Pharmachologic effect. Combined herbal preparation. It has a laxative effect, affecting mainly colon. The action occurs after 8-10 hours.
Indications for use. Acute and chronic constipation; to regulate stool with hemorrhoids (bulging and inflammation of the veins of the rectum).
Method of application and dose. Assign 1 cup of tea 1 time per day, better evening or in the morning on an empty stomach. To make tea, 1 teaspoon of dry matter is placed in a cup, poured hot water and stir. After taking the tea, the vial should be closed immediately.
Side effect. Not found.
Contraindications. Intestinal obstruction.
Release form. Dry matter for making tea in bottles of 37.5 g. 25 g of dry matter contains 11.014 g of dehydrated extract of the following composition: buckthorn bark - 18 g; anise fruit - 5 g; caraway fruit - 3.7 g; coriander fruit - 6 g; fennel fruit - 3.5 g; peppermint leaves - 1.5 g; senna leaves - 15 g; golden centaury grass - 0.4 g; horsetail grass - 24 g.
Storage conditions.
RAMNIL (Rhamnilum)
Dry standardized preparation of buckthorn bark.
Indications for use. As a laxative for chronic constipation.
Method of application and dose. 0.2 g at night.
Release form. Tablets of 0.05 g in a package of 30 pieces.
Storage conditions. In a place protected from light.
Gastric collection No. 3 (Species stomachicae No. 3)
Indications for use. As a means of regulating the activity of the gastrointestinal tract.
Method of application and dose. In the form of an infusion (a tablespoon per cup of boiling water) for "/2 cups in the morning and evening.
Release form. In a package of 100 g.
Ingredients: buckthorn bark - 3 parts, peppermint leaves - 2 parts, nettle leaves - 1 part, calamus rhizomes - 1 part, rhizomes with valerian roots
Storage conditions. In a dry, cool place.
Collection laxative No. 1 (Species laxantes No. 1)
Indications for use. With chronic constipation, colitis (inflammation of the large intestine), enterocolitis (inflammation of the small and large intestine).
Method of application and dose. In the form of an infusion (1 tablespoon per glass of water, leave for 20 minutes) 1/2 cup at night.
Release form. In packs of 100 g.
Ingredients: buckthorn bark - 3 parts, nettle leaves - 2 parts, yarrow herb - 1 part.
Storage conditions. In a dry, cool place.
Rhubarb ROOT (Radix Rhei)
Contains anthraglycosides (glucorein, glucoaloemodin, chrosophanein, rheochrysin), free anthraquinone compounds (rhein, rheoemodin, chrysophanol, ficin), anthrone derivatives (palmidin A, B, C), tannins pyrocatechin group, tanoglycosides, chrysophanoic acid, resinous, coloring and other substances.
Pharmachologic effect. Laxative.
Indications for use. For chronic constipation.
Method of application and dose. Assign in powders, decoctions, extracts, tablets. Adults in powders and tablets, 0.5-2.0 g per reception, children 2 years old - 0.1 g; 3-4 years - 0.15 g; 5-6 years - 0.2 g; 7-9 years - 0.25-0.5 g; 10-14 years old - 0.5-1.0 g; children under 1 year are not prescribed. Extract depending on age 0.1-2 g per reception.
Side effect. It has some irritating effect on the intestines. Sweat, urine and milk turn yellow.
Release form. Powder; tablets of 0.3 and 0.5 g; hydroalcoholic 3% extract in vials.
Storage conditions.
Rhubarb root is also part of the drug holaflux
Senna Leaf (Folium Sennae)
Synonyms: Cassia leaf, Alexandrian leaf.
Contains anthraglycosides, chrosophanoic acid, resinous substances.
Pharmachologic effect. Laxative.
Indications for use. As a laxative for chronic constipation.
Method of application and dose. In the form of an infusion (10.0:200.0 - 20.0:200.0) in a tablespoon or teaspoon 1-3 times a day.
