The most popular laxatives. Fast-acting laxatives: the names of the most effective

An article on the topic: "laxative tablets of rapid action. List of drugs" from professionals.

Laxatives are a group of medicinal substances used to combat constipation, detoxify, and cleanse the intestines before surgery. There are 3 groups of drugs that have a laxative effect: laxatives, medium strength and drastic (weary).

Any strong fast-acting laxative belongs to the common remedies and most often has a saline nature. The action of such drugs is based on drawing fluid from the body into the intestinal lumen. In addition to using saline medications, a quick effect can be achieved by taking castor oil and some synthetic drugs.

Instant laxatives for adults

The concept of "instant laxative" is very conditional, since any drug, before starting to act, must pass through the esophagus, stomach, and enter the intestines. Only after that does he start to act. Magnesium sulfate and saline enteral solution, which is used only in a hospital under medical supervision, are conventionally referred to as "instantaneous" ones.

Magnesium sulfate

Magnesium sulfate is used as a laxative by mouth, in an amount of 100-200 ml of a 25% solution. For children under 15 years of age, the solution is dosed at the rate of 1 gram of powder (when using a powder dosage form) for 1 year of life. The tool belongs to the category of hypertensive saline solutions, promotes the release and retention of large amounts of fluid in the intestine. Thereby, feces soften.

Also, "magnesia" has an irritating effect on the receptors of the mucous membranes of the digestive tract, contributing to increased peristalsis, the removal of accumulated water along with excrement. As a rule, the urge to deformations occurs within 30-40 minutes after taking the drug.

Important: magnesium sulfate is a remedy emergency and is applied once. Its regular use violates water and electrolyte balance, causes dehydration, destroys microflora.

The use of magnesium sulfate is possible at home in the absence of any contraindications. Despite the fact that the solution is practically not absorbed, it is not recommended to take it under the following conditions:

• low pressure;
• excess magnesium in the body;
• dehydration;
• hypersensitivity to magnesium;
• acute cardiac pathology;
• breathing disorders.

Saline enteral solution (intestinal lavage)

Saline enteral solution is a preparation made on the basis of distilled water and mineral salts... Perhaps this is the most powerful laxative of those that are in the arsenal of modern medicine. The principle of operation of the SER is similar to that for magnesium sulfate, however, in contrast to magnesia, the solution:

• brings the amount of electrolytes in the blood to normal;
• has a pronounced detoxifying effect;
• does not irritate the intestines;
• promotes gentle removal of the contents of the gastrointestinal tract.

The intestinal lavage procedure is performed under the supervision of a physician. The patient takes 100-150 ml of solution every 10 minutes. Removal of the stool begins after 2-3 doses and ends 30-40 minutes after the last portion is consumed. Total the medication required for 1 washout can reach 3-5 liters. The lavage is stopped after the patient begins to discharge yellowish water without stool elements.

SER is not used in the treatment of chronic constipation, the presence of signs of bowel perforation or intestinal bleeding, in acute inflammation of the intestine and its obstruction. The method is used with caution in relation to patients with renal failure, internal edema, reduced pressure... Lavage is rarely used in pediatrics.

Strong quick-acting laxatives

Almost any strong laxative can cause dehydration. When using it, one should take into account the strength and duration of action, the age of the patient, the severity of the disease, the individual characteristics of the organism. Rapid-acting laxatives include drugs, the effect of which develops after 4-7 hours.

For adults

When prescribing laxatives, it is necessary to remember about the possibility of addiction. Long-term regular use of medication leads to the fact that self-emptying of the intestines becomes impossible.

Guttalax- sodium picosulfate. It is used for atonic and spastic constipation, has an irritating effect on colon... The laxative effect develops within 6-8 hours after the first dose. The agent is practically not absorbed into the systemic circulation and does not undergo hepatic-intestinal circulation.

For adult patients, the drug is prescribed once, at any time of the day, regardless of food intake. The average therapeutic dose is 5-10 drops. If necessary, their number can be increased to 15 drops. Guttalax can be used in the first trimester of pregnancy. Contraindications are similar to those for magnesium sulfate and any other laxative.

Lactulose (poslabin)- hyperosmotic laxative. Stimulates intestinal receptors, draws fluid into its lumen, liquefying stool, increasing their volume, has a positive effect on the microflora (can be used for a long time). The time for obtaining the effect after the first application is 12-24 hours.

Lactulose should be taken in 15-35 drops, once a day, on an empty stomach. This dosage is used during the first 3 days of treatment. Further, the number of drops is reduced to 10, and taken daily for a long time, as a maintenance dose. The remedy is contraindicated in galactosemia, as well as in conditions that are general contraindications for taking laxatives.

Sodium sulfate- comes in the form of a white powder. Has a saline nature. The mechanism of action is identical to other saline laxatives. It is used once, on an empty stomach, 15-30 grams each. Before use, the product must be diluted in a glass of warm water. It is permissible to drink the drug with a large amount of liquid. The agent is contraindicated in patients with hypernatremia, mechanical obstruction and intestinal perforation.

For the elderly

Prescribing saline laxatives to elderly patients is not recommended, as these drugs promote the elimination of calcium and other minerals. Therefore, the treatment of constipation in people over 50-55 years old should be carried out mainly by means of a vegetable nature.

Bisacodyl- a drug with an irritating effect, stimulating the production of mucus in the intestine, increasing its tone. The latter is especially important, since constipation in the elderly is usually atonic in origin. After taking the pill, the effect occurs after 6-8 hours. Suppositories cause the act of deformation within 1-2 hours.

Elderly people are prescribed bisacodyl 5-10 mg in the morning, on an empty stomach, half an hour before meals. The tablets are not chewed, washed down with the required amount of boiled water. It is unacceptable to use milk for this. The drug does not combine well with antacids and alkalis.

Important: large doses of bisacodyl can cause profuse diarrhea, abdominal pain, intestinal colic. When such symptoms appear, the drug is canceled.

Castor oil- a strong enough laxative for the elderly. Depending on the dosage, it can have a laxative, laxative or protractive effect. Maximum effect achieved with the use of high, 100-150 ml doses of the drug. After achieving the primary result (8-12 hours), it is recommended to use the oil 1 tablespoon 1 time a day 2-3 times a week to prevent constipation.

"Castor" is not taken together with the extract of male fern, with stomach and intestinal bleeding, poisoning with poisons of a fat-soluble consistency, vague abdominal pain, complete intestinal obstruction. Long-term daily use of the drug is also not recommended, since it has an irritating effect.

Senade- a preparation based on senna leaves that can be used as a fast-acting laxative. Irritates colon receptors, gently enhances peristalsis, does not affect the consistency of feces.

The medicine is usually taken 1 time per day, 1 tablet, in a short course (3-5 days). The laxative effect appears within 6-8 hours after the first dose of the drug. To speed up the action, it is recommended to drink the pill with a glass of warm salted liquid.

For kids

The main cause of constipation in children is not intestinal atony, but disorders of its microflora. Disruptions in the digestion process lead to a lack of defication. Accordingly, constipation in children is treated with probiotics.

Acipol- eubiotic containing live lactobacilli and elements kefir fungus... Normalizes microflora, enhances immunity, normalizes excretory function intestines. Children under the age of 3 years are given 1 capsule 2-3 times a day with meals. Patients over 3 years old are allowed to increase the daily dose to 4 capsules. The course of treatment is 10-14 days, however, the stool is normalized already on the 2-3 day of admission.

Duphalac - laxative based on lactulose. It is indicated for constipation in young children. Has an osmotic principle of action. Stimulates the growth of intestinal microflora, suppresses harmful bacteria. The effect occurs after 1-2 doses of the product.

