In any pharmacy today, there is a huge assortment of various laxatives for constipation, and almost everyone has certain contraindications or disadvantages. The most basic "minus" of any laxative is that they are not drugs that treat, they do not have a serious therapeutic effect, but they only help to solve the problem with stagnation at a time stool in the intestines, drank a laxative - cleared, but the problem is not solved. In addition, all constipation tablets, solutions, syrups, herbal preparations, powders should be distinguished by their effect on the intestines.
What is the best, strongest, most effective, quick laxative, which is natural and safe? Is it possible to develop addiction to a particular drug? People who suffer from constipation have many questions, but first of all, you should find out the cause of problems with normal bowel movements. Most often, chronic constipation is caused by diseases gastrointestinal tract, all digestive system, which should not be eliminated with the help of laxatives. Before using any means, try to try to change the situation with the following simple rules that promote natural bowel movement:
- The most effective - in the morning, as soon as you wake up, drink 1-2 glasses of not cold, but water. room temperature, it is better mineral water without gas 30-40 minutes before breakfast, this clears the stomach and starts the digestion process.
- Massage of the abdomen helps very well, honey and coffee have a laxative effect.
- Healthy nutrition, active lifestyle, the presence of beets, cabbage, prunes, apricots, any raw vegetables and fruits improve intestinal motility and do not provoke constipation.
- The most efficient fast remedy from constipation - correct definition its causes and their elimination.
- Fresh kefir is very useful before going to bed.
- Castor oil is a laxative fast action.
All drugs for constipation are usually divided according to the nature of the impact on: means of osmotic action, irritant effect, prebiotics-laxatives, filler preparations. Therefore, when choosing a remedy for constipation, you should decide which class of drugs is indicated and necessary for you, take into account all contraindications and possible side effects.
- When buying tablets, suppositories in a pharmacy, find out active substance one or another drug, carefully read the instructions.
- Do not use irritant laxatives for a long time.
- A safe, good, laxative should be chosen, especially when chronic constipation, the best of all are prebiotic preparations, they both stimulate intestinal activity and restore microflora, with their help you can achieve a stable, long-term therapeutic effect.
- To achieve a faster effect, you can use, but rather an oily microclyster.
Irritant constipation tablets
These are perhaps the most effective, quick laxatives for constipation, their most big variety, they are prescribed for atony or sluggish intestinal motility. These include drops, syrups, tablets such as Sodium picosulfate, Bisacodyl, etc., and herbal remedies, such as: senna leaves, Castor oil, rhubarb root, joster fruits, buckthorn bark. The advantage of such drugs is a quick effect, the evening intake of irritating tablets for constipation in the morning leads to stool.
- Action
The laxative effect of irritants is due to chemical irritation of colonic receptors, which stimulates peristalsis. As a rule, such stimulation of the colon leads to a single bowel movement approximately 6 to 10 hours after taking the drug.
- Side effects
Such stimulating pills for constipation for sluggish intestines cannot be systematically used, this leads to depletion of the receptors of the large intestine, a pronounced decrease in its tone. With prolonged, regular (over 10 days) intake of such laxatives, the risk of laxative disease or intestinal atony, degeneration of the nervous tissue and disorders electrolyte balance blood. To such drugs addiction quickly develops, the initial dose soon does not lead to a significant effect, and it is not desirable to increase it. The disadvantage and side effect of irritant drugs is intense pain in the intestines, due to which most patients refuse to use them.
- Contraindications and indications
Such drugs are indicated for acute, occasional constipation, not for chronic stage. They are contraindicated for long-term use, as well as lactating and pregnant women, infants. Do not use such laxatives for constipation with: abdominal pain unclear etiology, acute , exacerbation anal fissures, with intestinal, gastric, acute inflammatory diseases bodies abdominal cavity, with intestinal obstruction, with peritonitis, with perforation of the intestine or stomach, in violation of water-salt metabolism.
The list of laxatives is presented in the table. It is worth recalling that before using any medication, you should consult with your doctor.
Bisacodyl - Laxacodyl, Laxatin, Dulcolax, Bisadil, Laxbene, Pirilax, Stadalax.Indications for use: bowel preparation for endoscopic examination, constipation after operations, with diet food, idiopathic constipation. |
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Sennosides A and B are Regulax, Senade, Antrasennin, Herbion Laxana, Senadexin, Tisasen, Senalex, Ex-Lax, Senna chewable lozenges with chocolate and vanilla flavor, Senna holly leaves.
Sodium picosulfate is Guttalax, Guttasil, Laxigal, Regulax Picosulfate, Slabikap, Slabilen
Glycerol - candles Glycerin, GlycelaxDelayed laxatives - prebiotics
Laxatives – prebiotics are the most safe means in the fight against constipation, so they can be used after childbirth and during lactation. This group of drugs are food ingredients, carbohydrates that cannot be digested in upper divisions Gastrointestinal tract, they reach the large intestine unchanged, where they manifest themselves as growth stimulators of beneficial intestinal microflora. These agents include: inulin, lactulose and fructooligosaccharides. They can't be named strong means from constipation, however, they act slowly and safely, give a more persistent therapeutic effect than saline and irritant laxatives.
- Mechanism of action
Prebiotics are the best laxative, in addition to stimulating the growth of beneficial microflora, they gradually restore intestinal function, acting both as osmotic laxatives and as mild irritants, since the organic acids produced during the fermentation of prebiotics have a stimulating effect on the intestinal muscles. The most popular and effective prebiotic is Lactulose, the laxative effect at a high dosage of 40-50 ml is achieved after 1.5-2 hours.
