Which laxative is considered mild? Effective fast-acting laxatives for constipation

Most people experience this. The formation of this pathology can be provoked by a variety of reasons that need to be identified and treated, however, there are times when you need to quickly help the intestines get rid of fecal stagnation.

What are the best remedies for constipation in adults, and what should you pay attention to when purchasing medications with laxative effects?

Retention of stool- this is the same unfortunate anomaly called “constipation”, which manifests itself as a result of incorrect bowel function.

The inability to empty it in a timely manner leads to the fact that a large amount of feces accumulates in the large intestine, as a result of which it stretches and changes its shape and size.

For normal bowel function, bowel movements should be regular.

Because of this, nearby internal organs are displaced, which is not very good for their direct work. In addition, in hard-stone feces contains much less water, approximately 60%(normal rate is 80%), due to a lack of fluid, the process of defecation gives a person painful sensations.

With normal bowel function and regular nutrition, stool should be regular. If this is not observed, then the accumulations of feces produce toxic substances that are absorbed into the blood, and self-poisoning of all important organs occurs.

The pathological process affects the lungs, liver, kidneys and skin, which experience enormous stress, and in the connective tissues there is an excessive amount of toxins that reduce immune function. The body begins to age quickly, which leads to the development of various diseases.

People who suffer from frequent constipation have the following symptoms:

1. Bad breath.
2. White coating on the tongue.
3. Frequent fatigue.
4. Unhealthy skin color.
5. The appearance of rashes and pimples.
6. Pain in the parietal and occipital parts of the head.
7. Irritability.
8. Memory loss.
9. Pain in the heart area.
10. Nausea, belching and heartburn.

Such an unhealthy phenomenon as constipation does not arise without reason; there are many reasons that contribute to its occurrence. For example, atonic constipation occurs due to a sedentary lifestyle or as a result of a serious infectious disease.

Spastic constipation manifests itself due to convulsive contraction of the walls of the rectum, dysbacteriosis, the presence of worms,.

To get rid of the accumulation of feces and normalize the bowel movement process, the doctor may prescribe medications that can help solve this problem.

So, what is the best medicine for constipation in adults?

Features of treatment

Pregnant women need to select medications for constipation more carefully

It should be said that the pharmacy chain offers a huge selection of medications, the action of which is aimed at eliminating constipation. They differ from each other in their healing power and mechanism of action.

However, before you go to the pharmacy for a laxative, Be sure to coordinate its use with your doctor, because there are many factors in which the use of certain drugs has a number of contraindications, for example, childhood, pregnancy, and some individual characteristics of the patient’s body.

Thus, laxative medications must be selected more carefully and preference is given to medicines with natural ingredients. In the early stages of pregnancy, most medications, including laxatives, are generally prohibited from use.

For women in an “interesting” situation, such drugs are prescribed if the benefit from them outweighs the possible risk to the fetus; usually in such situations, rectal suppositories are prescribed.

With regard to the drug treatment of constipation in children, a careful approach to the choice of a particular remedy is also required. Therapy for young patients must be absolutely safe and different from that recommended for adults.

The most effective laxative medications

What laxatives exist, the therapeutic effect of which gives good results?

Today, modern medications for constipation in adults are presented in a variety of forms:

1. Pills.
2. Drops.
3. Syrups.
4. Suspensions.
5. Suppositories.

Tablets for constipation in adults have different effects, but the therapeutic effect of most of them has an irritating nature, which provokes bowel movements several hours after consumption.

Normolact syrup

Laxatives in the form of syrups are fast-acting and relatively inexpensive. In addition to the above forms, there are medications for constipation in the form of drops, suspensions, and rectal suppositories.

Your doctor will tell you which medication option is most suitable for your case and will help you choose the most effective and efficient remedy for treating constipation.

Below is a list of medications for constipation in adults that will quickly relieve symptoms.

List of medications

Before buying any product in this direction, Pay attention to the information in the leaflet for the drug.

Almost every such medicine has contraindications:

1. Pregnancy period and pregnancy.
2. Abdominal pain of unknown origin.
3. Pancreatitis.
4. Bleeding of internal organs.
5. Haemorrhoids.
6. Age up to 1 year.
7. Inflammation of the abdominal cavity.
8. Peritonitis.
9. Intestinal obstruction.
10. Perforation of the intestinal walls.

After a visit to a specialist and his consultation, you may be recommended medications:

1. Bisacodyl. The tablets have a strong laxative property, promote regular bowel movements and normalize stool.
2. Defenorm. Plant-based tablets eliminate constipation of various origins, significantly facilitate bowel movements, liquefy hard feces, and improve intestinal motility.
   

   The drug is considered the most effective remedy for constipation in adults; it can be prescribed to pregnant and lactating women and children.

   Has virtually no contraindications, it is recommended even after surgical interventions in the anorectal area, in the presence of Crohn's disease.

   

   Defenorm

3. Picolax. These tablets improve bowel function, soften stool, and stimulate the process of bowel movements.
4. Normolakt. A laxative in syrup form with high medicinal effectiveness. Belongs to the group of osmotic drugs that normalize the intestinal microflora and improve the state of its peristalsis, thereby normalizing the process of physiological defecation.
5. Pikosen. This syrup is prescribed for constipation and lack of regular bowel movements. Its medicinal properties are highly effective, effectively eliminating constipation, and at the same time softening stone stool, thereby facilitating its passage through the rectum. However, this remedy is not recommended for , and a number of certain diseases, for example, cystitis and intestinal obstruction. Contraindicated during pregnancy and children under 12 years of age.
6. Slack. A syrup with high healing properties, which stimulates the development of beneficial microflora in the intestines, has a mild laxative effect, and improves the functioning of the gastrointestinal tract.
7. Microlax. The drug is available in powder form. Microclysters with this medicine soften hard feces, thereby facilitating the process of bowel movement.
8. Forlax. It is classified as an osmotic medicine, produced in powder form, and has established itself as one of the best remedies for constipation. Excellent for liquefying fecal stones and normalizing the process of bowel movements.