Newborns are given 1.5-3 ml of medication, dividing the dose into 2 doses. Children over 3 years old should take 5 ml of duphalac 1 time per day. The drug can be used both diluted and undiluted. Contraindicated in galactosemia, intolerance to the components of the drug, intestinal blockage.

Buscopan- m-anticholinergic, used in rare cases of spastic constipation in children. Relieves spasms of smooth muscles, which leads to increased peristalsis and the beginning of stool discharge.

For children from one to 6 years old, the drug is prescribed in a dose of 5-10 mg 3 times a day. Over 6 years old - 10-20 mg for 3 doses. The adult dose is 20-40 mg 3 times a day. The tablets are taken orally with a sufficient amount of liquid. During treatment, it is forbidden to take hot baths, visit the baths and saunas. Buscopan is contraindicated in atony of smooth muscle organs, tachyarrhythmias, acute urinary retention. In addition, one should take into account the contraindications common to all laxatives.

In tablets

Preparations in tablets are easy to dose and use. Typically, this dosage form is prescribed to patients over the age of 3-4 years. Do not prescribe pills to children younger age and patients with swallowing disorders. In addition to the above drugs (bisacodyl, poslabin, duphalac), tablets are available:

Laxatin- a product based on bisacodyl. Dosage - 2-3 tablets per dose for adults, for children from 6 to 12 years old - 1 tablet per dose. The effect develops in 8-12 hours. The tablets are swallowed without chewing.

Senadexin- analogue of "Senade". Used at bedtime, 1 tablet. The medicine is taken with a little water. If the laxative effect does not develop on the 2nd day of treatment, the dose is increased to 2 tablets. Children 1-3 years old are given half a tablet per dose.

Izaman- a complex that includes isophenine and mannitol. In the first 3 days of treatment, adults need to take 1-2 tablets of the drug. After that, the number of doses can be reduced to 1-2 times a week. The laxative effect develops 6-12 hours after the start of therapy.

Drops

Medicines released in drops are convenient for use in pediatric patients and people with swallowing disorders. Available in the form of drops:

Laxigal- contraindicated in patients less than 4 years of age. Children from 4 to 6 years old are given 6-12 drops per dose, patients over 12 years old are prescribed 12-24 drops per dose. The remedy is taken before bedtime, inside, washed down with boiled water. The action develops after 6-8 hours after taking the medicine.

Ogarkov drops- BAA, used as a laxative of herbal origin. It is taken 30 drops during meals, 3 times a day. Due to the presence in the composition of the preparation of senna holly, the effect of its use occurs quite quickly, 10-15 hours after the start of treatment.

Picolax- a product based on sodium picosulfate. It is taken at night, 13-27 drops for adult patients, and 7-13 drops for children from 4 to 10 years old. Usually, the effect develops within 8-10 hours after the start of therapy.

Candles

Rectal suppositories are characterized by a mild and quick effect, no irritating effect on the stomach, ease of use when administered to young children. In the form of suppositories (candles), the pharmaceutical industry produces:

Glycelax- glycerin-based product. It is indicated for blockage of the lower intestines with hardened stool. Glycerin softens them, making it possible for stool to pass. Suppositories are used once a day 20 minutes after breakfast. The systematic use of this dosage form is not necessary.

Relief- a complex preparation with a laxative and local regenerating effect. For the treatment of constipation in children over 12 years of age, the agent is used after breakfast, before bedtime and after each act of deformation. The effect develops within the first days after the start of therapy.

Microlax- highly effective solution for microclysters. The effect of the drug develops already 20-30 minutes after the procedure. It is used once, in the absence of contraindications to the drug enema (acute inflammation and wounds of the rectum, anus, near-anal region).

Folk remedies with quick effect: 3 super recipes!

Laxatives from the arsenal of traditional medicine are strong enough, but at the same time softer than synthetic drugs, action. Among the most effective folk recipes include:

Nettle infusion- for the preparation of the infusion, 2 tablespoons of crushed raw materials (dry or freshly harvested) are required, which are poured into 300 ml of boiling water, insisted for a day. It is necessary to use the resulting product within the next day. Pre-filter the medicine.

Red rowan- the raw materials are harvested shortly before the frost hits. After collecting, cover the berries with sugar, place in the refrigerator. After a month, it is necessary to drain the juice collected at the bottom of the container, which is the drug. For half a liter of concentrated syrup, add 50 ml of food ethyl alcohol... The composition is taken in 50 ml daily, before breakfast.

Sea buckthorn broth- to prepare a strong quick-acting laxative at home, you need to pour a handful of sea buckthorn berries with two glasses of boiling water, put the mixture on low heat and boil for 2-3 minutes. The resulting substance is filtered, cooled and drunk ½ glass 4 times a day. The broth is perishable, so a fresh portion of the medicine needs to be prepared anew each time. The course of treatment is 1 week, the regularity of admission is every other day.

When is a quick laxative harmful to the body

Fast-acting laxatives, although they are an excellent means of dealing with constipation, have some contraindications. So, even a single use of fast-acting laxatives is prohibited when:

• mechanical obstruction of the intestine due to its clogging by a tumor or foreign body;
• intestinal and stomach bleeding;
• bowel perforation;
• acute inflammation of the intestines and anal sphincter;
• inflammation of hemorrhoids;
• severe dehydration.

With extreme caution, laxatives are used in the presence of:

• lack of certain mineral salts;
• syndrome lazy bowel;
• a course of treatment with broad-spectrum antibiotics;
• chronic renal or hepatic failure;
• dysbiosis.

It is forbidden to take long-term course of laxative drugs, if this is not the case urgent need... This approach to treatment usually causes addiction and the development of lazy bowel syndrome. In this case, the patient loses the opportunity to commit an act of deification on his own, without using medicines.

Despite all of the above, fast-acting laxatives are an excellent way to empty your bowels quickly and effectively. Their competent use helps to get rid of waste products, prepare for endoscopic examinations and operations, and avoid many problems associated with constipation. It is not recommended to use strong laxatives without consulting a doctor. Before prescribing a particular drug, the specialist will conduct a competent examination, select the dosage and frequency of laxative intake necessary in each specific case. This will help make the medicine a helper, not a poison that will only make the situation worse.

In pharmacies, laxatives can be easily purchased, since they are dispensed without a doctor's prescription. A constipated person tries to get quick-acting laxative tablets.

The list of this group of drugs can be easily found even on the Internet, but not everyone pays attention to the active ingredient of the drug, the mechanism of action and side effects, not to mention whether the selected drug is suitable for him.

Fast-acting laxative tablets: a list of the most effective; Laxatives: action, price; Advantages and disadvantages of laxatives.

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 going to the doctor.

As a result patients often abuse laxatives, using them systematically, without going to the doctor. Although laxatives are available without a prescription, it is strongly it is recommended to be examined by a doctor to adjust treatment 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;
• drugs- fillers.

Below is a breakdown of each group with examples of drugs and their approximate price.

The list of all quick-acting laxative tablets can be divided by mechanism into groups.

Irritant (stimulant) laxatives have the fastest effect, eliminate intestinal atony, but at the same time have a large 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 in 6-8 hours from the moment of administration.

The drugs are aggressive, often they are used irrationally, this quick-acting laxative tablets.

List of drugs in this group:

• Phenolphthalein(from rub.);
• Bisacodyl(from rub.);
• Dulcolax(from rub.);
• Picosulfate sodium (from rub.).

As mentioned above, laxatives in stimulating tablets have big list side effects(dehydration, hepatotoxicity, suppression of gastrointestinal functions, 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 (stimulant) laxatives have the fastest effect.