- Side effects
It has practically no side effects, with the exception of which disappears 3 days after the start of taking the prebiotic. And also not a very quick effect on constipation, since it is necessary that the drug passes through the entire gastrointestinal tract, so the chair occurs 2-3 days after the usual dosage.
- Indications, contraindications and benefits
Prebiotics are indicated for both acute and chronic constipation. They are often used for stool retention, constipation. In addition to a laxative effect and normalization of microflora, prebiotics also have detoxifying properties, removing toxic nitrogen-containing substances, they are also indicated for hepatic encephalopathy. Prebiotics improve the absorption of phosphorus and calcium, inhibit the reproduction of conditionally pathogenic flora in the intestine.
An osmotic mild laxative for constipation, hepatic encephalopathy, and is also used before diagnostic procedures on the gastrointestinal tract (see). Contraindications: intestinal obstruction, galactosemia, sensitivity to lactose, fructose, with caution in diabetes mellitus. The dosage is determined individually according to the doctor's prescription. This is the best, good laxative for children. |
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Lactulose - Normaze, Portalak syrup, Goodluck, Dufalac, Lactulose Poly, Lactulose Stada, Livoluk-PB, Romfalak
Lactitol - Exportal, Importal N - powder for solutionOsmotic laxatives
In chronic constipation caused by any diseases of the gastrointestinal tract, saline osmotic laxatives are not recommended. Most often they are prescribed for a one-time bowel cleansing with acute delay stool, with food or drug poisoning, as well as for diagnostic procedures on the gastrointestinal tract. They are safe laxatives, unlike irritating drugs, osmotic agents for constipation do not form a syndrome lazy gut, they can be used for a long time (Forlax) up to 3 months, but like other laxatives, they do not eliminate the cause of constipation, but only have a symptomatic effect.
Their advantage is that they do not weaken muscle tone and are not addictive. The means of this group include the following salt preparations: citrate, magnesium hydroxide, sodium and magnesium sulfate, Karlovy Vary salt, polyethylene glycol.
- Action
Osmotic laxatives hold water in the intestinal lumen, thereby softening the feces and increasing their volume. They increase osmotic pressure by also attracting water from adipose tissue and blood plasma, resulting in a laxative effect.
- Side effects
In chronic constipation, the use of saline laxatives is more appropriate and physiological, but if you use them for several months, there is a loss of electrolytes, sodium, potassium salts, which violates water-salt balance, causes dehydration, which is unacceptable for a growing child's body and elderly people with heart failure, so it is not recommended to use such drugs for more than 3 months. Also, the disadvantage is the occurrence of pain in the abdomen during bowel movements.
- Contraindications and indications
The most basic indication for their use is food and drug poisoning, acute constipation. Polyethylene glycol can be taken by pregnant and lactating women.
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Carlsbad salt artificial
Macrogol - analogues of Lavacol, Osmogol, Fortrans, Realaxan, Tranzipeg, Forlax, Forteza Rompharm.
Magnesium sulfate heptahydrate - analogues bitter salt, Epsom salt, magnesia, epsom salt.
Intestinal fillers
Bulk intestinal fillers are preparations of both synthetic (modified polysaccharides) and natural origin, they are difficult to digest, not absorbed, increase the volume of feces and help accelerate the act of defecation. However, many patients with chronic constipation refuse to use them, since such remedies do not always help in the fight against constipation, they often cause bloating, rumbling, pain, but do not improve intestinal motility. The main representatives of this group of constipation remedies are: Flax seed, Agar-agar, wheat bran, Sterculia, Methylcellulose, Fleaworth seeds, Psyllium ovoid or oval seed husk.
- Action
The action of bulk laxatives is based on the fact that they swell, absorb water, and due to the increase in volume, they contribute to the stretching of the intestinal walls. Therefore, defecation is accelerated due to the reflex reaction from the contractile wave; with a sluggish intestine, such agents may not be effective. To achieve the desired effect, the ability of the colon to swell must be maintained, in addition, when using them, you should drink at least 2 liters of fluid per day. Excipient laxatives are considered soft means delayed effect, when taking Agra-agra, the effect occurs after 12 hours, after taking fleaworth seeds, stool evacuation occurs after 24 hours, and the use of methylcellulose leads to defecation after 1-3 days.
- Side effects
Stretching of the walls leads to flatulence, rumbling, bloating, and such an abundant intake of fluid is also not always possible, since urination becomes more frequent and with some comorbidities, excessive fluid intake is not desirable.
- Contraindications
Such remedies for constipation during pregnancy are contraindicated due to the threat of miscarriage, also with irritable bowel syndrome, since this further increases flatulence. It is not advisable to increase the amount of feces in the patient's bed rest, with intestinal obstruction and neurological disorders.
Laxative herbal remedies
Among the laxatives plant origin the following most popular drugs can be distinguished:
- Buckthorn fruits - as well as Buckthorn bark, syrup, extract, Ramnil, Jostera fruits
- Kafiol is a combined preparation, which includes fruits and leaves of senna, fig fruits
- Laxative Phytolax is a dietary supplement, which includes common apricot fruits, large plantain leaves, garden dill fruits, senna leaves and extract.
- Laminaria thallus (seaweed) is granules, tablets, extract, FitoTranzit, Mamoclam Laminaria thallus
- Plantain oval seed shell - preparations Mucofalk, Naturolax, Fiberlex are herbal laxatives
- Proctophytol (Antihemorrhoidal collection) - the composition of the collection includes Senna holly leaves, Coriander fruits, Licorice roots, Buckthorn alder bark, Yarrow common grass
- Rhubarb palmate roots - tablets, extract, syrup
- Licorice root powder - a combined preparation, which includes Licorice roots, Senna leaf, Fennel fruit extract, Sulfur
- Stalnik tincture - roots of harrow, tincture has a laxative, anti-inflammatory, hemostatic effect
- Laxative collection No. 1 - which includes Yarrow herb, Alder buckthorn bark, Dioecious nettle leaves
- Laxative collection No. 2 - as part of Buckthorn bark, Senna leaf, Anise fruit, Licorice root, Buckthorn fruit.