Contraindications. Ulcerative colitis (inflammation of the large intestine with the formation of ulcers), acute abdomen (surgical diseases of the abdomen), proctitis (inflammation of the rectum), hemorrhoids (bulging and inflammation of the veins of the rectum) in the acute stage.
Release form. Whole and cut leaves in a package of 50 g.
Storage conditions. In a dry, cool place.
ANTRASENIN (Antrasenninum)
Dry purified extract from the leaves of Senna acutifolia (Cassia acutifolia Del.).
Indications for use. It is used, like other senna preparations, for chronic constipation.
Method of application and dose. Take orally before dinner, 1-2 tablets. With insufficient effect, the dose is increased to 3 tablets per dose (no more).
Contraindications.
Release form. Tablets in orange glass jars.
Storage conditions. In a dry, dark place at room temperature.
CALIFIG (Canfig)
Pharmachologic effect. Combined preparation containing herbal ingredients. Has a mild laxative effect. The substances of plant origin included in its composition have an irritating effect on the mucous membrane of the large intestine and reflexively increase its peristalsis (wave-like movements).
Indications for use. Constipation due to hypotension (low tone) and sluggish peristalsis (wave-like movements) of the colon. Regulation of stool with hemorrhoids (bulging and inflammation of the veins of the rectum), proctitis (inflammation of the rectum), anal fissures (anal fissures).
Method of application and dose. Adults are prescribed 1-2 tablespoons (15-30 ml). Children aged 1 to 3 years are prescribed for! / 2-1 teaspoon; from 3 to 6 years - 1-2 teaspoons; from 6 to 15 years - 2-3 teaspoons. The drug is taken at night.
Side effect. Not found.
Contraindications. Intestinal obstruction, strangulated hernia, acute inflammatory diseases of the organs abdominal cavity, peritonitis (inflammation of the peritoneum), bleeding from the gastrointestinal tract, uterine bleeding, cystitis (inflammation of the bladder), spastic (associated with involuntary contraction of the colon) constipation.
With caution, the drug is prescribed to pregnant and lactating women, as well as to patients with diseases of the parenchyma (a set of basic functional elements) of the liver and kidneys.
Release form. Syrup in vials. 1 ml of syrup contains senna extract 0.0005 g, as well as clove oil, fig extract, mint oil, oil of Alexandria leaf (senna).
Storage conditions. In a cool, dark place.
KAFIOL (Cafiolum)
Pharmachologic effect. Laxative.
Indications for use.
Method of application and dose. According to "/2-2 briquettes at the reception, once or in courses of 10-14 days. Higher daily dose- 6 briquettes.
Contraindications. Same as for senna leaves.
Release form. Briquettes of 8.44 g in a package of 6 pieces. Contains crushed leaves (0.7 g) and fruits (0.3 g) of senna, fig fruits (4.4 g), plum fruit pulp (2.2 g) and Vaseline oil.
Storage conditions. In a cool, dark place.
COMPLEX Senna infusion (Innisum Sennae compositum)
Synonyms: Viennese drink.
Indications for use. Constipation.
Method of application and dose. Adults are prescribed 1-3 tablespoons per reception: children 2-4 years old - 1 teaspoon, 5-7 years old - 1 dessert spoon, 8-14 years old - 1 dessert spoon - 1 tablespoon.
Contraindications. Same as for senna leaves.
Release form. Produced in packages of 100 g, prepared ex tempore (before consumption). It is obtained from 10 parts of cut senna leaves, 10 parts of sodium-potassium tartrate (seignette salt), 10 parts of purified honey, 10 parts of 95% alcohol, 75 parts of boiling water.
Storage conditions. In a dry place protected from light.
COMPLEX MALT ROOT POWDER (Pulvis Glycyrrhizae compositus)
Indications for use. It is prescribed as a mild laxative for adults (especially with hemorrhoids - bulging and inflammation of the veins of the rectum) and children.
Method of application and dose. Adults 1-2 teaspoons, children "/4-"/2 teaspoons 1-2-3 times a day, mixed in water.
Contraindications. Same as for senna leaves.