Advised use only in isolated cases of constipation, systematic use increases the risk of unwanted effects.

Osmotic laxatives as well as stimulating laxatives, not used for systematic constipation... Usually they are used for poisoning with toxic substances, preparation for surgery or for diagnostic procedures of the digestive system. 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 is reduced, the contents are liquefied.

Osmotic laxatives include the following drugs:

• Karlovy Vary salt(from rub.);
• Forlax(from rub.);
• Lactulose(from rub.);
• Inulin(from 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, and loss of electrolytes are possible. Children and the elderly are most sensitive to these undesirable effects.

Children and the elderly are most sensitive to unwanted effects.

Prebiotic laxatives are considered the best drugs, since 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 stimulant 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, which passes 2-3 days after the start of the course.

Used to prevent constipation, with chronic constipation, to eliminate pathogenic microflora.

Drugs in this group:

• Lactulose(from rub.);
• Inulin(from 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 preparation contains both synthetic (modified polysaccharides) components and natural ones. Fillers are difficult to digest, adsorb water on themselves and increase the volume of feces. The contents of the intestine press against the walls and a reflex contraction occurs, accelerating the process of defecation. This group of drugs is considered the mildest laxatives, the effect occurs after 12 hours.

Fillers should not be taken by people with intestinal obstruction, motility disorders and intestinal atony, as this will only aggravate the situation and increase bloating.

Pros and cons of laxatives

Each group of fast acting laxatives in tablets has its own list of advantages and disadvantages. Stimulant (irritating) laxatives are considered the most effective, but at the same time dangerous, and prebiotics are the safest, but the effect must be waited for a longer period.

For chronic constipation, it is recommended to pay attention to your diet and lifestyle., often the reason lies precisely in them. For problems with stool, it is recommended do a massage of the abdomen, drink a lot of fluids and drink a glass of kefir before going to bed.

It is necessary to choose the most suitable option, evaluate all readings 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.

You should pay special attention to contraindications and do not neglect them. We should also highlight irritating drugs. Although they quickly help relieve constipation, they also have very strong side effects, so they should not be used systematically. At unclear reason stool problems should see a doctor.

General information

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

Various reviews of good laxatives can be found online. But even the mildest laxatives to normalize bowel function have some drawbacks 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 stagnation of feces in the intestines at a time. That is, they are used to cleanse the intestines, and not for treatment. It is important to consult a doctor who will prescribe the necessary drugs for constipation, pills for digestion and other medicines.

How to choose a laxative?

Currently, a lot of 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 raw materials differ in their effect on the intestines.

It is very important that people who have chronic constipation turn to specialists in order to undergo an examination and determine the causes of this condition. Then the doctor will advise what to drink with 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, digestive system. Therefore, before drinking 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 to ensure that natural bowel movements take place without problems.

• Every morning after waking up, drink 1-2 glasses of water that has room temperature... It is best to do this forty minutes before breakfast in order to intensify the digestion process.
• Recommended to do belly massage.
• The diet should include those foods that provide a laxative effect. These are honey, beets, cabbage, apricots, prunes, as well as any other raw fruits and vegetables.
• To normalize stool before bedtime, it is useful to drink fresh kefir.
• An almost instant laxative - Castor oil.

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

• irritating drugs;
• osmotic laxatives;
• prebiotics- medicines for constipation in adults and children;
• filler drugs.

This classification helps to determine how to cure the disease, depending on the cause of constipation, and how to alleviate the condition. Treatment for constipation in adults involves A complex 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 are in their composition and how they work. It is important to choose a harmless medication if the patient is concerned chronic constipation, and such drugs have to be drunk regularly. In this case, the optimal choice would be prebiotics that not only stimulate digestion, but also normalize the condition microflora... As a result, a long-term therapeutic effect is noted.

Irritant constipation tablets

Those looking for the most powerful laxative should pay attention to this group of drugs. These 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 in a pharmacy if people turn to them with such a problem.

Constipation pills are often used in the elderly, as they are effective in intestinal atony or in case sluggish peristalsis... This category includes:

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

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

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

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

Taking a fast-acting laxative at home consistently (more than 10 days in a row) increases the risk of developing intestinal atony, imbalance electrolytes in the blood, degeneration of the nervous tissue.

As a result, the patient develops addiction, the initial dose no longer helps. But it is not recommended to increase the dose. 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 these drugs is the development intestinal pain... Therefore, many patients do not use strong, fast-acting laxatives in drops and tablets of this type, fearing the development of severe pain.

Shown are fast-acting laxative suppositories, as well as preparations in drops and tablets, especially for constipation, which is not chronic and develops in single cases.

Such funds are contraindicated in pregnancy, lactation, infants (for children, they are mainly used prebiotics, laxative for children from 1 year old - only as prescribed by a doctor). Do not use for acute pancreatitis... You can not use such funds for a long time.

Also contraindications for the use of such drugs are:

• abdominal pain of unknown origin;
• proctitis, haemorrhoids in acute form, exacerbation anal fissures;
• bleeding stomach, uterine, intestinal;
• any inflammatory disease of the abdominal organs;
• infringement of an inguinal hernia;
• symptoms of intestinal obstruction;
• cystitis, peritonitis;
• violations of water-salt metabolism;
• perforation of the stomach, intestines.

Bisacodyl

Analogues of this medicine - Stadalax, Bisadil, Dulcolax, Laxatin, Pirilax, Laxbene, Laxacodyl.

Tablets are indicated for use in the preparation of the intestines for endoscopy, for patients who develop constipation after surgery, when constipation occurs with dietary nutrition.

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

As side effects, there may be abdominal pain, intestinal colic, nausea, a feeling of heaviness in the intestines, in rare cases - the appearance of mucus or blood after stool. After prolonged use, it is likely intestinal atony, dehydration.

The tool is relatively cheap, the price is from 40 rubles.

Sennosides A and B

Senade, Tisasen, Senadexin, Herbion Laksana, Anthrasennin, Regulax, Senalex, Ex-Lax, chewing lozenges Senna, leaves of holly Senna.

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

This popular herbal laxative is non-addictive.

These 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 works 6-12 hours later after ingestion. The dosage is determined depending on the form of medication that is used. Usually taken at bedtime.

Side effects and contraindications are the same as when taking Bisacodyl.

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

Sodium Picosulfate

Guttasil, Regulax Picosulfate, Weak, Laxigal, Guttalax, Weak up.

Laxatives based on this ingredient, tasteless and odorless

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

The indications for use are the same as in the previous descriptions.

After application, natural emptying occurs after 10-12 hours.

As side effects, abdominal pain, cramps, dehydration, diarrhea, weakness, and low blood pressure may develop.

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

Cost - from 180 rubles.

Glycerol

Glycelax, Glycerin - candles.

These suppository preparations lubricate the hardened fecal matter, making it easier for them to pass through the intestines and causing the urge to empty. Their reflex stimulation is noted and irritating effect on the intestinal mucosa.

They are used to prevent constipation for those people who cannot strain during bowel movements - with hemorrhoids and anal fissures , after heart attack, at anorectal stenosis, pregnant and lactating mothers.

You can not use this remedy when rectal tumors, in case of exacerbation hemorrhoids, proctitis, at high sensitivity. It should be used with caution in people with renal failure.

Apply rectally 1 pc. 20 minutes after the first meal.

Possible side effects itchy skin, burning, allergy.

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

The tool is relatively inexpensive - from 80 rubles.