   

   Children's Forlax

9. Lactusan. The medicine is classified as a prebiotic, has a complex effect, restores the balance of microflora, forms osmotic pressure, and provokes intestinal activity.
10. Regulax. The drug with natural ingredients exhibits a fairly pronounced healing effect and does not contribute to addiction. Prescribed for chronic constipation.
11. Glycerol. A quick remedy for constipation in adults and children. Suppositories have a mild local effect, help to empty the intestines, but do not eliminate the root cause of constipation.
12. Glycelax. Suppositories with a laxative effect effectively soften fecal stones, thereby facilitating their passage through the rectum. However, they are not recommended for use for constipation and hemorrhoids in pregnant women, anorectal stenosis and people after a heart attack.

Do not forget that the constant use of laxative medications does not help the final solution to the problem, that is, getting rid of the disease, but only aggravates the situation.

Drug stimulation of the intestines does not have the best effect on its natural functioning; the intestines get used to the drugs and gradually lose the ability to perform their natural function.

Therefore, the optimal solution for eliminating constipation would be comprehensive treatment and proper nutrition, and in some cases diet, and do not forget about an active lifestyle.

Constipation is not a serious pathology. But it brings a lot of discomfort, which extremely interferes with normal life activities.

Ignoring constipation for a long time can lead to its development into a chronic form.

Therefore, at the first signs of this disease, effective treatment is required. Let's look at what remedies are best for constipation.

The best remedies for constipation depending on the cause

In order to choose the most effective drug that will help get rid of this delicate problem, you need to find out the cause of its occurrence.

When choosing a product, you should pay attention to the following points:

• drug tolerability, side effects;
• estimated time of defecation after taking it;
• the product should not be addictive.

Which laxative is best for constipation depends on the cause that caused it:

Important to remember! Before choosing a specific laxative, you should consult a specialist! It will help identify the cause of constipation, thereby choosing the most effective drug.

The best laxatives with osmotic action

The mechanism of action of this group of drugs is aimed at increasing osmatic pressure in the intestine. They retain water that enters the rectum, thereby helping to soften stool and increase its volume. Osmotic drugs are suitable for long-term use, but should not be used for more than 3 months. Let's look at the most effective drugs in this group.

Forlax

This drug is available as a powder for preparing a medicinal solution. The sachets have a volume of 10 g and 4 g for adults and children, respectively. The daily dose of the drug for an adult is 2 sachets, which should be dissolved in 50 ml of purified water.

Take 1 sachet morning and evening. As for children, they need to take 1 sachet of Forlax, diluted with water. A child over 8 years old should be given 4 sachets per day.

The main contraindications to the use of Forlax are:

• intestinal perforation;
• individual intolerance or high sensitivity to the components of the drug;
• intestinal obstruction;
• inflammatory diseases of the rectum.

The disadvantage of this medication is that it can cause bloating and nausea. As for the benefits, it has increased effectiveness in relieving constipation by enlarging and liquefying stool.

The cost of the drug varies within 280 rubles.

Lavacol

This medication is available in the form of a substance for preparing a solution. 1 sachet contains 14 g of powder. Its effect is to increase the volume of feces, thereby improving intestinal motility.

To eliminate constipation, you need to consume 1 sachet dissolved in 1 glass of purified water. After a couple of hours, you already feel the urge to defecate. If a person still does not go to the toilet, then the medicine should be taken again.

Contraindications to the use of Lavacol:

• intestinal obstruction;
• toxic dilatation of the rectum;
• narrowing of the lumen of the stomach;
• stomach or duodenal ulcer;
• dysfunction of the renal system;
• dehydration of the body;
• age under 15 years.

The disadvantage of this drug is that it is not suitable for long-term use. But, nevertheless, it is highly effective in combating constipation.

The average price for Lavacol in Russia is 180 rubles.

Irritant medications for colon cleansing with quick results

Medicines in this group are usually produced on the basis of natural ingredients. The principle of their action is to irritate the nerve fibers of the intestine.

As a result, there is an improvement in peristalsis, resulting in more active movement of feces.

Bisacodyl

This drug is available in several forms, namely: dragees, suppositories, tablets. How to use them:

1. Dragees and tablets. They should be taken orally 2 times a day 30 minutes before meals, 1-3 tablets, washed down with plenty of purified water. In children under 7 years of age - no more than 1 tablet 2 times a day, up to 14 years of age - 1-2 tablets or tablets.
2. Rectal suppositories. Insert 1-2 suppositories per day into the anus. Children under 7 years old should use 0.5 candles, children under 14 years old should use 1 candle.

Bisacodyl is contraindicated in the following cases:

• intestinal obstruction;
• hypersensitivity to the components of the drug;
• acute inflammatory diseases of the digestive system;
• peritonitis;
• cystitis;
• constipation caused by cramps;
• hemorrhoids during exacerbation;
• age up to 2 years.

Bisacodyl is one of the most effective drugs against constipation. It quickly acts on the intestines, improving peristalsis. The disadvantage of using this remedy is that it can cause diarrhea.

You can buy Bisacodyl for an average of 40 rubles.