Release form. Powder. Contains 20 parts of powdered senna leaves, 20 parts of licorice root, 10 parts of fennel fruit powder, 10 parts of purified sulfur, 40 parts of powdered sugar.
Storage conditions. In a dry place protected from light.
REGULAX (Regulax)
Pharmachologic effect. Laxative.
Indications for use. Constipation of various origins.
Method of application and dose. According to "/2 briquettes per reception, once or in courses of 10-14 days. The highest daily dose is 6 briquettes.
Contraindications. Same as for senna leaves.
Release form. Briquettes of 8.44 g, 6 pieces per pack. Contains crushed leaves (0.7 g) and fruits (0.3 g) of senna, figs (4.4 g) and vaseline oil (0.84 g).
Storage conditions. In a cool, dark place.
COLLECTION LAXANTS No. 2 (Species laxantes No. 2)
Indications for use. Constipation of various origins.
Method of application and dose. Brew one tablespoon with a glass of boiling water, leave for 20 minutes, strain; take 1/2-1 glass at night.
Contraindications. Same as for senna leaves.
Release form. In packs of 100 g. Ingredients: 3 parts of senna leaves, 2 parts of buckthorn bark and joster fruit, 1 part of anise fruit and licorice root.
Storage conditions. In a dry, cool place.
COLLECTION ANTIHEMORRHOIDAL (Species antihaemoiroidis)
Pharmachologic effect. Improves peristalsis (wave-like movements) of the intestine.
Indications for use. With constipation, hemorrhoids (bulging and inflammation of the veins of the rectum).
Method of application and dose. In the form of an infusion (a tablespoon per glass of water) at night for! / 2-1 glass.
Contraindications. Same as for senna leaves.
Release form. In a package of 100 g. Ingredients: senna leaves - 20 parts, yarrow herb - 20 parts, buckthorn bark - 20 parts, coriander fruit - 20 parts, licorice roots - 20 parts.
Storage conditions. In a dry, cool place.
SENAD (Senade)
Synonyms: Seneid, Seneida, Glaxena.
Pharmachologic effect. Laxative. Does not irritate the intestines.
Indications for use. It is prescribed for constipation of various etiologies (causes) as a laxative.
Method of application and dose. Inside before meals, 1 tablet (usually at night). In the absence of effect, the dose is increased to 2-3 tablets per dose until the stool normalizes.
Side effect. Colicky pains in the abdomen. Large doses can cause flatulence (accumulation of gases in the intestines).
Contraindications. intestinal obstruction, spastic colitis(inflammation of the colon, characterized by its sharp contractions), appendicitis, pregnancy, breastfeeding.
Release form. Tablets Brown color containing 13.5 mg of salts of sennosides A and B, which corresponds to the activity of 0.6 g of senna leaves in powder form.
Storage conditions. In a dry, cool place at a temperature not exceeding +15 ° C.
TABLETS "SENADEKSIN" (Tabulettae "Senadexinum")
Extract from fox in senna.
Indications for use. Constipation of various origins.
Method of application and dose. Take 1 tablet before bedtime (up to 2-3 tablets).
Contraindications. Same as for senna leaves.
Release form. Tablets in a package of 10 pieces.
Storage conditions. In a dry place at a temperature not higher than +15 "C.
DRY SENNA EXTRACT TABLETS (Tabulettae extracti Sennae sicci)
Method of application and dose. Assign 1-2 tablets 2-3 times a day before meals or 1-2 tablets at night and in the morning on an empty stomach.
Contraindications. Same as for senna leaves.
Release form. In banks on 25 tablets. The tablets contain 0.3 g of dry extract obtained from senna leaves by extraction with 70% alcohol.
Storage conditions. In a dry place.
Senna leaves are also part of the drug depuraflux.
FIELD ROOT ROOT (Radix Ononidis arvensis)
perennial roots herbaceous plant family legumes (Leguminosae), growing in the Caucasus. They contain saponins and glycosides (ononin, oncerin, etc.).