Prebiotics

When determining which laxative is better for constipation, you need to pay attention to another group of drugs. After all prebiotics- the safest modern facilities to overcome constipation. They can be used even during the period of gestation and during feeding. What is the best remedy to choose, the doctor will tell you.

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

This group of drugs includes Lactulose, Inulin, fructooligosaccharides.

Any of these drugs is a mild laxative that acts slowly, but when they are used, a more persistent therapeutic effect is noted 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, in the process of fermentation of prebiotics, organic acids are produced, which stimulate the intestinal muscles.

Prebiotics are natural laxatives that are not addictive... They practically do not provoke side effects, with the exception of flatulence... However, this phenomenon disappears within a few days after the start of taking such medications.

Taking such a non-addictive constipation medicine, the patient should not wait for immediate action. After taking, the stool appears only 2-3 days after the medicine has been taken.

• The instruction indicates that probiotics can be taken for both acute and chronic constipation.
• Often these drugs are used to treat intestinal dysbiosis, in which there is a delay in stool and constipation.
• Also, prebiotics have a detoxifying effect, remove from the body nitrogen-containing substances.
• They are used for hepatic encephalopathy.
• When taking probiotics, there is an improvement in the absorption of calcium and fluoride.
• The drugs suppress the reproduction of opportunistic microflora in the intestine.

Lactulose

Portalak syrup, Lactulose Poly, Poslabin Lactulose, Duphalac, Romfalak, Lactulose Stada, Good luck, Livolyuk-PB, Normase.

A mild laxative drug, which is prescribed for hepatic encephalopathy, constipation, 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 liquefaction of the stool, an increase in its volume, an increase in the secretion of bile in the small intestine. Weakens slowly, but its action is effective.

Cannot be used for intestinal obstruction, hypersensitivity to lactose, galactosemia, should be used with caution when diabetes mellitus.

The dosage is determined individually. The doctor may prescribe these drugs for babies, they are the best laxatives for newborns.

Lactitol

Import N, Exportal- the powder from which the 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, improves bowel function.

The action after taking is noted after a while - after 24 hours.

It should be taken orally, with meals, along with drinks.

Probably manifestations of abdominal discomfort, flatulence.

Laxatives with osmotic action

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

Compared with irritating agents, drugs of this type are safe, since they do not develop lazy bowel syndrome... These drugs can be chosen by those who need to drink constipation remedies for a long time. Drugs type Forlax can be taken for up to three months. However, it should be borne in mind that such drugs can only be taken to eliminate symptoms, but not to treat the disease.

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

After taking osmotic laxatives, water is retained in the intestinal lumen, as a result, the feces soften, their volume increases. As a result, osmotic pressure increases, 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 occurs water-salt balance, dehydration. Therefore, it is not recommended to take such laxatives for constipation for the elderly in particular, and for all other patients, longer than 3 months. It is necessary to choose other, more gentle laxatives. constipation candles for the elderly, for example, glycerin. Also medications of this type can provoke abdominal pain during emptying.

Artificial Karlovy Vary salt

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

Shown for use in chronic cholecystitis, poisoning, constipation.

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

In the process of application, there may be atony of the large intestine, diarrhea, disturbances in water-electrolyte metabolism.

You need to drink a laxative on an empty stomach, children after 2 years need 1 tsp. dilute the product in a glass of water. Take 40 minutes before meals.

Macrogol

Realaksan, Fortrans, Forteza Rompharm, Lavacol, Forlax, Tranzipeg, Osmogol, Macrogol.

An effective medicine that can be taken for up to three months. After the course of treatment, the bowel function will stabilize, and if a person adheres to the principles of proper nutrition and practices physical activity, then his condition is stabilized. Thus, the remedy helps to restore normal stool.

Once in the body, it is not metabolized, not absorbed, it acts regardless of what the composition of the intestinal microflora is.

As a rule, people taking the medicine do not develop flatulence and a burning sensation in the anus. It only increases the level of fluid in the stool, which leads to softening of the stool and easier bowel movements.

Macrogol prevents a decrease in electrolytes with feces, when it is taken, lipid metabolism is not disturbed. The effect is manifested in 1-2 days after ingestion.

Magnesium sulfate heptahydrate

The analogs of the tool are Epsom salt, Epsom salt, epsom salt, magnesia.

It is necessary to take the remedy for dyskinesia of the gallbladder, constipation, in order to cleanse the intestines before conducting research, in case of salt poisoning heavy metals, with cholecystitis. A laxative and choleretic effect is noted. To prepare the solution, you need to dissolve the contents of the sachet in half a glass of water.

Microlax

With constipation, you do not have to look for what to drink to get rid of this problem. You can use micro enema Microlax... It is a rectal solution that effectively liquefies stool.

This powerful tool, which acts within 15 minutes after administration. The drug does not lead to the development of addiction, does not have a systemic effect, does not affect the work of the intestines as a whole.

Microclysters Microlax contains sodium citrate Is a peptizer that displaces bound water, from feces. Sodium lauryl sulfoacetate provides a thinning effect. The laxative effect is enhanced by sorbitol, which stimulates the flow of water into the intestines.

It is prescribed for constipation, as well as for those who are preparing for diagnostic studies of the gastrointestinal tract. If the patient has constipation after surgery, what to do and whether these enemas can be used, you need to ask the doctor.

Children over 3 years of age and adults need to insert the tip into the rectum to its full length. You can buy them for home use without a prescription.

Intestinal fillers

Bulk intestinal fillers are natural or synthetic products. In the body, they are difficult to digest, they are not absorbed. They increase the volume of stool, so the act of defecation is faster.

But still, such a remedy is not suitable for everyone, since people suffering from chronic constipation note that after taking such remedies, they experience bloating, pain, and rumbling. At the same time, intestinal motility does not improve.

This group of funds includes: wheat bran, Agar agar, flax seeds, Sterculia, fleavor seeds, Methylcellulose and etc.

The mechanism of action of such laxatives is as follows: they swell, absorb water, due to which the intestinal walls are stretched. Acceleration of defecation occurs as a result of a reflex reaction. But if the intestines are sluggish, then such remedies may not work.

When using them, it is very important to drink a large amount of liquid - at least 2 liters of water. Funds on this basis are considered soft, they act slowly. So, if we apply Agar agar, then the action is noted after 12 hours, if you take fleavor seeds, stool occurs every other day, when applied methylcellulose defecation takes place in 1-3 days.

They don't taste bad.

Such funds are contraindicated during pregnancy, since their use can lead to a threat miscarriage... Patients with irritable bowel syndrome should not drink this medicine, as this leads to increased flatulence.

Some people use these products for weight loss. However, you can only lose weight if you adhere to the principles of proper nutrition and exercise. Fiber is only an additional means of reducing calorie intake.

Herbal products

The most popular herbal laxatives are:

• Buckthorn- fruits, syrup and bark, Ramnil, zhostera fruits, etc.
• Kafiol- combined remedy, which contains the leaf and the fruits of the hay, the fruits of the fig.
• Phytolax- biologically active additive, which contains dill fruits, plantain leaf, apricot fruits, senna.
• Kelp thallus- produced in granules, tablets, extract, as well as preparations Mamoklam Kelp thallus, FitoTransit.
• Proctophytol- contains senna, yarrow, buckthorn bark, licorice roots.
• Oval plantain seed shell - Naturolax, Mukofalk, Fiberlex.
• Rhubarb roots- syrup, extract, tablets.
• Fitoplyas- extract of apricot, fennel, senna.
• Licorice Powder- contains senna leaf, licorice root, fennel fruit extract, sulfur.
• Tincture of steel- the composition contains the root of the steel.
• Laxative collection No. 1- the composition contains yarrow, buckthorn bark, buckthorn leaves.
• Laxative collection No. 2- the composition contains buckthorn bark and fruits, senna herb, anise fruits, licorice root.
• Ogarkov drops from constipation in the composition contain extracts of senna, licorice, rose hips, nettle leaves, Aloe Vera gel.