Guttalax

This is one of the most popular laxatives that irritate the intestines. It is produced in the form of drops for internal use. For an adult, the dosage is 10-20 drops per day. The child should take 5-10 drops. To normalize bowel movements, it is better to take the drug at night.

Guttalax should not be used to treat constipation in the following cases:

• intestinal obstruction;
• exacerbation of gastrointestinal diseases;
• intestinal diseases caused by inflammatory processes;
• nausea with vomiting.

In other cases, Guttalax helps get rid of constipation within a few hours after taking it. This drug should be used according to the instructions for use. Because its overdose can cause severe abdominal pain, vomiting and dizziness.

You can purchase Guttalax drops at an average price of 200 rubles.

Effective prebiotics

Medicines in this group are aimed at normalizing intestinal microflora. They have a complex effect.

In addition to restoring the balance of bacteria, they provide osmotic pressure and stimulate peristalsis.

Duphalac

The drug is a viscous syrup for oral use. To eliminate problems with bowel movements, you should take the syrup for 2 days. The dosage for an adult is up to 45 ml. In childhood, you should drink Duphalac no more than 10 ml per day.

Duphalac has virtually no restrictions on use. The only contraindication is intestinal obstruction. In other cases, it is an effective and safe laxative. It can even be used to treat constipation in pregnant women and nursing mothers.

You can buy Duphalac in pharmacies for about 800 rubles.

Normaze

This medicine is sold in syrup form. The active substance is lactulose. In order to get rid of constipation, you need to take up to 25 ml per day. As for children, their maximum dosage is 10-15 ml.

Using Normaze to combat constipation is prohibited in the following cases:

• bleeding from the anus not caused by hemorrhoids;
• intestinal obstruction;
• appendicitis;
• individual intolerance to galactose and fructose;
• colostomy

The advantage of this drug is that it can be used to treat constipation in infants. As for the disadvantages, Normaze in some cases causes nausea and diarrhea.

The cost of Normaze in pharmacies averages 280 rubles.

Natural fillers

These products are made using natural ingredients. The essence of their action is to increase the volume of feces, resulting in increased pressure in the intestines.

Mukofalk

This laxative drug comes in the form of granules for preparing a solution. To combat constipation, take 1 tsp. granules 4-6 times a day. They need to be dissolved in 1 glass of water.

Mucofalk should not be used in the following cases:

• age up to 12 years;
• intestinal obstruction;
• diabetes mellitus in the stage of decompensation.

The advantage of this medicine is its natural base. As for the disadvantages, children cannot be treated with Mucofalk.

The cost of the drug is approximately 570 rubles.

Citrucel

This is a medicine that helps increase stool mass. Citrucel is available in capsule form. To treat constipation, take 2 capsules per day.

Citrucel is contraindicated:

• diabetes;
• age up to 15 years;
• intestinal obstruction.

You can buy Citrucel for about 700 rubles.

Which of the presented medications should I choose?

Laxative – which one is better? In order to answer this question, it is better to contact a specialist. Because it is necessary to identify the cause of the development of this ailment. Depending on this factor, a laxative drug is selected.

Modern pharmacology offers many laxative drugs of various groups. Therefore, making the right choice will not be difficult, even considering their cost.

Stories from our readers

Conquered hemorrhoids at home. It's been a month since I forgot about my bumps. Oh, I tried so many methods - nothing helped. How many times did I go to the doctors, but they prescribed me useless medications over and over again, and when I returned, the doctors recommended surgery. I finally got over my illness, all thanks to this article. Anyone who has hemorrhoids should read it!

Video: how to treat hemorrhoids?

Constipation is an extremely unpleasant problem that needs to be solved as soon as possible. For this purpose, fast-acting laxatives are sold in pharmacies, and in addition, some folk remedies have a similar effect.

The advantage of “fast laxatives” is precisely in the speed of their effect: if constipation causes pain, or there has been no bowel movement for a long time, you have to turn to the help of fast-acting drugs.

In the article we will look at the features of laxatives that quickly cleanse the intestines: we will find out what the principle of their action is, to whom such drugs are indicated and to whom they are prohibited, we will give an overview of the most effective drugs in this category.

Types of drugs for colon cleansing

Today, any pharmacy has a wide selection of laxatives at any price, however, it is important to choose a medicine so that it best matches the diagnosis in each specific case.

ADVICE: Therefore, it is better not to look at the cost, but to consult a doctor for an examination and a prescription: it is important not only to get rid of pain and discomfort, but also to eliminate the cause of constipation.

So, all fast-acting laxatives are divided into the following categories::

• annoying;
• osmotic;
• prebiotics;
• fillers.

All of the medications listed have a laxative effect, however, they are indicated for various causes of constipation.

That is why the doctor must prescribe the appropriate drug!

Indications for the use of rapid-acting laxatives

IMPORTANT: It is important to understand that laxatives (including fast laxatives) do not treat the cause of constipation, but only eliminate the consequences of this problem: they cleanse the intestines, helping to remove feces from the colon.

The effect of these drugs is short-term: only immediately after the next dose of the drug. Therefore, these medications cannot be considered as getting rid of the problem: it is important to get rid of the cause of constipation, only then will there be a lasting positive effect.

Pharmacodynamics

Let's find out how fast laxatives affect the body, achieving the desired cleansing effect.

