| name | Bisacodyl (Dulcolax) |
| classification | Stimulant laxative |
| pharmacokinetics | Bisacodyl is primarily absorbed from the small intestine, with minimal systemic absorption. It stimulates colonic motility by directly affecting the nerves and smooth muscles of the colon. The primary effect is increased water and electrolyte secretion into the bowel lumen, resulting in bowel evacuation. Onset of action is typically 6-12 hours, with maximum effect within 24 hours. |
| suggested dosage | | adult | 5-10 mg, 1-3 times daily, as needed; maximum 15 mg/day. Dosage may vary based on preparation and specific need. | | notes | Consult a healthcare professional for personalized dosage. Over-the-counter options may include lower doses. Higher doses may be considered in specific cases by a physician, but are not typically prescribed for general use. |
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| indications | Bisacodyl is used to relieve occasional constipation. It is not a long-term treatment for constipation. It may be used for bowel preparation prior to diagnostic procedures or surgeries. |
| safety in pregnancy | Limited data exists. Bisacodyl is generally considered safe during pregnancy when used as directed by a healthcare provider. Always discuss medication use during pregnancy with your doctor. |
| safety in breastfeeding | Bisacodyl may pass into breast milk in small amounts. Consult with a lactation consultant and your doctor before use. Use is not recommended unless the benefit outweighs potential risk to the infant. |
| side effects | | 1 | abdominal cramping | | 2 | diarrhea | | 3 | nausea | | 4 | vomiting | | 5 | headache | | 6 | rectal irritation (with suppositories) | | 7 | rarely, more serious complications if used incorrectly or chronically, such as electrolyte imbalance or dehydration. These are rare when used as directed. |
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| alternatives | |
| contraindications | | 1 | known hypersensitivity to bisacodyl | | 2 | severe dehydration or electrolyte imbalance | | 3 | appendicitis or other conditions where bowel movements are not suitable | | 4 | severe intestinal obstruction | | 5 | recent abdominal surgery |
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| interactions | | 1 | Some medications may interact with bisacodyl. Consult your doctor before taking any other medications, including over-the-counter drugs. |
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| warnings and precautions | | 1 | Do not use bisacodyl for more than a few days without consulting a doctor. Chronic use can lead to dependency and other complications. If symptoms persist or worsen, seek medical attention. | | 2 | Do not use in children under 6 years of age without professional guidance. | | 3 | Do not use if you have an abdominal condition without consulting a physician. | | 4 | Use caution with other laxatives. Using bisacodyl in conjunction with other laxatives may increase the risk of side effects. |
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| additional information | Bisacodyl comes in various forms (tablets, suppositories, solutions). Dosage and administration may vary by formulation. Always follow label instructions and consult your doctor with any questions or concerns. Do not exceed recommended dosage without consulting a healthcare professional. |
| patient specific notes | | age | 25 | | weight | 70 | | specific concerns | No additional specific concerns mentioned. Please consult a physician for further advice. |
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