Laxatives during pregnancy

It is important to carefully select remedies for constipation during pregnancy, because not all medicines can be used for women during this period. Very important recommendation for pregnant women is the correction of the diet. Bowel movements are more active if you eat every day raw vegetables and fruits, bran bread, prunes, cereals - buckwheat, oatmeal, etc. It is important to drink plenty of fluids. These recommendations should be followed after childbirth.

If, nevertheless, using improvised methods to cope with constipation does not succeed, then the doctor must tell the woman what pills can be drunk during pregnancy. After all, any potent drugs in this state, a woman is contraindicated. Medicines that activate peristalsis increase the tone of the uterus, which is unsafe when carrying a fetus.

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

Thus, the remedy for constipation must be used very carefully, best of all - 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, laxative disease and other complications.

Laxatives for children should be selected very carefully. Any pediatric laxative should be prescribed by a doctor. As a rule, for constipation in babies, medicines are used in the form of syrups, solutions, suppositories.

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

Syrup can also be used for children. Prelax based on lactulose, as well as products Duphalac, Normolact.

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.

Improper diet, long-term medication, a sedentary lifestyle are the main causes of digestive problems. It is far from always possible to avoid the factors that provoke development pathological condition... It should be understood that quick-acting laxatives (in tablets or liquid form) will only temporarily relieve unpleasant symptoms and discomfort. Before you start taking these drugs, you should go through medical examination and establish the true cause of the digestive upset.

How laxatives work

The easiest way to relieve constipation is to take a laxative. Such medicines are presented on pharmacy counters in a wide selection. Their main task is to relieve symptoms, but at the same time they do not affect the main cause of the pathology. Therefore, their help should be resorted to in the most extreme cases.

All existing laxatives differ in their mechanism of action. Once in the body, they pass through the entire digestive tract, starting to act only in the large intestine. They activate peristalsis, increase osmotic pressure and soften stool. Some patients are forced to take laxatives on a regular basis, many of which are addictive. The most effective medicine should be selected by a specialist, taking into account the age and severity of the patient's condition. In addition to drug therapy, it is necessary to eliminate the cause of constipation.

Types of laxatives

Pharmaceutical companies offer a wide variety of fast-acting laxatives: tablets and drops, syrup and powder for solution preparation, rectal suppositories... They all differ in their mechanism of action. Most patients, wanting to get a quick result, choose the most dangerous group of laxatives - drugs that irritate colon receptors. They should be used only when acute constipation for the speedy relief of the condition. Therapeutic effect observed 5-8 hours after taking the drug.

The osmotic group of laxatives is also common. Their action is based on fluid retention in the intestinal lumen, which contributes to the liquefaction of feces. These are safe products that can be used for a long time and at the same time do not cause negative effects on the body. They have a mild laxative effect and do not cause lazy bowel syndrome.

Intestinal fillers and herbal preparations

Intestinal fillers are natural or synthetic products. They are not absorbed into the intestinal wall, increase the volume of feces and accelerate the emptying of the rectum. This bowel laxative has a delayed effect. It is possible to achieve the desired effect from the use of drugs of this group only for 2-3 days. At the same time, you need to drink at least two liters of liquid per day. Patients often refuse treatment with intestinal fillers due to side effects.

Herbal laxatives are used to treat mild constipation. Such medicines are produced in the form of tablets, teas, syrups, powders. Laxatives based on medicinal plants can be taken long time.

Possible causes of constipation

Normally, the urge to defecate, the frequency of which depends on individual characteristics, occurs spontaneously. If, for some reason, the work of the lower intestinal calving is disrupted, there is a delay in processed products. The causes of constipation can be very different. The contributing factors are:

• irritable bowel syndrome;
• unbalanced diet;
• limited fluid intake;
• restraining the urge to defecate;
• muscle weakness in the lower intestine;
• frequent use of laxatives.

Disrupt the motor activity of the intestines are capable of: various pathologies endocrine system, autonomic dysfunction, changes in blood flow (blood circulation in the intestinal walls worsens).

Fast-acting laxatives: a list of effective drugs

The most unsafe for the body are laxatives of quick action. They should be used only in last resort... They retain fluid and prevent the absorption of electrolytes. This group includes the following drugs:

• "Guttalax".
• "Bisacodyl".
• "Weak."
• Laxatin.
• "Fitomucil".
• Regulax.
• Senadexin.
• "Dulcolact".
• "Guttasil".
• Senade.

Irritant fast-acting laxatives (tablets, drops, suppositories) should be taken with reduced intestinal motility. Therapeutic action can be observed within 8 hours after taking the medicine. The constant intake of such medications leads to a decrease in peristalsis and intestinal tone.

Laxative medicine "Guttalax"

The main active ingredient of the drug in the form of drops is sodium picosulfate. The substance irritates the intestinal walls, increasing motor skills. The activity of the drug is observed only in the large intestine. Prescribe "Guttalax" for stool regulation in case of dysbiosis, irritable bowel syndrome, hemorrhoids. According to the instructions, the laxative is used if it is necessary to liquefy feces in elderly patients suffering from chronic constipation, in preparation for surgery and during the recovery period.

In pediatrics, such a laxative is rarely prescribed for constipation. Children can only use it from 4 years old. Contraindications include pregnancy, intestinal obstruction, acute inflammation organs of the digestive tract, dehydration.

Dulcolax (tablets)

Strong laxative of rapid action "Dulcolax" (made in Germany) contains the active ingredient bisacodyl, which irritates the intestinal mucous walls. In the large intestine, the drug causes increased mucus secretion, activates peristalsis. The urge to defecate after using the tablets can be felt after 6 hours. If the drug was taken before bedtime, the laxative effect will appear after 8-10 hours. The enteric coating of the tablets is resistant to the action of gastric juice.

In the form of tablets, the drug is prescribed for constipation caused by hypotension of the colon, with anal fissures and hemorrhoids, as a preparation before surgery.

Contraindications or side effects

The largest number of contraindications for use are laxatives of quick action. In tablets, the drug "Dulcolax" cannot be prescribed in the following cases:

• hemorrhoids in the acute stage;
• intestinal obstruction;
• spastic constipation;
• internal bleeding;
• inflammatory diseases of the pelvic organs;
• hypersensitivity to laxative components;
• pregnancy (especially the first trimester);
• dehydration of the body;
• acute pain in the abdomen;
• intestinal pathology;
• children under 4 years of age.

Among side effects pains of a spastic nature, diarrhea (fraught with severe dehydration and electrolyte imbalance), flatulence, allergies.

Laxative tablets "Senadexin"

The preparation contains sennoside A and B, a natural substance extracted from senna leaves. The component acts on the motility of the colon, irritating the receptors, is not addictive. Laxative effect chewable tablets observed 6-10 hours after ingestion.

A significant advantage of the drug is the absence of a negative effect on the digestive process. A strong, fast-acting laxative is recommended to be taken at night and washed down with a sufficient amount of water. According to the instructions, the tablets can be taken as a single dose or undergo a course of therapy. The drug can be prescribed for children from six years of age. The dosage must be calculated by the attending physician. Rating 4.4 who voted: 10

Constipation is recognized by the World Health Organization as a disease that requires treatment. Most experts insist on eliminating the problem with the help of a balanced diet and therapy for possible chronic gastrointestinal pathologies. Taking laxatives is an extreme measure, since drugs in this group artificially affect the intestines, increasing its motility. Constipation can become more prolonged and dangerous if you use these medications all the time. If there is no choice, help is urgently needed, safe, fast-acting laxatives can be used.