1. Annoying. The effect of drugs in this group is based on stimulation and activation of the intestines. The effect occurs directly on the receptors of the rectum, and defecation occurs, on average, 6-10 hours after taking the medicine. These remedies have the fastest effect: if you want to eliminate the problem of constipation as quickly as possible, then you should use them. If you take the pill before bed, in the morning in most cases the stool will be normal.
2. Osmotic. These are very effective medications against constipation. Their positive effect is based on the retention of water in the intestines, due to which the stool softens and swells. As a result of this effect, feces are quickly pushed out: the long-awaited bowel movement occurs.
3. Prebiotics. These drugs are also called non-digestible carbohydrates. Reaching the colon, prebiotics affect the beneficial microflora found in it, stimulating its vital activity. Note that prebiotics, like osmotic agents, are able to attract water into the intestines, due to which stool comes out faster. The impact of prebiotics, although not instantaneous, is the safest and most effective of all.
4. Fillers. These drugs are also called bulk drugs. Their effect is based on the absorption of water, stretching the intestinal walls, resulting in the process of bowel movement at a reflex level.

Review of the best, strongest and most effective tablets, potions and suppositories

Let's look at the most effective and safest remedies related to various types of quick laxatives.

Annoying

This category includes both herbal-based products and synthetic preparations with components of chemical origin.

If we talk about herbal laxatives with irritating effects, then They usually contain the following components:

• senna leaves;
• rhubarb root;
• Joster fruits.

As for synthetic laxatives in this category, then the most effective of them include the following:

• Bisacodyl;
• Phytolax;
• Regulax;
• Gutalax.

ATTENTION: Glycerin and Glycelax suppositories also have an irritating effect. In some cases, their effect occurs within the first 15 minutes.

Osmotic

• magnesia;
• magnesium hydroxide;
• sodium sulfate;
• Citrate;
• Fortrans.

Prebiotics - the name of the drugs

This category of laxative drugs includes drugs based on lactose, fruit saccharides, and inulin. In addition to eliminating constipation, prebiotics help rid the intestines of dysbiosis, and also help remove toxins and poisons from the body. The most effective drugs:

• Hilak Forte;
• Lactofiltrum;
• Lactitol;
• Exportal;
• Duphalac.

Volumetric

The category of fillers can include both herbal products and those obtained synthetically (polysaccharides). Among the herbal remedies, the following can be noted::

• wheat bran;
• flax-seed;
• agar-agar.

As for synthetic fillers, then Methylcellulose is used for constipation. This drug appears as a crystalline white powder, it is usually made sweet, tastes good, and fills the intestines well.

Contraindications and side effects

ADVICE: You should not take such medications constantly. Due to prolonged and regular use of laxatives, the body literally “relaxes” and the intestines refuse to push feces without outside help.

This feature is associated with the loss of tone in the intestinal muscles; they literally become “untrained” and weak.

When taking instant-acting laxatives for more than 10 days in a row, disruption of the electrolyte balance of the blood, as well as water-salt metabolism, is likely. Also often, patients taking rapid laxatives complain of pain and cramping in the intestines after taking the drugs.

• if a chronic disease has worsened;
• for hemorrhoids;
• digestive disorders;
• polyps.

Naturally, individual intolerance to any components of the drug is also a contraindication to the use of this product.

Contraindications for use in most cases include periods of pregnancy, breastfeeding, and acute pancreatitis. In addition, rapid laxatives should not be used when:

• stomach and intestinal bleeding;
• inguinal hernia;
• with perforation of the stomach;
• inflammatory processes in the digestive organs;
• with peritonitis and cystitis;
• if there are clear signs of intestinal obstruction.

Home Recipes

In addition to traditional medicine, there is also folk: here, too, we can find many remedies that help quickly cleanse the intestines during constipation. Note that home remedies are not addictive, do not lead to “lazy bowel” syndrome, are safe for the body, and can be used even by pregnant women. Let's look at some of the tools in this category.

Honey and water

To prepare the solution, mix tbsp in a glass of water. a spoonful of natural honey. The medicine is drunk before meals. The course of treatment is one and a half months, three procedures per day. Let us note the beneficial and mild effect of the honey solution on intestinal motility: although, perhaps, not as fast as that of synthetic drugs.

sour milk

Boiled milk is naturally fermented, after which a spoonful of vegetable oil is poured into a glass of liquid: this composition must be drunk at night.

In addition to the recipes listed above, you can to improve peristalsis, eat prunes and fresh plums. In general, almost all dried fruits have a laxative effect: you can also take raisins, dried apricots - both in their natural form, and cook compotes, make tinctures. The more fresh and coarse fiber there is in the diet, the less likely constipation is.

We found out which laxatives fall into the “quick-acting” category. As you can see, in certain cases such drugs are not only indicated, but also necessary, so the importance of these drugs is undeniable.

Take laxatives only as prescribed by your doctor, after a preliminary examination and diagnosis - in this case, there is the greatest likelihood of successfully relieving constipation for a long time.

Useful video

Watch the video on choosing fast-acting laxatives:

Stories from our readers

Conquered hemorrhoids at home. It's been a month since I forgot about my bumps. Oh, I tried so many methods - nothing helped. How many times did I go to the doctors, but they prescribed me useless medications over and over again, and when I returned, the doctors recommended surgery. I finally got over my illness, all thanks to this article. Anyone who has hemorrhoids should read it!

Video: how to treat hemorrhoids?

Constipation is a very sensitive topic. It turns out that about half of the population of our country faces this problem. The question of choosing laxatives is especially acute for older people who often experience chronic constipation. Is it safe to take laxatives? Why does a laxative stop working over time, and what to do about it? Which drugs are used for acute and which for chronic constipation? We will try to find the answers in this article.

What is constipation?

We can talk about constipation when the time interval between bowel movements becomes more than 2 days(48 hours). A person has to make a lot of effort to perform the act of defecation (straining). The patient experiences discomfort, fullness of the rectum, and when emptying, a feeling of incomplete fecal ejection. The stool becomes dry.