Pharmachologic effect. Laxative.
Indications for use. It is prescribed mainly for hemorrhoids (bulging and inflammation of the veins of the rectum) to normalize the stool (relaxation) and reduce pain.
Method of application and dose. As water decoction(30 g per 1 l of water, evaporated to 0.5 l, filtered) 50 ml 3 times a day for 3-4 weeks; in the form of an alcohol tincture, a teaspoonful 2-3 times a day before meals.
Release form. Chopped roots in packs of 100 g; tincture (1:5) in 70% alcohol in orange glass bottles.
Storage conditions. In a cool, dark place.
Phenolphtalein (Phenolphtaleinum)
Synonyms: Laxatol, Laxoin, Phenaloin, Purgil, Purgen.
Pharmachologic effect. Laxative.
Indications for use. As a laxative for chronic constipation.
Method of application and dose. 0.1-0.2 g per reception, children 0.05-0.2 g depending on age.
Side effect. With prolonged use, irritation of the renal tissue.
Release form. Tablets of 0.1 g in a package of 24 pieces, for children of 0.05 g in a package of 10 pieces.
Storage conditions. In a well sealed container.
Phenolphthalein is also part of the drug menopause.
LAXATIVE MEDICINES THAT CAUSE INCREASE IN THE VOLUME AND LIQUISH THE INTESTINAL CONTENT
Karlovy Vary Geyser Salt (Sal carolimim)
Pharmachologic effect. Laxative and choleretic agent.
Indications for use. Chronic constipation, chronic cholangitis (inflammation of the bile ducts),
chronic cholecystitis (inflammation of the gallbladder).
Method of application and dose. As a laxative, 1 tablespoon in "/2 cups of water. As a choleretic agent - 1 teaspoon in a glass of warm water (40-45 "C) 30-45 minutes before meals.
Contraindications.
Release form. In bags of 125 g. Storage conditions. In a dry, cool place.
CARLSOVY VARY SALT ARTIFICIAL (Sal carolinum factitium)
Pharmachologic effect.
Indications for use. As a laxative and choleretic agent.
Method of application and dose. In the morning on an empty stomach in a tablespoon, a spoon (for children 2-6 years old, a teaspoon) in half a glass of water; as a cholagogue, a teaspoon in a glass of warm water 30-45 minutes before meals 2-3 times a day.
Contraindications. Same as for sodium sulfate.
Release form. Packed in 125 g.
Storage conditions. In well-closed jars in a cool, dry place.
LACTULOSE (Lactulose)
Synonyms: Dufalac, Livolak, Portalak.
Pharmachologic effect. Under the influence of the drug, the flora of the large intestine changes (an increase in the number of lactobacilli - bacteria that decompose carbohydrates with the formation of lactic acid), which leads to an increase in acidity in the lumen of the large intestine and stimulates its peristalsis (wave-like movements). Along with this, the volume of feces increases. As a result, the drug has a laxative effect, without affecting the mucous membrane and smooth muscles of the intestine. Under the action of the drug, ammonia is also absorbed by the large intestine, a decrease in the formation of nitrogen-containing toxic substances in its proximal(the initial section of the large intestine) and, accordingly, their absorption into the system of the vena cava. The drug has the ability to inhibit (suppress) the growth of Salmonella in the large intestine. Does not reduce the absorption (absorption) of vitamins and is not addictive (weakening or lack of effect with prolonged repeated use). Practically not absorbed from the intestine.
Indications for use. Chronic constipation; hepatic encephalopathy ( serious disease liver, accompanied by neuropsychiatric disorders); salmonellosis (acute infection gastrointestinal tract), with the exception of generalized forms (salmonellosis, accompanied by the ingress of infectious agents into the blood); digestive disorders associated with putrefactive processes as a result of food poisoning in infants and children under the age of 10 years.
Lactulose can be used in pregnant and breastfeeding women, children older than 6 weeks, the elderly, as well as those who have undergone resection of hemorrhoids (removal of protruding and inflamed rectal veins).