Quite often there are situations when the problem of constipation overtakes suddenly and there is no quick-acting medicine at hand.
And it happens that a person has intolerance to any component in the drug.
In both cases, a laxative prepared at home will always come to the rescue.
Folk remedies for constipation can not only have a quick effect, but also maintain health, thanks to their healing properties.
Main causes of constipation
Facilities traditional medicine for constipation, they are mild and sparing medicines. Some people do not consider constipation a serious problem at all, so they do not use any methods to combat it.
This leads to serious disturbances in the work of the whole organism and worsens health. The first signs of difficulty in emptying the intestines, or its complete absence for 2 to 3 days, are called constipation.
At this time, there is a violation in the motility of the intestine, leading to difficulty and suspension of the movement of feces.
The frequency of trips to the toilet depends on many factors. The most common of them are a sedentary lifestyle, low physical activity, bad habits and malnutrition.
This disease is divided into two groups: acute and chronic. The chronic form of constipation develops due to untimely relief of the acute form.
To the main reasons for the emergence and development this disease include:
- Problems and violations in nervous system. This includes strokes poor circulation in the brain, sclerosis. Depression and disorders in the spine can also cause constipation.
- Problems endocrine system- the presence of diabetes, obesity, the presence of premenstrual syndrome.
- Diseases of the digestive system. ulcers, cholecystitis, chronic pancreatitis, dysbacteriosis and oncological diseases.
- Violation of the work of the muscular tissue of the intestine.
- Prolonged retention of bowel movements for psychological and physical reasons.
- With stress associated with conditions, work, nutrition (violation of the diet and diet).
- Little physical activity and stress.
- Wrong nutrition. The level of fiber intake in the body is reduced, as well as insufficient drinking regimen.
- Result side effects medicinal product (antibiotic).
What are the benefits of folk remedies for constipation
Faced with the problem of constipation, the question arises of how to overcome this ailment. Before starting treatment, it is necessary to consult a doctor for advice in order to understand exactly what causes the appearance of this disease.
To eliminate constipation, patients use not only traditional medicine but also domestic folk remedies. They are considered safe and are fast-acting remedies.
Based on these benefits, homemade home remedies are gaining such wide popularity and are applicable among many people.
Pharmaceutical products may not always be at hand, and unconventional medicine can be prepared without leaving home.
The best homemade laxatives
For constipation, laxatives prepared at home are often used. Their action is to eliminate this disease. To choose the right medicine, it is recommended to try several of them.
Each person's body is unique, so each patient will need one remedy that triggers normal work intestines. Among them are:
- In the fight against constipation, cucumber pickle is widely used. It is drunk on an empty stomach in the morning 1.5 cups. Such a fast-acting laxative, since it begins to act in an hour. If constipation has acquired severe form, and the effect of the brine after 2 hours did not appear, the procedure is repeated 30 minutes after eating. It should be noted that this tool is a one-time and not suitable for regular use.
- Extra virgin olive oil will be a panacea for bowel function at home. It is taken in the morning on an empty stomach. The amount depends on the age of the patient and the degree of complication of the disease. On average, use 1-5 tablespoons. After 1 hour, this laxative will begin its vigorous activity. In case of ineffectiveness of the oil after one application, it is taken throughout the day, 1 tablespoon every hour. By the evening, the constipation should subside, as this is a fast-acting medicine.
- Beetroot juice is noted as a strong laxative that can be prepared at home. This fast acting agent prepared from fresh beets, and taken in morning time on an empty stomach, 1 glass. You can have breakfast only 2 hours after taking it. After 1-2 hours, the medicine will begin to take effect. To enhance and consolidate the effect, this juice is drunk at lunch and dinner.
- Using medicinal herbs constipation can also be cured. Senna grass is very effective in this case. To get medicine at home, take 0.5 cups of this healing herb and pour it with a glass of boiling water. After insisting, the broth is carefully filtered through gauze or a sieve. In the amount of 100 ml, take it in the morning on an empty stomach. To enhance the effect, drink a decoction in daytime and after dinner in the same quantities.
- Plum juice is also effective in dealing with constipation. It is enough to drink 1 glass of juice from fresh plums in the morning on an empty stomach. Breakfast should not be earlier than 2 hours later. This is a homemade quick fix that can be made at home as it starts working within 30-40 minutes after using it.
- A decoction of fresh cherries is considered quite effective. You can use frozen cherries. Take 1 glass of cherries and 2 apples. Cut apples, add cherries and pour 3 liters of water. All this is cooked on low heat for 1 hour. This laxative is taken half an hour before meals, 1 glass. Treatment with such a remedy, prepared at home, is not limited in time.
- In the presence of fresh gooseberries, a decoction of rapid action is prepared from it. 15-20 berries are poured into 0.5 liters of water and boiled for 25 minutes over low heat. This laxative is divided into several parts and taken throughout the day before each meal.
- Laxative properties are potato juice. It is taken on an empty stomach in the amount of 50 ml in the morning. You can have breakfast after taking such a remedy no earlier than an hour later.
- Onion tincture is also effective for constipation. Its laxative properties act instantly and start the bowels. Half a half-liter jar is filled with chopped onion and filled with high quality vodka to the top. Infuse the contents in the sun for 10 days. After filtering through gauze or a sieve, take 10 drops of tincture in the morning once a day.