If we talk about acute constipation, it occurs suddenly and can be a symptom of intestinal obstruction, pathology of the anorectal area, stroke, traumatic brain injury, and is also associated with bed rest and taking certain medications.

If symptoms of constipation continue for several months, then it is considered chronic. Most often, constipation is a symptom of another disease.

There are many reasons for delayed bowel emptying: these are neurological disorders, endocrine diseases, physical inactivity (especially in old age), poor nutrition, dysbacteriosis, intestinal motility disorders, hemorrhoids, injuries of the colon and tailbone, and much more. Constipation is also caused by pregnancy, nervous shock, traveling long distances, taking certain medications, for example, coating agents, iron supplements, tranquilizers, etc.

The many causes of constipation make it difficult to treat the latter with medication. It is imperative to find out the reason for the prolonged absence of stool. Only then is treatment prescribed. Laxatives are used in complex treatment, which is aimed primarily at eliminating the cause of the disease that caused constipation.

Laxatives

Laxatives increase intestinal motility and promote bowel movement.

Treatment of constipation with laxatives should not be permanent. Many laxatives are addictive, and as a result of uncontrolled use, the intestines stop emptying on their own. But first things first.

Let's consider the simplest classification of drugs - by use:

1. Drugs used for acute constipation
2. Drugs used for chronic constipation

Remedies for acute constipation

In case of sudden absence of stool, the following are used:

• Saline laxatives
• Castor oil
• Bisacodyl (Dulcolax, Laxacodil, Laxatin, Pirilax, Stadalax)
• Guttalax (Laxigal, Slabicap, Slabilen, Regulax)
• Suppositories with glycerin

Saline laxatives(inorganic salts) are time-tested products. They cause mechanical irritation of intestinal receptors. By reducing the absorption of nutrients and water, they dilute the contents of the intestine, which puts pressure on its walls. As a result, the receptors are irritated, the intestinal walls begin to contract (peristalsis increases) and the intestines are emptied.

Saline laxatives take effect within 2-4 hours and should be taken in the morning on an empty stomach. These include sodium sulfate (Glauber's salt), magnesium sulfate (magnesia), and phosphates. These drugs are used for acute constipation and poisoning in order to quickly remove toxins. But when taking them, nausea and abdominal pain occur. Contraindicated for children with chronic constipation or intestinal obstruction.

Magnesia is known to be used for hypertension, so this drug cannot be used with low blood pressure.

The disadvantage of these drugs is that they are unpredictable and often lead to dehydration.

Castor oil refers to drugs that chemically irritate intestinal receptors. In the small intestine, castor oil is broken down to form ricinoleic acid, which irritates the receptors of the colon wall, peristalsis increases, and the intestines empty. Castor oil causes a single bowel movement 5-6 hours after use. It is necessary to pay attention to the fact that this drug is contraindicated during pregnancy, because increases uterine contraction. Therefore, it is also used to stimulate labor.

Bisacodyl- a synthetic product that also causes chemical irritation of intestinal receptors. It acts very quickly - after 1 hour (if the release form is a suppository). Most often, this drug is prescribed for constipation associated with decreased intestinal motility (atony). It is used not only for acute, but also for chronic constipation. Synonyms for Bisacodyl are Dulcolax, Laxacodil, Laxatin, Pirilax, Stadalax.

Guttalax acts on intestinal receptors through chemical irritation. Just like Bisacodyl is a universal drug: it is used for acute, chronic and atonic constipation. Guttalax drops should be taken in the evening with a small amount of water.

Guttalax contains sodium picosulfate and sorbitol. Other drugs containing sodium picosulfate: Regulax, Slabilen, Slabicap, Laxigal.

Remedies for chronic constipation

• Seaweed, Laminarid;
• Forlax (Macrogol, Tranzipeg, Fortrans);
• Medicinal plant raw materials;
• Pursenides;
• Tisasen;
• Regulax;
• Bisacodyl;
• Guttalax;
• Vaseline oil;
• Vegetable oils;
• Suppositories with glycerin.

Sea kale and a complex preparation based on it - Laminaride in the intestine attracts water, swells, increases in volume and causes mechanical irritation of intestinal receptors. Application: for chronic and atonic constipation. Action in 8-10 hours.

Forlax (Macrogol, Tranzipeg, Fortrans) when taken orally, it also causes mechanical irritation of the intestines, because swells and increases the fluid content in the intestines. Used for chronic constipation. Effective within 24-48 hours. Apply in the morning before or during meals. This drug can be taken by pregnant women. Many drugs are prohibited during this period, because increased intestinal motility contributes to premature labor. Forlax and its synonyms are recommended for elderly people with hypertension and diabetes, diseases of the cardiovascular system, kidney and liver failure.

Medicinal plant raw materials

For a laxative effect, plants containing anthraglycosides and preparations based on them are used. The plants themselves (infusions and decoctions from them), as well as preparations based on them, are very popular among pharmacy visitors who self-medicate. Long-term use of these drugs leads to the fact that the intestines cease to empty themselves. Therefore, prescribing, or rather self-prescribing, drugs containing anthranoids is unacceptable.

Anthraglycosides are broken down in the small intestine and form the substance emodin, which is absorbed into the blood and released into the lumen of the large intestine, irritating the sensitive nerve endings of the latter. As a result, peristalsis increases and the intestines empty. The laxative effect of these drugs, used for chronic constipation, appears after 8-10 hours. It is noteworthy that all products based on these plants are addictive, i.e. Over time, the effect weakens and disappears completely.

Buckthorn bark preparations: laxatives, Ramnil, buckthorn extract, buckthorn syrup.