All drugs in this group have their own mechanism of action, which affects the speed of the desired effect from their use. Today, experts divide all laxatives into several large groups.

1. Annoying. The active substance of the drug begins to stimulate the intestinal receptors, which increases the quality of peristalsis. The feces begin to move rapidly through the digestive tract, and the constipation disappears. Irritants are among the most effective remedies for stool retention and show results within 15 minutes to 8 hours. The reaction rate is influenced by the active substance and the selected dose.
2. Prebiotic drugs. They have a slow, but maximally safe effect. You can use these medicines at any age, as well as during pregnancy and lactation. Prebiotics are more suitable for the treatment of systematic constipation in combination with proper nutrition and remedial gymnastics.
3. Osmotic or saline. Through exposure active substance, in the cavity of the digestive tract, water begins to actively accumulate, which quickly softens the feces. They also belong to the group of fast-acting laxatives, the effect of which can develop already in the first hour of use. Considered to be relatively safe drugs.
4. Fillers. This group of medicines shows a relatively quick effect that develops within 3-8 hours after use. Fillers are considered a safe group of products and, after consultation with a doctor, can be used in childhood and during pregnancy.
5. Herbal and homeopathic remedies. They do not have a quick effect, but they are as safe as possible for the patient, if he does not have an allergic reaction to active and auxiliary components.
6. Oily laxatives. Also referred to as fast-acting laxatives, but they have a large number of side effects. Apply only if other groups of funds are ineffective.

Attention! Although constipation is a troublesome problem, it is betterdo not use fast-acting laxatives. They are several times more likely to cause bleeding of the digestive tract and unbearable pain in the epigastric region.

Fast acting irritants

Drugs in this group not only irritate the intestinal mucosa, forcing feces to move through it, they also prevent water from leaving. Because of this, the feces do not harden and traumatize the patient minimally during the act of defecation.

Bisacodyl

One of the most popular remedies for stool retention. Adult patients can use the drug in the form of tablets and rectal suppositories. In the form of tablets, Bisacodyl is prescribed from the age of 14 at a dose of 1-3 pieces. They should be drunk on an empty stomach, ideally half an hour before breakfast. Candles are put on once a day, regardless of food intake or otherwise. The dose is equal to 1-2 suppositories or 10-20 mg of the main substance. It is desirable to carry out the treatment once.

Guttalax

Most often it is prescribed for intestinal atony. Guttalax can be used in the form of tablets and oral suspension. Both forms of medication are taken 1-2 hours before bedtime, two hours after dinner. The dosage of the suspension is 10 drops for mild constipation and up to 30 drops for severe and long delays feces. In the form of tablets, the dosage of Guttalax is 5-10 mg of the active ingredient. The duration of admission depends on the cause of constipation and is selected by the doctor.

Weak up

Drops for internal use can get rid of chronic and long-term constipation. Taking into account the severity of the problem, 10 to 30 drops of the active ingredient are prescribed. Take the remedy at bedtime 2-3 hours after dinner. The maximum course of taking Slabicap is 10 days.

Fast-acting saline and osmotic laxatives

They actively affect the entire intestine, causing an influx of water from the tissues of the body. When using them, you should take more liquid so that the electrolyte balance is not disturbed and the internal organs do not malfunction due to dehydration.

Karlovy Vary salt

Natural remedy that enhances the movement of feces through the digestive tract. Long courses of Karlovy Vary salt are allowed if constipation is provoked chronic diseases Gastrointestinal tract. It is more often used for prolonged and acute constipation. For treatment, it is necessary to dissolve a tablespoon of salt in 0.5 liters of warm water and slightly warm the solution. The optimum temperature for a quick effect is 40 degrees. The Karlovy Vary salt should be taken once in the morning at a dose of 100-200 ml. It is required to drink it in small sips.

Magnesium sulfate

It gives a quick effect, but often provokes side effects such as a bubbling in the abdomen, cramps, and uncontrolled diarrhea. For adult patients, it is enough to take 20 g of the drug, having previously diluted it in 100 ml pure water... The solution is drunk immediately. Differs in bad taste and sometimes provokes vomiting. It is better to take magnesium at bedtime or at any time when you are constantly at home.

Forlax

The drug is suitable for long-term use, even in childhood. If you need to restore bowel function, Forlax can be drunk for up to 12 weeks. Treatment involves the use of 1 to 2 sachets of laxative per 100 ml of water. It is recommended to take the solution once, but it is allowed to take twice 1 sachet per 100 ml of water in the morning and in the evening. V morning time Forlax is taken on an empty stomach.

Sodium sulfate

Helps with acute and chronic constipation. Sodium sulfate is available in powder form for dissolving in water. For adult patients, it is required to take 15-30 g of active substance per 100-200 ml of pure water. Take sodium sulfate in small sips on an empty stomach. The duration of the course is determined for each patient separately.

Attention! In almost 100% of cases, the intake of saline and osmotic agents is accompanied by severe bloating and flatulence. You should not take this group of medicines during pregnancy, lactation and under 12 years of age.

Video - Laxatives for constipation: pros and cons

Oily laxatives to relieve constipation

This group of drugs should be used only after prior consultation with a doctor. They are completely prohibited for use during pregnancy, as they can cause negative reactions from internal systems... Pains often occur in the anus, heart and liver.

Almond

The oil must be drunk before breakfast. Taking into account the duration of constipation, the dosage can be 15-30 ml of the active substance once. You can not constantly take the product so as not to cause disorders of the nervous system and disruption of the heart. Almond oil irritates the intestinal wall and softens stool. The duration of use is 1-5 days.

Vaseline oil

Extracted from petroleum products, but considered relatively safe for patients if they do not take Vaseline oil regularly and observe the exact dosage of the active substance. To achieve the desired effect for constipation, take 15-30 ml of oil on an empty stomach. The maximum course of treatment is 5 days.

Norgalax

The drug is used in the form of microclysters. The active substance is injected into the anus using the supplied tube. The dosage for an adult patient is the volume of one tube, it is applied daily. Do not use micro enema for more than five days.

Picolax

The drug has a good effect, but often causes bouts of nausea, sometimes constipation turns into diarrhea during the day. The dosage of Picolax for an adult patient is 10-20 drops of an oily solution inside, which is equal to 5-10 mg of the main component. It is taken once on an empty stomach. The duration of use is 1-5 days.

Attention! Ingestion of laxative oils often leads to dysfunction of the liver and digestive tract. Only olive and linseed oil... They are used in courses of 1-3 weeks, drinking a tablespoon of the substance before breakfast.

Fast-acting enemas for constipation

Preparations in this form have local impact, irritating the rectum and increasing feces in size. Under their influence, constipation disappears within a few hours after using the enema.

Microlax

You can use enemas from birth. For children of the first days of life and up to three years, the tip is inserted halfway into the rectum, from the age of three and for adults, the enema is completely inserted into the anus. After inserting the tip, gently press on the container with Microlax and completely squeeze out the contents. The dose is the same for all patients. Due to the full or partial introduction of the tip, stimulation of more or less volume of the rectum is achieved. You can give an enema at any time.

Normacol

Available in small 60-130 ml enema bottles. For the treatment of constipation, it can be used from the age of three. First, insert the tip of Normacol into the anus, and then squeeze out the contents of the active substance. This should be done gradually so as not to build up pressure in the rectum. From 3 to 15 years old, the dose of Normacol is 60 ml, after this age, enemas with a volume of 130 ml should be given. The effect of the treatment develops in 5-25 minutes.