- Another fast-acting laxative is prepared on the basis of kefir and unrefined sunflower oil. For one glass of kefir put 1 tablespoon of oil. The resulting drug is taken half an hour before bedtime. Laxative properties appear in the morning. Given folk medicine suitable for both single use and for the chronic form of the disease.
- With constipation, a solution of warm water with a quarter teaspoon of salt and soda helps. This mixture is drunk on an empty stomach after waking up. It helps to soften the feces in the intestines and activates peristalsis. Laxative manifestations are noted on the third day of use, and does not imply any time restrictions in the treatment.
- You can prepare a medicine at home based on aloe juice. Juice is obtained from the plant and taken 3 times a day, 1 tablespoon 30 minutes before meals. The treatment course of this remedy is 2 months.
- In the chronic form of the disease, a laxative medicine prepared on the basis of buckthorn bark, peppermint perfectly helps. It is enough to mix 2 tablespoons of the bark with 3 tablespoons of mint, and all the ingredients are crushed. 2 tablespoons of this drug are steamed with boiling water and infused for half an hour. After careful straining, take 1 glass of drink before bedtime. Laxative properties appear in the morning. In the chronic form of the disease and to improve the effect, continue treatment for 2 weeks.
- Using a coffee grinder, grind dill seeds (1 tablespoon) in it and pour a glass of boiling water over it. After half an hour of infusion, the laxative drug is filtered and taken in small portions throughout the day. This medicine is fast acting, as it helps already on the first day of use. To improve the effect, continue treatment for the next 5 days.
- The use of plantain at home can also eliminate constipation. To do this, 1 tablespoon of plantain seeds is poured with a glass of boiling water and insisted for half an hour.
After straining, take 1/3 cup 3 times a day before meals. After 2 weeks, all signs of the disease go away.
What else treats constipation
Everything folk methods elimination of the disease is aimed at restoring and normalizing bowel functions. Among them are:
- The use of medicinal herbs (phytotherapy)
- The use of certain products (vegetables, berries and fruits)
- Introduction of various vegetable oils
- Use and application of enemas
- Massage sessions
- Active physical exercise
Healing herbal medicine
- Dandelion root is actively used in the treatment of symptoms caused by constipation. Thanks to choleretic properties actively stimulates intestinal peristalsis. The infusion is prepared on the basis of the leaves or roots of the plant. 2 tablespoons of the mixture is poured with boiling water and insisted all night. Take in the morning before meals and throughout the day.
- Yarrow is able to have not only a choleretic effect, but also an antispasmodic. It is used for intestinal spasm and in the chronic form of the disease. 1 teaspoon of herbs is brewed with boiling water and insisted. Take 1/3 cup before meals.
- An infusion of licorice root is able to regulate the stool, and increase the frequency of bowel movements from feces. It is enough to pour 1 tablespoon with boiling water and insist until it cools completely.
- Nettle infusion has the same properties. It is taken throughout the day. To do this, two tablespoons of herbs are poured with 0.5 liters of boiling water.
- A decoction of chamomile perfectly relieves spasms, therefore, it has a positive effect on the functioning of the excretory system.
Before using any drug prepared at home, you should consult your doctor. Only after complete diagnosis body and when the causes of the disease are identified, treatment can be prescribed.
Be sure to take into account the characteristics of each organism and individual intolerance. Self-medication is harmful to health, so each medicine is agreed with the doctor.
Useful video
Because of long-term use drugs, a sedentary lifestyle, or regular consumption of junk food in the human body can cause digestive problems. Their main symptom is constipation. Especially for quick release laxatives were invented for this disease. It should be noted right away that they do not fight the cause of constipation, but only eliminate them. Modern pharmacies offer a wide range of laxatives. Such medicines are also relevant for constipation in children, in the elderly and before various operations. When buying such drugs, the following factors should be considered:
- A type. Osmotic relieve constipation with the help of fluid accumulation in the intestines, thereby softening the masses. Irritant drugs stimulate peristalsis, affecting the intestinal mucosa. The last type - prebiotics have the mildest and most gentle effect, optimize the microflora of the gastrointestinal tract.
- Compound. Give preference to products with harmless components (sodium salts, glycerin, etc.). plant-based. The presence of contraindications and side effects depends on the composition.
- Exposure time. V different situations suitable different drugs. For example, if you are at home and can wait for the medicine to work, then choose osmotic drugs. In other cases, emergency medications (eg, irritants), etc., will do.
- doctors' recommendations;
- composition components;
- customer reviews;
- safety;
- efficiency.
There are contraindications. Check with your doctor.
The best laxative for children
Children of all ages often experience constipation. For safe bowel cleansing, you have to use special pharmaceutical products. Children's drugs should be treated with extreme caution. Some of them are recommended for the youngest age, others are allowed only after 3 years. We found out which drugs are most trusted by parents and which are approved by specialists.
3 Forlax
Suspension with orange flavor. Without adverse reactions
Country: France
Average price: 301 rubles.
Rating (2019): 4.7
The drug "Forlax" is recommended for symptomatic treatment constipation in children from 6 months. up to 8 years old. According to the manufacturer's research, the laxative does not provoke any negative side reactions, is not addictive and can be prescribed for a fairly long-term therapy (but not more than 3 months). The desired effect occurs within 24-48 hours from the moment of administration. A single dose depends on the age and condition of the child, and starts with 1/2-1 sachet per day.