Senna leaf preparations(cassia, Alexandria leaf): infusion, dry extract in tablets, Anthrosennin, Senadexin, Pursenide, Tisasen, Senadex, Senade, Glaxenna, Herbion Laxana, Regulax.

Rhubarb root preparations- powder, tablets, dry extract.

Joster fruits, from which a decoction is prepared.

Also used for chronic constipation Bisacodyl and its synonyms, Guttalax, Regulax(combined drug).

To soften stool and promote it in case of chronic constipation, use vegetable oils (fennel, olive, almond), petroleum jelly, sodium docusate (Norgalax), and suppositories with glycerin. The effect of their use occurs after 4-5 hours.

Laxative during pregnancy

As mentioned above, a small number of medications are allowed during pregnancy. This is due to the fact that a large increase in intestinal motility can cause tone in the muscles of the uterus. But pregnancy is also known to contribute to constipation. What to do if such a nuisance happens to the expectant mother? To begin with, you should resort to a non-medicinal method: increase the volume of fluid you drink, eat beets, prunes, an apple or a spoonful of vegetable oil on an empty stomach, one-day kefir, exclude fixing products (rice, stale kefir, barley, etc.) If simple remedies do not help, then there is several medications used during pregnancy.

• Dufalak, Prelax, Normolakt
• Fortrans
• Microlax

Dufalak contains the prebiotic lactulose, which is broken down by colon bacteria. The breakdown products of lactulose gently stimulate intestinal motility; in addition, stool softens, increasing in volume, which causes mechanical irritation of colon receptors. As a result, the intestines are emptied. The effect occurs within 3-6 hours. Preparations contain lactulose Prelax and Normolakt.

The drug Fortrans (Forlax, Macrogol, Tranzipeg) was mentioned above.

Here's the remedy Microlax appeared on the pharmaceutical market relatively recently. Microclysters of this drug contain several components that dilute stool. Emptying occurs quickly (5-15 minutes). Recommended during pregnancy and even for babies during the newborn period.

Conclusion

Pharmacies offer many types of drugs that have a laxative effect. The active ingredients in them are very often repeated and combined. That is, the same drug can have, for example, 5-10 synonyms. And yet, with such a variety of names, in mild cases it is better to do without the use of laxatives for many reasons.

Of course, these reasons are the side effects of laxatives. As a result of the use of laxatives, the intestinal walls become atonic, their sensitive nerve endings become accustomed to drug irritants. As a result, an increase in laxative doses is required. Then the intestines stop moving the contents without drugs (especially after drugs senna, buckthorn, Bisacodyl). The consequence of this is a long and methodical weaning under the supervision of a doctor from the drug dependence of the intestines.

The use of laxatives leads to protein loss and the removal of essential microelements (for example, potassium) from the body. Often, due to the use of these drugs, inflammation of the colon occurs - colitis, diarrhea, abdominal pain, and flatulence.

Unfortunately, nowadays, due to self-medication with laxatives and uncontrolled use, an increasing number of patients are suffering. After all, laxatives are purchased not only for the purpose of relieving constipation.

In pursuit of an “ideal” figure, ladies use both laxatives themselves and drugs based on them. But the effect is still the same. And the side effects are absolutely the same. Maybe the weight will drop for a while. But the damage caused to the body will definitely result in extra pounds.
Very often, laxatives are bought by a person who thinks that the intestines should be emptied every day, but he has them once every 2 days. But stool once every 2 days is normal. and does not require the use of laxatives.

By changing your diet to include foods rich in fiber and fermented milk products, you can cure so-called nutritional constipation (diet-related). If the cause is a violation of the intestinal microflora (dysbacteriosis), the doctor will prescribe a pro- or prebiotic drug that normalizes it.

Laxatives, if necessary, act as an addition to the main treatment. In some cases, such as the preoperative and postoperative period, etc., laxatives cannot be avoided. Based on all this, we can say that laxatives should only be prescribed by a doctor. Self-medication with drugs should be avoided. But carefully look for the cause of constipation.

Currently, pharmacies offer a very large number of different laxatives , which are used for.

Various reviews of good laxatives can be found online. But even the mildest laxatives for normalizing intestinal function have some disadvantages and are contraindicated in certain conditions. Those who choose an effective laxative to cleanse the intestines need to clearly understand how such a medicine works. After all, laxatives do not eliminate the cause of constipation and do not provide a therapeutic effect. They just help get rid of fecal stagnation in the intestines at the same time. That is, they are used to cleanse the intestines, and not for treatment. It is important to see a doctor who will prescribe the necessary medications for constipation, digestive tablets and other medications.

How to choose a laxative?

Currently, many different laxatives are produced in Russia. But no matter how many drugs are offered in pharmacies, it is important to choose the best one. To choose the best laxative for cleansing the intestines, you need to know how all tablets, syrups, and herbal materials differ in their effect on the intestines.

It is very important that people who experience chronic constipation contact a specialist to undergo an examination and determine the causes of this condition. Then the doctor will advise what to drink for constipation in order to get rid of both the cause and the symptoms.

In most cases, chronic constipation develops as a result of diseases of the gastrointestinal tract and digestive system. Therefore, before taking laxative pills or laxative herbs for constipation, you can try to improve the condition of the body by following a few simple steps that will help ensure that natural bowel movements occur without problems.

All laxatives for constipation in adults and children are usually divided, taking into account their nature of effect, into the following categories:

• irritating drugs;
• osmotic laxatives;
• prebiotics - medications for constipation in adults and children;
• excipient medications .