Method of application and dose. The dose of the drug is selected individually. In the treatment of constipation, adults are usually prescribed from 15 to 45 ml in the first 3 days, then they switch to a maintenance dose of 10-25 ml. It is better to take the drug once a day in the morning with meals. For children and adolescents aged 7 to 14 years, the initial dose is 15 ml, the maintenance dose is 10 ml. In children under 7 years of age, the initial and maintenance doses are the same: at the age of 1 to 6 years - 5-10 ml, from 6 weeks to 1 year - 5 ml of syrup.
In the treatment of hepatic encephalopathy (coma/ total loss consciousness, characterized total absence reactions of the body to external stimuli /
or precoma / incomplete loss of consciousness - the initial stage of coma development, characterized by the preservation of pain and reflex reactions /) the drug is prescribed 30-50 ml 2-3 times a day; it is possible to increase the dose to 190 ml per day. To prevent the development of hepatic coma in patients with severe liver damage, the drug is prescribed 25 ml 3 times a day. In the absence of a therapeutic effect of lactulose, the subsequent use of neomycin is possible. With the ineffectiveness of such treatment, it is advisable to use a combination of lactulose and neomycin.
With salmonellosis - 15 ml 3 times a day for 10-12 days, then, after a 7-day break, the course of treatment is repeated. If necessary, a third course of treatment with the drug at a dose of 30 ml 3 times a day can be carried out.
The syrup can be diluted with water or juice when taken.
With prolonged use of the drug (more than 6 months), the level of potassium, chlorine and carbon dioxide in the blood plasma should be regularly monitored.
Side effect. When you first take lactulose in therapeutic doses, you may experience abdominal pain and flatulence (accumulation of gases in the intestines). These phenomena usually disappear within 48 hours after the first dose or with subsequent doses. In some cases, nausea, vomiting, anorexia (lack of appetite) are observed. In case of an overdose, diarrhea (diarrhea) may occur, which requires the complete discontinuation of the drug.
Contraindications. Hypersensitivity to the drug. Galactosemia ( hereditary disease, characterized by the accumulation of galactose in the blood and a lag in physical and mental development).
Release form. Syrup (15 ml - lactulose 10 g, galactose less than 1.65 g, lactose less than 0.9 g) in 15 ml vials; in bottles from 200 to 1000 ml. Syrup (5 ml - 3.325 g lactulose) in vials of 200 and 240 ml.
Storage conditions. In a cool place.
MAGNESIUM SULPHATE (Magnii sulfas)
Synonyms: Bitter salt, Magnesium sulfate
Pharmachologic effect. Magnesium sulfate has a multifaceted effect on the body. When taken orally, it is poorly absorbed, acts as a laxative, like sodium sulfate, and also has a choleretic effect.
Indications for use. Chronic constipation, poisoning with barium salts.
Method of application and dose. As a laxative, it is prescribed orally (at night or on an empty stomach - 30 minutes before meals) for adults, 10-30 g in 1/2 glass of water, for children - at the rate of 1 g per 1 year of life. In chronic constipation, enemas (100 ml of a 20-30% solution) can be used.
Contraindications. Same as for sodium sulfate.
Release form. Powder.
Storage conditions. In a well sealed container.
MORSHANSKAYA LAXATIVE SALT (Sal Morshanski)
Get from mineral water source of the Morshin resort (Ukraine).
Contains sodium sulfate, in a small amount - magnesium and calcium sulfates, calcium carbonate, sodium chloride.
Pharmachologic effect. Salt laxative.
Indications for use. Used as a laxative, as well as in diseases of the liver, intestines, metabolic disorders.
Method of application and dose. Assign inside 1-2 teaspoons per 2 cups of water 30 minutes before meals.
Contraindications. Same as for sodium sulfate.
Release form. In glass jars according to ISOg.
Storage conditions. Under normal conditions.
SODIUM SULFATE (Natriisulfas)
Synonyms: Glauber's salt, Sodium sulfate. Pharmacological action. Salt laxative.