"Forlax" slows down the absorption of other drugs, so between the use of this suspension and the rest medicinal substances prescribed by a doctor, be sure to take a break (at least 2 hours). In their reviews, moms note that the product really helps to gently cleanse the intestines, but many criticize it for its pronounced citrus flavor and aroma, which not all kids liked. Another disadvantage most users called severe flatulence, which can manifest itself in the first days of treatment.
2 Guttalax
The best laxative for children over 3 years old
Country: Italy
Average price: 420 rubles.
Rating (2019): 4.8
The drug "Guttalax" is available in the form of drops, active substance of which is sodium picosulfate monohydrate. Refers to the type of irritating drugs. It causes the receptors in the intestinal wall to contract, thereby pushing the feces out. The laxative effect is noticed after a few hours, because. the components of the drug act very gently. Suitable for children over 3 years old.
Each age has its own dosage. For example, at 4 years old, it is necessary to give from 5 to 10 drops, previously dissolved in water. The advantages include gentle impact, good composition, excellent cleaning effect, slow consumption, high quality. Disadvantages: many contraindications, does not work immediately.
1 Microlax
The most convenient application
Country: Sweden
Average price: 350 rubles.
Rating (2019): 4.9
The most popular laxative drug for children is Microlax. Its active ingredients - sodium salts and glycerol - gently affect the intestines. The tool promotes the accumulation of fluid and liquefaction of feces, which as a result facilitates defecation. main feature"Mikrolax" - fast action. The drug is quite simple to use - it is placed in a special package with a narrow long tip.
It belongs to the osmotic type of drugs, therefore it has an instant effect within 5-15 minutes. Indicated for use from birth. Available in different dosages for children and adults. Advantages: fast action, effective cleansing intestines, does not bring discomfort to babies, harmless composition, approved for use from birth, comfortable shape release. No deficiencies found.
The best herbal laxative
The safest laxative is considered to be a remedy made from herbal ingredients. 100% natural composition provides the most beneficial and gentle effect on the intestines. Such drugs do not have an instant effect, but have a cumulative effect. Suitable for the prevention of constipation and improve the functioning of the digestive tract. Below are the best herbal laxatives.
3 Rektaktiv
The fastest action. small size
Country Russia
Average price: 281 rubles.
Rating (2019): 4.6
Herbal laxative "RectActive" based on the extract of horse chestnut seeds, is produced in the form rectal suppositories and is distinguished by the fastest action among all participants in the rating. When introduced into anus the medicine irritates the rectal mucosa, thereby activating peristalsis and causing bowel cleansing. Defecation occurs within 5-7 minutes. The drug has a very high efficiency - as a rule, doctors prescribe no more than 1 suppository per day. The maximum daily dose for adult patients is 300 mg.
Treatment with Rektaktiv can be carried out in a course of up to one month. Contraindications for use are the state of pregnancy and lactation, intestinal obstruction, acute attack of hemorrhoids, as well as hypersensitivity to the components of the composition. On sale you can find two dosage options - 50 and 100 mg each. Candles are packaged in cellular packaging traditional for this type of medicine, they are small in size and, according to customer reviews, do not melt in the hands, which significantly increases the hygiene of the procedure. In one box - from 5 to 10 pcs.
2 Phytolax
Convenient release form
Country Russia
Average price: 300 rubles.
Rating (2019): 4.7
Another effective laxative based on natural ingredients are Phytolax tablets. They affect intestinal motility and cause bowel movements 4-12 hours after ingestion. In addition to laxative, they have anti-inflammatory and antispasmodic effects. Produced in the form chewable tablets with a pleasant sweet taste. It is necessary to consume 1-2 pieces during meals. For maximum effect the manufacturer recommends continuing to take the drug for up to 4 days.
The active ingredients are apricot, plantain, senna leaves, dill fruits, fiber, etc. They have practically no contraindications and side effects. Tablets do not need to be washed down, so they can be used even on the road. Pros: high efficiency, excellent composition, convenient application, pleasant taste, useful herbal ingredients, good reviews. The disadvantages include the presence of sugar in the composition.
1 Mucofalk
Allowed during pregnancy
Country: Germany
Average price: 532 rubles
Rating (2019): 4.8
"Mukofalk" from the German company Dr. Falk Pharma is a natural laxative that is able to retain fluid in the intestines, which contributes to the swelling of the stool and stimulates the process of physiological cleansing. Available as a powder with a pleasant citrus aroma, which should be dissolved in a glass warm water and consume in small sips. Depending on the severity of the condition, during the day you can take from 2 to 6 sachets weighing 20 g each. The minimum interval between doses should be 30 minutes. up to 1 hour.
The active ingredient of the product is processed psyllium oval seeds. Due to its safe composition, Mucofalk is approved for the treatment of constipation in pregnant and lactating women. To achieve the best effect, during therapy it is necessary to drink at least 1.5 liters clean water in a day. According to reviews, the medicine acts quite delicately, does not cause feelings of dependence and discomfort. Some users have experienced development allergic reactions, however, this nuance is most likely associated with individual intolerance to the components of the biological product, which indicates its subjective nature.
Best prebiotic laxative
Prebiotic preparations are considered the safest after plant-based products. Special microorganisms act directly on the intestines. This type of medication has practically no contraindications, therefore it is approved for use in pregnant and lactating women. The only difference between prebiotics is that they do not begin to act immediately. The rating includes the best drugs according to experts and buyers.
3 Exportal
Universal drug based on lactitol
Country Russia
Average price: 346 rubles.
Rating (2019): 4.6
The main active ingredient of the popular Russian drug Exportal is lactitol, a hydrocarbon alcohol synthesized from milk sugar. Laxatives based on it are considered one of the best and are often prescribed by gastroenterologists to normalize stools, as they have long proven their effectiveness. They are characterized by soft action, high level safety and the absence of significant negative reactions, therefore, they can be used to treat all categories of patients - from children to the elderly.