This classification helps determine how to cure the disease, depending on the cause of constipation, and how to alleviate the condition. Treatment of constipation in adults requires an integrated approach, therefore, a specialist can determine how to treat constipation in adults only after research helps to find out what causes chronic constipation.

Before you buy laxative teas or tablets, you need to clearly know what components they contain and how they work. It is important to choose a harmless medicine if the patient is worried chronic constipation , and such drugs have to be taken regularly. In this case, the optimal choice would be, which not only stimulate digestion, but also normalize the condition microflora . As a result, a long-term therapeutic effect is observed.

Irritant constipation tablets

Those looking for the most powerful laxative should pay attention to this group of drugs. Such drugs for the treatment of constipation provide the fastest effect. The number of such drugs is very large - the names of tablets for constipation in adults of this type are always listed by pharmacists at the pharmacy if people contact them with such a problem.

Anti-constipation pills are often used in older people as they are effective in intestinal atony or in case sluggish peristalsis . This category includes:

• medicines: Sodium Picosulfate and etc.;
• herbal remedies: castor oil, rhubarb root, senna leaves, joster fruits, buckthorn bark.

The main advantage of such drugs is that they are fast-acting laxatives. So, if such fast-acting remedies for constipation were taken in the evening, then normal stool is observed in the morning.

An effective, gentle and quick effect is ensured due to the fact that chemical irritation of colon receptors occurs and, as a result, stimulation of peristalsis. The result is a single bowel movement 6-10 hours after taking the medicine.

At the same time, when studying the list of fast-acting laxative tablets, the patient must take into account that such drugs produce side effects. That is why quick-acting laxatives in tablets and other forms cannot be used constantly. After all, with their regular use, the receptors of the colon are depleted, and its tone decreases.

If you take a fast-acting laxative at home continuously (more than 10 days in a row), your risk of developing intestinal atony , imbalances electrolytes in the blood, degeneration of nervous tissue.

As a result, the patient develops addiction; the initial dose no longer helps. But increasing the dose is not recommended. In order not to provoke such effects, it is advisable to take such drugs rarely, using periodically folk laxatives for fast-acting constipation.

Another common side effect when using such drugs is the development pain in the intestines . Therefore, many patients do not use strong rapid-acting laxatives in drops and tablets of this type, fearing the development of severe pain.

Fast-acting laxative suppositories are indicated, as well as drugs in drops and tablets, primarily for constipation, which is not chronic and develops in isolated cases.

Such drugs are contraindicated when lactation , infants (for children they are mainly used prebiotics , laxative for children from 1 year - only as prescribed by a doctor). Should not be used in acute cases. You cannot use such remedies for a long time.

Also contraindications for the use of such drugs are:

• abdominal pain of unknown origin;
• proctitis , in acute form, exacerbation;
• bleeding of the stomach, uterus, intestines;
• any inflammatory disease of the abdominal organs;
• strangulated inguinal hernia;
• symptoms of intestinal obstruction;
• , peritonitis ;
• violations of water-salt metabolism;
• perforation of the stomach, intestines.

Analogues of this medicine - Stadalax , Bisad , Laxatin , Pirilax , Laxbene , Laxacodil .

The tablets are indicated for use in preparing the intestines for endoscopy , for patients who develop constipation after surgery, or if constipation occurs during dieting.

You need to take 1 tablet in the evening, before bed. If there is no effect, use 1-2 tablets. Children under 6 years of age are given half a tablet.

Side effects may include abdominal pain, intestinal colic, nausea, a feeling of heaviness in the intestines, and in rare cases, the appearance of mucus or blood after stool. After prolonged use it is possible intestinal atony , dehydration .

The product is relatively cheap, price – from 40 rubles.

Sennosides A and B

, Tisasen , Antrasennin , Senalex , Ex-Lax , chewable lozenges Senna , holly leaves Senna .

The composition of drugs from this group includes the sum of anthraglycosides, which are contained in the leaves of acute-leaved and narrow-leaved senna.

The use of this popular laxative, which is of plant origin, does not lead to addiction.

Such drugs are prescribed to regulate stool when hemorrhoids , at constipation , which develop as a result of sluggish peristalsis, with spastic and atonic constipation.

This remedy is used once a day, it acts 6-12 hours after administration. The dosage is determined depending on the form of the medicine that is used. Taken, as a rule, before bedtime.

Side effects and contraindications are the same as when taking .

This remedy is cheaper than other drugs, its price is from 45 rubles.

Sodium Picosulfate

, Weak , Laxigal , .

Laxatives based on this component are tasteless and odorless

All these drugs act at the level of the colon, increasing intestinal motility, reducing the level of absorption of water and electrolytes.

Indications for use are the same as in previous descriptions.

After use, natural emptying occurs within 10-12 hours.

Side effects may include abdominal pain, cramps, dehydration, diarrhea, weakness, and low blood pressure.

Cannot be used in the first trimester of pregnancy, or in children under 4 years of age. Other contraindications are the same as in previous descriptions.

Cost – from 180 rub.

Glycerol

If used for a long time, there is a weakening of the physiological process of defecation.

The product is relatively inexpensive - from 80 rubles.

Prebiotics

When determining which laxative is best for constipation, you need to pay attention to another group of drugs. After all prebiotics – the safest modern means for overcoming constipation. They can be used even during pregnancy and during feeding. The doctor will tell you which remedy is best to choose.

The composition of drugs belonging to this group includes carbohydrates, the digestion of which does not occur in the upper gastrointestinal tract. They enter the large intestine unchanged, and there they stimulate the development of beneficial intestinal microflora.

This group of drugs includes, Inulin , fructooligosaccharides .