Indications for use. As a laxative. Like other saline laxatives, it is indicated for food poisoning, as it not only cleanses the intestines, but also delays the absorption and entry of toxins into the blood.
Method of application and dose. 15-30 g on an empty stomach. Dose for children at the rate of 1.0 g per 1 year of life.
Side effect. Dyspeptic symptoms (digestive disorders), nausea, intestinal colic, polyuria (excessive urination).
Contraindications. Acute inflammatory diseases of the abdominal cavity: peptic ulcer stomach and duodenum, ulcerative colitis (chronic inflammation colon with ulceration), peritonitis (inflammation of the peritoneum), appendicitis, etc. Pregnancy, menstruation, hemorrhoids (bulging and inflammation of the veins of the rectum) in the acute stage, cachexia (extreme exhaustion), hypotension (low arterial pressure), advanced age.
Release form. Powder.
Storage conditions. In a well sealed container.
Problems with bowel movements are much more common in women. The causes of such difficulties may be factors such as stress, the abuse of refined foods, taking a large number of medications, pregnancy, postpartum period etc. With difficulty bowel movements, as a rule, they resort to special preparations that facilitate bowel movements. In order not to have to constantly change the medicine, you need to choose laxatives that are not addictive. Read more about the nuances of dealing with constipation in the continuation of the article.
What laxatives for constipation are not addictive
Some laxatives with prolonged use cause the body to get used to the active substances, so the expected effect gradually decreases, and then completely disappears. This applies to irritants made on the basis of herbal ingredients. For a person who has problems with stools permanently, such drugs are not suitable. We need more effective means that are not addictive. You can choose them yourself, but consulting a doctor does not hurt at all, because all drugs are harmful to one degree or another.
Medications for constipation
Laxatives are divided into several categories, differing in the mechanism of action. Among them, one can single out drugs whose effectiveness practically does not decrease even with many years of use. Anyone who often has difficulty emptying their bowels should know about such remedies. According to the form of release, these drugs are divided into several small groups.
| Name | Active ingredient, principle of action | Mode of application |
|
In tablets | Inulin Forte | One tablet of the drug contains 350 mg of dry powder of Jerusalem artichoke tubers and 150 mg of wheat bran. The laxative effect of the drug is due to high content polysaccharides of plant origin, amino acids, mineral components. The agent causes irritation of the mucous membranes of the intestinal walls. With occasional use, it is not addictive. | Adults and children over 12 years of age are prescribed three times a day, 2 tablets during a meal. |
| Poslabin Lactulose | Highly effective laxative addictive. Lactulose provides a mild laxative effect, restores intestinal function, and contributes to the normalization of microflora. | The dosage and schedule for the use of this laxative is determined by the attending physician. |
|
Drops | Guttalax | A mild laxative based on sodium picosulfate. Acts as a local laxative - stimulates the colonic mucosa and increases peristalsis. | Drops are taken orally, 5-10 mg each (depending on the degree of difficulty in emptying). |
| Regulax | The active substance is sodium picosulfate. After oral administration, the drug is not absorbed. Regulax excites the nervous structures of the intestinal walls, causing an act of defecation (10-12 hours after application). | The initial adult dose is 13 drops. With persistent constipation, a double volume is taken. For children over the age of 4 years, the maximum dosage is 8 drops. |
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| Weak | Drops from constipation of synthetic origin. Under the influence of microorganisms contained in the intestine, Slabilen is hydrolyzed, passes into an active form and causes irritation of the receptors of the intestinal mucosa and enhances peristalsis. | The dosage of this laxative is prescribed by the doctor, taking into account the age / weight of the patient and the individual characteristics of the body. Taken before bed. |
|
Candles | Bisacodyl | The active substance is bisacodyl. Causes irritation of the mucous membranes of the rectum and activates the production of mucus, which envelops the stool, facilitating their excretion. With episodic use, addiction is not observed. | The remedy is applied rectally. Adult dosage- 1 suppository. For children, the daily norm is suppositories. |
| Glycerol | Glycerin softens the feces and thus facilitates their excretion. In addition, this substance reflexively stimulates intestinal motility and causes irritation of the mucous membranes of the walls. | Glycerin suppositories are applied rectally, in the morning, 1 pc. at a time. |
|
| Calciolax | A gas-forming laxative that is not addictive with moderate occasional use. The action of this drug is aimed at the formation of gases that create pressure and cause irritation of the receptors of the mucous membranes of the intestinal walls. | Dosage for adults and children over 6 years old - 1 suppository per day. |
|
Salt laxatives | Magnesium sulfate | All drugs from this list operate on the same principle: the active substance enters the intestines and accumulates water. The liquid gradually softens the stool, making it easier to defecate. | The dosage of this laxative is determined by the attending physician, taking into account the age / weight of the patient, the individual characteristics of his body. |
| magnesium hydroxide |
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| Sodium sulfate |
Folk laxatives
Minor problems with emptying, occurring two to three times a month, do not always require medical treatment. On the contrary, in such cases, it is recommended to use natural folk remedies that are harmless in their principle of action. If your stool difficulties fit this description, check out some of your grandmother's tried and tested recipes.