The drug is available in the form of a water-soluble powder. It has a neutral taste and smell. It does not affect blood sugar levels, so it is approved for use by diabetics of the 1st and 2nd type. The remedy should be taken once during a meal, after mixing it with water or other liquids (juice, tea or coffee is also suitable). Judging by the reviews, Exportal copes well with the problem of constipation. In their comments, users highlight the convenient regimen, the absence of discomfort in the intestines and the excellent result, which persists for a long time after the end of the course.
2 Normase
Easy to use, low consumption
Country: Italy
Average price: 270 rubles.
Rating (2019): 4.7
Means "Normaze" of Italian production is composed of the main active ingredient- lactulose. It increases the pressure in the intestines and causes fluid to accumulate in its lumen, thereby leading to softening of the stool. Recommended for use in chronic and acute constipation. Produced in the form of syrup in bottles of 200 ml. One package is enough for a long time. For convenience, a measuring cup is included.
The active substance increases the number of lactobacilli in the intestine and increases acidity. Depending on the individual characteristics of the patient, the action occurs quickly or after 24-48 hours. Approved for use by children younger age. Main advantages: high efficiency, good reviews, gentle effect, destroys harmful intestinal microflora, slow consumption. Disadvantages: contraindicated in people with diabetes.
1 Duphalac
High efficiency
Country: Netherlands
Average price: 932 rubles.
Rating (2019): 4.8
"Duphalac" is a laxative prebiotic. The active ingredient here is lactulose. This substance becomes an irritant to colonic receptors, attracts fluid to the intestines and promotes bowel movements. Presented as a syrup pleasant taste. One pack contains 10 sachets of 15 ml liquid. The average dose per dose for an adult is 40 ml.
The drug stimulates intestinal peristalsis and causes changes in the consistency of the stool. Due to the composition, the product can be used during pregnancy, as well as in childhood. It is recommended for many diseases, including hemorrhoids, hepatic coma etc. The advantages include high quality, fast action, efficiency, the absence of a large number of contraindications. Cons: fast consumption, overdose is accompanied by unpleasant symptoms.
The best laxative for the elderly
In old age, people often experience constipation. They are called age-related changes, various diseases(for example, atherosclerosis, etc.), the use of certain drugs, in a sedentary manner life. Constipation in such cases, first of all, you should try to cure it with natural remedies - fruits, oils, kefir. If they do not help, then the doctor prescribes a laxative. We chose the best remedies constipation in the elderly.
3 Regulax
The best remedy for atonic constipation in the elderly
Country: Germany
Average price: 275 rubles.
Rating (2019): 4.7
Drops for oral intake"Regulaks" have proven themselves in the normalization of work digestive tract, gently and effectively eliminating the main symptoms of difficult bowel movements. The drug successfully treats atonic constipation, which is often diagnosed in the elderly, and also helps to improve stool with inflammatory processes in the mucous membrane and varicose veins of the rectum. Due to its prolonged action, the drug is taken once - at bedtime. The initial dose (if the doctor has not prescribed another) is 10-13 drops. The maximum course of treatment is 7 days. The effect occurs approximately 10 hours after administration.
Despite its proven effectiveness, Regulax should be used with caution by hypotensive patients (a decrease in blood pressure is indicated in the list of adverse reactions), patients with cystitis and those who use drugs from the cardiac glycoside group. It should also be noted that the laxative effect of drops can be significantly reduced while taking different kind antibiotics, so treatment with them requires mandatory consultation with a specialist.
2 Senade
The slowest flow
Country: India
Average price: 570 rubles.
Rating (2019): 4.8
Herbal preparation "Senade" is indicated for constipation varying degrees and suitable for the elderly. It is based on a common laxative extract of senna leaves. It is an irritant to the intestinal walls and stimulates peristalsis. It begins to act on average 8 hours after ingestion.
Produced in the form of tablets. One package contains 500 pieces. Judging by the reviews, it has a mild effect. Daily dose for adults is 1 tablet per day. The drug is consumed very slowly. Maximum term reception - 2 weeks, otherwise addiction may occur. Advantages: good laxative effect, 3 years shelf life, good composition, based on herbal ingredients, very slow consumption. Disadvantages: high price.
1 Bisacodyl
The best ratio of price and quality
Country: Latvia
Average price: 40 rubles.
Rating (2019): 4.9
An effective laxative "Bisacodyl" is presented in the form rectal suppositories. It acts by influencing peristalsis and increasing mucus in the intestines. Apply one candle before bed. Suitable for the elderly. The laxative effect appears on average 6 hours after use. Acts on contact and is almost not absorbed internal organs. The main advantage of the drug is its cost.
"Bisacodyl" is contraindicated in polyps, cystitis, hemorrhoids, etc. Advantages: fast action for drugs of this type, best value, good customer reviews, suitable for the elderly and children, improves peristalsis, convenient release form. Cons: many contraindications.
In pharmacies, you can easily buy laxatives, as they are sold without a doctor's prescription. A constipated person tries to get fast-acting laxatives.
A list of this group of drugs can easily be found even on the Internet, but not everyone pays attention to the active substance of the drug, the mechanism of action and side effects, not even speaking about, whether the selected drug is suitable for him.
It is worth noting that most laxatives only relieve the symptom, help cleanse the intestines, but do not eliminate the main problem of obstruction and constipation.
Patients often abuse laxatives, using them systematically without consulting a doctor.
As a result patients often abuse laxatives, using them systematically without consulting a doctor. Although laxatives are available without a prescription, it is strongly recommended to be examined by a doctor for treatment adjustments and correct selection medicines.