Attention! When using enemas, you should be careful about the moment the tip is inserted, as they can easily injure the delicate mucous membrane of the rectum. Better to grease a little anal area and a tip with oil or petroleum jelly. During the introduction, the buttocks should be relaxed as much as possible.

Homemade fast-acting laxatives

This group of medicines is similar in its effect to herbal and homeopathic remedies which can be purchased at the pharmacy chain. But homemade laxatives, due to the higher concentration of the active substance, are distinguished by the necessary efficacy and are safe to use.

Ingredient	Image	How to cook?	Mode of application
		Purchased ready-made	30 g once, can be repeated for three days in a row
		A specific remedy, but with a quick effect. 200 ml of kefir is mixed with 3 cloves of chopped garlic	200 ml at a time, can be taken twice a day. With care for ulcers and gastritis. Take no more than 2 days
		Art. a spoonful of substance per 250 ml of boiling water, the herb is insisted for two hours and filtered	15 ml three times a day 30 minutes before meals. Reception is allowed up to three days
		25 g of substance per 250 boiling water is brewed for 30 minutes, filtered	Take once before bedtime 125-250 ml solution
		2 tbsp. l pour 500 ml of boiling water, insist an hour	Drink 250 ml in the morning and evening. Treatment lasts no more than 2-3 days

Attention! Do not exceed the dosage of active ingredients of homemade preparations, despite their safety. If used improperly, they can cause severe diarrhea.

Fast-acting laxatives for children and pregnant women

In childhood, the cause of constipation is often provoked by errors in nutrition, infection with helminths and only sometimes by pathologies of the digestive tract. Any laxatives for children should be selected through a pediatrician, as there is a high risk of side effects due to increased sensitivity to the components.

Duphalac

It is a lactulose solution, which is consumed in the form of a syrup. Children under one year old take 5 ml of syrup, from one to six years old - 5-10 ml, from seven years old and during pregnancy, the dosage is 10-15 ml. If the initial intake of the drug did not give the desired effect, after 1-2 days, you can repeat its use.

Normase

The composition of the drug also includes lactulose, which safely acts on the digestive tract and gently removes feces. Rarely provokes side effects and is well tolerated in childhood and during gestation. The first three days, children over 6 years old and pregnant women take 15 ml of the solution once, if there is no effect, the treatment is continued, but the dose is reduced to 10 ml. From one to six years, you can not take more than 5-10 ml of syrup, up to one year, babies drink 5 ml of the active substance. Dose adjustments in children under six years of age can only be made by a pediatrician.

Attention! Medicines in this group are suitable for long-term use. If necessary, the course of treatment of constipation in children with lactulose can last from 4 to 16 weeks. Pregnant women should not take the drug for so long.

Side Effects of Fast-Acting Laxatives

When using any group of drugs with a laxative effect, the patient may develop dangerous symptoms:

• severe abdominal pain, bloating, and increased gas production;
• bleeding inside the intestinal tract and from the anal area;
• severe pain in the rectum;
• uncontrolled diarrhea, which leads to spontaneous bowel cleansing;
• allergic skin reactions such as rash and urticaria;
• abnormalities in the liver, heart palpitations;
• severe dehydration and disturbances in the work of the central nervous system.

Attention! Side effects when using a laxative occur not only when the dosage of the active substance is exceeded. Their appearance is also influenced by ignoring contraindications for use and hypersensitivity to the active components of medicines.

Before prescribing a laxative drug, it is required to exclude any contraindications to it, as well as to know about the consequences of such treatment. You cannot use medicines of this group on an ongoing basis, so as not to provoke complete intestinal dysfunction. In the case of taking a laxative course, its duration is determined only by a doctor and only after establishing the exact cause of constipation.

Video - How to choose a laxative

A large number of factors have a negative impact on the functioning of the gastrointestinal tract. Due to the use of a large amount of food harmful to the body, medications, especially which are dispensed without a doctor's prescription, spending a long time in sitting position... These factors can lead to constipation. Constipation is an unpleasant ailment that can be accompanied by bloating, painful sensations, so every sufferer wants to eliminate it as soon as possible. In order to eliminate constipation in a short time, you need to use quick-acting laxatives. Such drugs will help to quickly get rid of constipation without going through lengthy and unpleasant procedures.

Effective laxatives for constipation at the pharmacy

Strong laxatives come in different forms - it can be drops, suppositories for rectal administration, tablets, powder. Each of the drugs has its own indications, contraindications and side effects, therefore, you should carefully consider the choice of a laxative for cleansing the intestines of a quick action.

Microlax. The most powerful laxative in microclysters

According to experts, the main cause of constipation is psychological. For example, a person cannot empty himself at work or on a trip, respectively, the feces accumulate, forming a congestion. Also, with hemorrhoids, constipation is often observed, because a person does not want to empty, knowing that it will hurt. For such cases, Microlax is an excellent strong laxative. It liquefies feces, creating an aqueous membrane around the feces, respectively, the release of feces will not cause discomfort, it will happen quickly and without pain.

Microlax has no effect on organ systems, i.e. does not penetrate into the blood, therefore it is considered the best modern drug quick action. Able to help with constipation (constipation when self-emptying is not considered possible).

It can be prescribed to women during pregnancy and lactation. As well as newborns and babies. Available in liquid form. It begins to act after 15 minutes after the introduction of fluid into the intestines, there is a desire for natural emptying.

Glycelax. Fast-acting laxative for young children

The drug is available in the form of suppositories for rectal use by age group, i.e. for adults and children. In young children, especially during the beginning of complementary feeding, constipation is often formed, but almost all drugs are contraindicated for use by children under the age of three. In this case quick remedy from constipation Glycelax will be very helpful.

The drug acts powerfully, but gently, which is very suitable for sensitive child's body suffering from constipation, as a result of which there is bloating, colic. Suppositories help soften stool, i.e. excrement through the intestines will move freely and painlessly. Accordingly, for young children, such a drug will be the best. The action of the drug begins 10-15 minutes after the suppository is inserted rectally.

Guttalax. An effective remedy for constipation in adults

It is produced in the form of tasteless drops for oral administration. Guttalax has a mild effect on the motility of the gastrointestinal tract. And motor skills increase the rate of excretion of feces, respectively, emptying occurs naturally in a short time. Basically, it can take about 30 minutes from ingestion to emptying.

Taking the drug may be accompanied by side effects: bloating, cutting or stabbing pain in the abdomen, flatulence.

And also the affinity reduces the amount of fluid absorbed into the intestines, which, with frequent use, can lead to dehydration. Accordingly, you cannot take a lot of the drug.

Slack lactulose. A mild laxative for constipation

The preparation contains only herbal ingredients of natural origin. Lactulose is a carbohydrate that cannot be absorbed by the body. It passes through the upper parts of the intestine without consequences, and in the large intestine it acquires a nutrient medium for bifido and lactobacilli. Accordingly, under the action of the drug, not only constipation but also dysentery will quickly be eliminated, the intestines will recover after prolonged use. antibacterial drugs, after bactericidal diseases.

The first urge to use the toilet will begin 15-20 minutes after administration, but full recovery will occur after 14 days of regular use. Approved for use by pregnant women, small children.

Phytolax. Laxative tablets

The fast-acting laxative in Fitolax tablets is produced by Evalar. It has a mild and delicate effect on the body. Constipation will be eliminated after the first use, but to cleanse the body and full recovery a course of admission of 14 days will be required. Bowel cleansing with the drug is contraindicated in pregnant women, children under 12 years of age.