Any of these drugs is a mild laxative; it acts slowly, but when used, a more lasting therapeutic effect is observed than any irritant and saline laxative.

Any prebiotic is a mild laxative to cleanse the intestines. It not only stimulates the growth of beneficial microflora, but also provides the same effect as mild irritants and osmotic laxatives. Indeed, during the fermentation of prebiotics, organic acids are produced that stimulate the intestinal muscles.

Prebiotics are natural laxatives that are not addictive. They practically do not provoke side effects, with the exception of. However, this phenomenon goes away within a few days after starting to take such medications.

When taking this non-addictive medicine for constipation, the patient should not expect immediate action. After taking the medicine, stool appears only 2-3 days after the medicine was taken.

• The instructions indicate that probiotics can be taken for both acute and chronic constipation.
• These medications are often used to treat intestinal dysbiosis , in which stool retention and constipation are noted.
• Prebiotics also produce a detoxifying effect and remove them from the body. nitrogen-containing substances .
• They are used when hepatic encephalopathy .
• When taking probiotics, there is an improvement in the absorption of calcium and fluoride.
• The drugs suppress the proliferation of opportunistic microflora in the intestines.

Portalac syrup , Lactulose Poly , Romphalac , Lactulose Stada , Livolyuk-PB , .

A mild laxative that is prescribed for hepatic encephalopathy, constipation, and before diagnostic tests. Lactulose also has a hyperosmotic effect, promotes the excretion of ammonium ions, as well as more active absorption of phosphorus, calcium, and stimulation of intestinal motility. Under the influence of the drug, there is an active dilution of the stool, an increase in its volume, and an increase in the secretion of bile in the small intestine. It weakens slowly, but its effect is effective.

Cannot be used in case of intestinal obstruction, hypersensitivity to lactose, galactosemia; it should be used with caution in case of.

The dosage is determined individually. A doctor may prescribe these drugs for children; they are the best laxatives for newborns.

Lactitol

Importal N , - powder from which liquid medicine is prepared. Lactitol is used both as a sugar substitute in products for diabetics and for the treatment and prevention of diseases of the large intestine. The drug increases osmotic pressure, softens stool, and helps improve intestinal function.

The effect after administration is noted after some time - after 24 hours.

Should be taken orally, during meals, along with drinks.

Possible manifestations of abdominal discomfort and flatulence.

Laxatives with osmotic action

It is not recommended to use saline osmotic laxatives in patients with chronic constipation, which is caused by any gastrointestinal disease. As a rule, such drugs are prescribed for a one-time cleansing of the intestines if there is acute stool retention. Also, with the help of such remedies you can alleviate the condition of drug or food poisoning.

Compared to irritants, drugs of this type are safe, since their use does not cause the development of lazy bowel syndrome . These drugs can be chosen by those who need to take anti-constipation medications for a long time. Drugs type can be taken for up to three months. However, it should be noted that such drugs can only be taken to eliminate symptoms, but not to treat the disease.

This group includes salt medicines: sodium and magnesium sulfate , magnesium hydroxide , polyethylene glycol , Carlsbad salt , citrate .

After taking osmotic laxatives, water is retained in the intestinal lumen, as a result, stool softens and its volume increases. As a result, osmotic pressure increases and a laxative effect is noted.

Despite the fact that such laxatives can be used for a long time, if they are used regularly for several months, a violation of the water-salt balance and dehydration occurs. Therefore, taking such laxatives for constipation is not recommended for older people in particular, and for all other patients, for longer than 3 months. It is necessary to choose other, more gentle laxatives for older people, for example, glycerin. Also, medications of this type can cause abdominal pain during bowel movements.

Artificial Carlsbad salt

This product is a substitute for geyser Karlovy Vary salt. This is a saline laxative that has a choleretic effect.

Indicated for use in chronic, poisoning , constipation .

Should not be used for intestinal obstruction, high sensitivity, constipation.

During use, atony of the large intestine, diarrhea, and disturbances in water and electrolyte metabolism may occur.

You need to drink a laxative orally on an empty stomach; children over 2 years old need 1 tsp. Dilute the product in a glass of water. Take 40 minutes before meals.

Macrogol

If, however, it is not possible to cope with constipation using improvised methods, then the woman must be told by her doctor about what pills she can take during pregnancy. After all, any potent drugs in this condition are contraindicated for a woman. Medicines that activate peristalsis increase the tone of the uterus, which is unsafe during pregnancy.

Allowed medications during pregnancy - glycerin suppositories . You can also use folk remedies - a decoction of prunes, a mixture of dried fruits and honey. However, it is very important to note that many herbs (senna, buckthorn, etc.) are strictly prohibited during pregnancy.

conclusions

Thus, the remedy for constipation must be used very carefully, preferably on the recommendation of a doctor. It is important to select the optimal laxative for the elderly, bedridden patients, and cancer patients. Indeed, with inadequate therapy, it may occur laxative disease and other complications.

Laxatives for children should be selected very carefully. Any children's laxative must be prescribed by a doctor. As a rule, for constipation in children, medications are used in the form of syrups, solutions, and suppositories.

The best laxative for children under 3 years of age is rectal suppositories, as they are most convenient to use. After all, such a medicine acts locally and is therefore safe for the body. The best remedy for constipation for children is glycerin suppositories, as they are the safest. If one-eighth of a candle is used for a newborn baby, then half a candle is used for a 2-year-old child, and a whole candle is used for children 4 years and older.

Also for children, lactulose-based syrup can be used, as well as products Duphalac , Normolakt .

Regardless of the age at which a person develops constipation, it is important to determine the cause of this condition and direct all efforts to eliminate it.