Herbs
Herbal decoctions help to cope with constipation, and most importantly, normalize bowel function. Using folk laxatives, you can refuse medications. The list below describes the most common ways to prepare natural home remedies for constipation:
- Dandelion root tincture. Fast-acting laxative for constipation natural ways. To prepare it, you will need 35-40 grams of dried dandelion roots and two cups of boiling water. It is better to brew in the evening so that the next morning the medicine is ready. Soak dandelion roots in a thermos and take 120-140 ml throughout the day 30-35 minutes after eating.
- Infusion of licorice root. A remedy that is optimally suited for the treatment and prevention of chronic constipation. Brew 15-20 grams in a glass of boiling water, let it brew for 45-50 minutes. Take this fast-acting laxative at lunchtime. Drink a whole glass of infusion, and by the evening you will be able to go to the toilet normally.
- Nettle leaf tincture. it folk remedy quickly and without damage to health eliminates chronic chronic constipation in the elderly. Not all modern potent drugs can boast of such an effect. Scheme for preparing the tincture: crushed nettle leaves (30 grams) are poured with two glasses of boiling water and infused for three hours. The total volume of the medicine is divided into 3 equal parts and drunk in one day.
Honey
Beneficial features honey saves from a thousand troubles, and constipation is no exception. Traditional medicine began to use this product as a laxative several centuries ago. Yes, these days a powerful fast-acting laxative can be easily bought at a pharmacy, but this does not mean at all that everyone has forgotten about the natural bee product. If you want to solve the problem of constipation in a safe way, start drinking honey water. The ratio is very easy to remember: 1 tablespoon per glass of water. Do this every day and after 2 weeks the natural powers of honey will take over your constipation!
Features of the treatment of constipation at home
It may seem to some that constipation is a trifling problem, but people who are faced with this know that inaction can lead to hemorrhoids and other serious disorders. In view of the serious threat to health, doctors recommend contacting doctors instead of self-medicating. This is necessary, if only because for each age category of people, special treatment methods are used.
In the elderly
Elderly people are not recommended to use irritating herbal preparations. For older women and men, doctors prescribe sparing osmotic preparations and prebiotics. These drugs pharmacological groups help to relax the intestines without causing addiction. On condition integrated approach to treatment desired result achieved within two to three weeks.
In adults
It is known that the body of an adult is able to withstand the most serious stress, so in some cases, doctors allow a radical fight against constipation through irritating herbal preparations. These complex means sold in free circulation affordable price and are not addictive with occasional use.
In children
Constipation in a child, as a rule, indicates a malnutrition, but this does not mean at all that parents have something to worry about. Homemade herbal tea will help solve the problem. To make the taste more pleasant for the child, add a little lemon juice into a drink. If this does not help, you will have to undergo treatment with sparing prebiotics and / or osmolytics.
Find out what is for adults and children.
Video about laxatives