Laxatives: action, price
List of all fast acting laxative tablets can be divided according to the mechanism into the following groups:
- stimulating actions;
- osmotic actions;
- prebiotics- laxatives;
- preparations- fillers .
Below is a breakdown of each group with examples of drugs and their approximate price.
The list of all fast-acting laxative tablets can be divided into groups according to the mechanism. Irritant laxatives (stimulants) have the fastest effect, eliminate intestinal atony, but at the same time have a long list of serious side effects are not the safest. They act on the lower intestines, irritate the mucous membrane, improve peristalsis and slow down the absorption of water masses. The effect appears after 6-8 hours from the moment of administration.
The drugs are aggressive, they are often used irrationally, this fast-acting laxative tablets.
List of drugs in this group:
- Phenolphthalein (from 160 rub.);
- Bisacodyl(from 26 rub.);
- Dulcolax(from 210 rub.);
- Picosulfate sodium (from 180 rub.).
As mentioned above, laxatives in stimulant tablets have long list of side effects(dehydration, hepatotoxicity, inhibition of gastrointestinal functions, the formation of intestinal atony, increase the risk of neoplasms and cracks in the colon, etc.), therefore you should carefully study the effect on the body of this group of drugs before starting the course .
Irritant laxatives (stimulants) have the fastest effect. advised use only in isolated cases of constipation, systematic use increases the risk of undesirable consequences.
Laxatives with osmotic action , as well as laxatives with a stimulating effect, not used for systemic constipation . Usually they are used for poisoning with toxic substances, preparation for surgery or for diagnostic procedures digestive organs. The mechanism of action is associated with an increase in osmotic pressure in the intestinal lumen., as a result of which the absorption of water decreases, the contents liquefy.
Osmotic laxatives include:
- Carlsbad salt (from 800 rub.);
- Forlax(from 140 rub.);
- Lactulose(from 250 rub.);
- Inulin(from 250 rub.) and some others.
These laxatives are considered safe and can be used for a long time. If the drugs are used for a long time (more than 3 months), then dehydration, impaired water-salt metabolism, loss of electrolytes may occur. Children and the elderly are most sensitive to these undesirable effects.
Children and the elderly are most sensitive to undesirable effects. Prebiotic laxatives are considered the best drugs, as they are allowed to be used during pregnancy and lactation. As part of the drug organic matter, which are not digested in the initial sections of the intestine, easily reach the large intestine, stimulating the growth of beneficial microflora.
The effect of prebiotics is not as fast as that of stimulants and osmotic drugs, but stronger and more persistent.
Prebiotics contribute to the rapid neutralization of toxins, eliminate pathogenic microflora. Virtually no side effects. In some cases, flatulence may occur, passing through 2-3 days after the start of the course.
Used to prevent constipation, chronic constipation, to eliminate pathogenic microflora.
This group of drugs:
- Lactulose(from 250 rub.);
- Inulin(from 250 rub.);
- Fructooligosaccharides.
Intestinal fillers are not in high demand in patients with constipation. It's connected with unpleasant sensations when using them : loud rumbling, flatulence, abdominal pain, discomfort.
Patients using laxative fillers should drink at least 2 liters of water daily.
Patients using laxative fillers should drink at least 2 liters of water daily. The composition of the drug includes both synthetic (modified polysaccharides) components and natural ones. Fillers are poorly digested, adsorb water on themselves and increase the volume of feces. The contents of the intestine presses on the walls and a reflex contraction occurs, accelerating the process of defecation. This group drugs are considered the mildest laxatives, the effect occurs after 12 hours.
Fillers should not be taken by people with intestinal obstruction, impaired peristalsis and intestinal atony, as this will only aggravate the situation and increase bloating.
Advantages and disadvantages of laxatives
Each group of fast-acting laxatives in tablets has its own list of advantages and disadvantages. Stimulant (irritant) laxatives are considered the most effective, but at the same time dangerous, and prebiotics are considered the safest, but the effect must be waited for a longer period.
In chronic constipation, it is recommended to pay attention to your diet and lifestyle. , often the reason lies precisely in them. Recommended for stool problems massage the abdomen, drink plenty of fluids and drink a glass of kefir before going to bed.
It is necessary to choose the most suitable option, evaluate all indications and side effects. In conclusion, it should be noted once again that when choosing fast-acting laxative tablets, the list of which was discussed above, it is necessary to choose the most suitable option, evaluate all indications and side effects.
Pay special attention to contraindications and do not neglect them. Separately, it is worth highlighting irritating drugs. Although they quickly help to cope with constipation, they also have very strong side effects, so they should not be used systematically. At unclear reason problems with the stool should consult a doctor.
Read the most popular article in the category:
Constipation is a very common phenomenon, with which various reasons faced by about 20% of the total population, regardless of age. We are talking about the lack of bowel movements for more than 24 hours or the impossibility of complete emptying of the intestine. Depending on the cause that caused the problem and the type of constipation, laxatives of various effects may be prescribed, which will be discussed in more detail below.
Features of the use of laxatives
It is quite natural that you want to get rid of constipation as soon as possible, for this purpose, the victims, bypassing the doctor, look for the strongest laxative in the pharmacy, forgetting that:
- Most of these drugs have contraindications.
- With uncontrolled intake, the risk of addiction is high.
- For sudden constipation best effect provide microclysters and suppositories, and chronic problem should be eliminated using prebiotics in tablet form.
- Reception of funds should be carried out before a night's rest, since they begin to act only after 6-12 hours.
Laxatives medicines designed to activate peristalsis and accelerate the removal of feces from the body. Release forms include tablets, drops, microclysters, suppositories, herbal preparations. By origin, medicines are divided into herbal and synthetic.
Mechanisms of action and indications for admission
Medicines are divided into certain groups in accordance with the mechanism of action:
- To improve secretion and slow down the adsorption of H2O in the large intestine.
- To increase the volume of the body.
- To facilitate the movement of feces through the intestines.
When classifying drugs are divided into irritants produced in suppositories, tablets, powders; prebiotics that affect the intestinal microflora; osmotic, providing the most rapid and powerful laxative effect, and fillers.
Important. It must be understood that a specialist should be involved in the selection of funds, since it depends on the restrictions on use, side effects, and the causes that provoked the problem.
Irritating drugs
This group includes most of remedies for constipation, made on the basis of medicinal plants. They have many limitations and side effects, however, almost every drug in the group is a very effective laxative. In the process of taking, irritation of the nerve endings of the intestinal wall occurs, which causes contraction of the intestinal muscles, increased secretion and activation of the movement of feces.
Among the most common side effects in drugs of the group - " lazy gut"and discomfort in the abdomen against the background of increased accumulation of feces, the rapid advancement of masses, which irritates pain receptors.
Such funds are contraindicated to take:
- When carrying and feeding a child.
- In infancy.
- With abdominal pain of unknown origin.
- With a number of pathologies - pancreatitis, peritonitis, hemorrhoids.
- In case of obstruction of the organ and perforation of its walls.
- With inflammation of the organs located in the abdominal cavity and their bleeding.
The best laxative in this group for cleansing the intestines is Bisacodyl and its analogues (Dulcolax or Bisadil and others).
Also very popular are:
- Sennosides, which include Regulax and Herbion Laksana, Senade;
- preparations based on Sodium Picosulfate (Regulax and Guttalax);
- medicines based on Glycerol (suppositories Glycerin).
Osmotic substances
Such drugs are recommended as symptomatic drugs, whose systemic effects are very small. These funds, penetrating into the intestine, increase the osmotic pressure, taking water from adjacent tissues, respectively, its amount in the intestinal lumen increases, the feces increase in volume and soften, the emptying process is simplified.
Among the most common side effects are abdominal pain, water-salt imbalance, intestinal cramps and dehydration. Preparations of this group are not recommended for use by elderly patients with cardiac pathologies, children and victims with diseases of the digestive system.
If we consider which is the most powerful laxative in the group, we should mention:
- Karlovy Vary artificial salt.
- Means Macrogol or its analogues - Realaksan, Fortrans, Forlax.
- Magnesium sulfate heptahydrate, among whose analogues is Magnesia, Epsom salt or bitter salt.
- The drug Microlax, which is a rectal solution. At the same time, its action is combined, both liquefying and irritating.
Prebiotics
Prebiotics are indigestible carbohydrates that, when ingested, reach the lower parts of the digestive tract without changing the structure. Prebiotics act similarly to both osmotic and irritants, attracting moisture to the intestines, stimulating the contraction of muscle tissue. These drugs are prescribed for chronic forms constipation, intestinal dysbiosis, poisoning, hepatic encephalopathy.
Given the natural origin of prebiotics, side effects are almost completely absent, with the exception of flatulence, which disappears two to three days after application. A contraindication is the individual intolerance of the components.
The list of the most effective drugs includes:
- Lactulose and its analogues - Duphalac, Romphalac, Goodluck and others;
- Lactitol (Importal N and Exportal).
Intestine fillers
Fillers are synthetic and natural preparations that are not absorbed by the intestines, are difficult to digest, designed to increase stool volume and accelerate bowel movements. Such substances have a mild and slow effect, but even in the presence of chronic constipation, not all victims seek their use, since among the side effects there is bloating and soreness. Intestinal peristalsis does not improve when taking funds.
The most popular substances in this group include:
- flax and fleaworth seeds;
- wheat bran;
- seaweed;
- Mukofalk;
- Methylcellulose.
Important! When taking funds, it is important to observe the drinking regimen, consuming at least two liters of liquid per day.
The drugs are contraindicated in pregnant women, as there is a risk of miscarriage, in the presence of intestinal obstruction, in case of neurological problems.
Laxative drops
Often constipation contributes to lack of physical activity, eating disorders, improper diet and sedentary work, emotional overload. Laxative drops can refer to irritating drugs, prebiotics, drugs that stimulate organ peristalsis.
If we consider the most effective laxative drops, the list of fast-acting drugs can include:
- Guttalax is aimed at stimulating the work of the intestines - the active component of the drug begins to act when it enters the large intestine, the effect becomes noticeable after 6-12 hours. It is prescribed before surgical interventions, to normalize the stool.
- Weak - increases intestinal tone, improves organ peristalsis, is used for diseases of the gastrointestinal tract, accompanied by constipation, hemorrhoids, inflammation occurring in the rectum, in case of anal fissures.
- Ogarkov's drops stabilize the stool and improve peristalsis, prevent fermentation and putrefactive processes.
- Hilak forte - normalize intestinal microflora, are recommended after antibiotic treatment, taking medications that disrupt the functioning of the gastrointestinal tract, with chronic gastroenteritis.
For elderly patients, in whom constipation becomes a frequent occurrence, Regulax and Prelax drops are prescribed, which are distinguished by a mild effect. More effective tool is Forlax, but before taking it, you need to consult a therapist.
For babies from birth, the Baby Calm preparation is allowed, which includes exclusively herbal ingredients. The composition includes oils that stimulate peristalsis, reducing gas formation. However, the tool will not help with congenital pathologies and diseases of the gastrointestinal tract, accompanied by constipation.
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