A quick-acting laxative at home

In order to eliminate constipation quickly and effectively, it is not necessary to purchase medications. It is quite possible to cope with this problem with the help of folk remedies.

A quick-acting laxative for bowel cleansing and folk remedies are closely related, only it is recommended to use each of the recipes with caution and prior consultation with your doctor.

Elderberry for constipation in adults

Jelly is being prepared from dried berries. For cooking, you should take 0.5 kg. berries, pour 1 liter of boiling water and cook until you get a homogeneous mass of viscous consistency. You need to take the remedy 3 times a day, 1 tbsp. half an hour before eating. Full recovery will require a 14-day course.

Carrot juice and viburnum

Folk remedies involve the use of only natural products, respectively, there are practically no contraindications, but it can be used by everyone, except for people for whom the component is contraindicated for health reasons or because of individual intolerance.

For constipation chronic form a strong, fast-acting laxative is carrots, which, in combination with viburnum, give an amazing result. In order to achieve the desired result, you need to eat 200 grams of berries and wash them down with freshly squeezed carrot juice. There is no need to dilute the juice. Even small children can use such a remedy. Children under 3 years old are given only carrot juice.

Gooseberry and sea buckthorn

Decoctions from these berries will have an effective effect not only on stool normalization, but also help to improve the intestinal microflora, which will lead to good work of the gastrointestinal tract motility. To prepare the broth, you need 4 tablespoons of berries (2 tablespoons of gooseberries and 2 - sea buckthorn), brew with 2 cups of boiling water, boil over low heat for no longer than 5 minutes. Refrigerate and take 0.5 cups every 6 hours.

The action of the remedy is felt almost immediately, constipation is eliminated, the intestines are cleansed in a natural way. The broth is not only effective, but also has pleasant taste and smell.

Butter and kefir

For any problem related to the intestines and digestion, kefir is the first remedy in folk medicine that applies. In order to get quick disposal for constipation, you need to mix a glass of kefir and 1 tablespoon of olive or vegetable oil... The resulting mixture is drunk in small sips at a time. You can drink such a drink no more than 1 time a day, otherwise a large amount of fluid and useful elements will be excreted from the body, which will lead to dehydration and dystrophy.

Plantain and burdock decoction

To prepare the broth, burdock is taken (it is better to use the root) and road leaves (from fresh ones there will be a stronger effect). Rinse the ingredients thoroughly, pour in warm water and simmer for about 20 minutes. Then cool, strain and take 0.5 cups 3 times a day before meals.

Information you need to know about powerful laxatives

First of all, you need to remember that a laxative with a quick effect is designed to rid the body of an ailment, but not to cure it completely, i.e. if you continue to eat food that is harmful to the body, lead the wrong lifestyle, then the problem with constipation will become regular. There are several rules, the observance of which will help to resort to the help of laxatives to cleanse the intestines very rarely:

1. It is necessary to take as much liquid as possible, which will contribute to the liquefaction of feces, respectively, congestion will not form.
2. A large number of soups and steamed dishes should be included in the diet.
3. Eat more foods that contain coarse fiber(vegetables and fruit crops, bran baked goods, cereals).
4. It is not recommended to consume beverages containing alcohol, or at least to reduce consumption to a minimum amount.
5. Sports and others physical exercise contribute to the proper functioning of the intestines.

Types of fast-acting laxatives

Quick laxatives for constipation are divided into several groups:

• Immediate laxatives are drugs called wearables. This group includes preparations, in the manufacture of which macrogol and salts (Carlsbad, English, etc.) were taken as a basis. The drugs can cause diarrhea and affect the entire gastrointestinal tract.
• Preparations containing senna, sodium picosulfate, bisacodyl, lactulose have a not so immediate effect. Such drugs affect mainly the large intestine, as a result of which the emptying takes on a mushy appearance.
• A milder laxative is drugs that include: petroleum jelly, almond oil, glycerin. Under their action, the stool is normalized.

It should be remembered that a strong laxative will only help if the proportions and dosage are observed, as well as the drug is taken correctly. Getting a result from drugs for internal use takes longer than from drugs that are administered rectally.

There are two more types of funds:

1. Laxatives pribeotics eliminate constipation due to the fact that they have a stimulating effect on the beneficial intestinal microflora. Digestion takes place in the upper intestines, and then the prebiotics go down to the large intestine. Laxative drugs include: lactulose, fructo-oligosaccharides, inulin.
2. Bulk products contain only components natural origin... Eliminate constipation by producing fluid production in the intestines. Which in turn leads to stretching of the intestinal walls. Such funds are not fast-acting, because effectiveness and the desired result can be obtained within 12 hours. These drugs include products that contain agar-agar, wheat bran, flaxseeds.

Constipation can be eliminated on your own at home, but it is still recommended to seek help or advice from a specialist, especially if there are third-party diseases or a tendency to allergic reactions.

More than half of the population of civilized countries now suffers from constipation. This is due to a lot of stress, unhealthy diet and sedentary life. But few of those suffering from this problem go to the doctor. Indeed, in pharmacies there is a large selection. These medicines are one of the most common, although most of them have many side effects. And the main one is that they are addictive and require a higher dose. Therefore, it is very important to choose the right one so that it really helps. It is advisable to use only non-addictive laxatives. But the problem is that such a drug can only be recommended by a doctor, and many people buy drugs, guided by advertisements or advice from friends.

How to get rid of constipation

Many people are familiar with this state. Elderly people and women especially suffer from constipation. This is not only unpleasant, brings suffering to a person, but is also very harmful to health, since the body is poisoned with decay products. Due to their stagnation in the intestines, decay processes begin. Therefore, for those who suffer from constipation, the acute question is how to choose laxatives that are not addictive. But, unfortunately, most drugs have a one-time effect, and successful cure of constipation is possible only after eliminating their cause. Without establishing a diet, the patient will need all new doses of drugs, and it often happens that a person without a laxative cannot go to the toilet at all.

Causes of constipation

• Improper nutrition: snacks, passion for fast food, semi-finished products and flour products, overeating and a small amount of fresh vegetables and fruits in the diet.
• Crazy pace of life, a lot of stress and anxiety, overwork and lack of sleep.

• Incorrect lifestyle: sedentary work, little physical activity and lack of fresh air.
• Bad habits, addiction to certain drugs.

What are laxatives

But even those people who lead a correct lifestyle sometimes have constipation. If this is a rare problem, any drug can be used. But for those who suffer from constipation for a long time, it is very important to choose laxatives that are not addictive. To do this, you need to know that all such drugs are divided into several groups:

1. Irritant laxatives. They increase intestinal motility and, by irritating its receptors, promote emptying.

2. Laxative osmotic action. These drugs contain substances that enhance the intestines and interfere with the absorption of fluids.

3. Prebiotics are the best non-addictive laxatives. After all, their effect is based on changing the intestinal microflora and filling it beneficial bacteria that make it work.

Why irritant laxatives are dangerous

It is these drugs that most often cause addiction of the body and deterioration of the patient's condition with long-term use... But for some reason they are the most bought and widespread drugs. This is a large group of laxatives, and they have a strong and quick effect. They are prescribed even to patients with intestinal atony. But among them it is difficult to choose a laxative without addiction. The peculiarity of the action of such drugs is that they irritate the intestinal receptors. It can cause abdominal pain and can be highly addictive with long-term use. The intestine stops working without such drugs, its tone decreases, so you constantly have to increase the dose of the medicine. But in case of acute constipation, they can be taken once, as they are very effective.

These laxatives include drugs "Senadexin", "Bisacodyl", "Guttalax", "Regulax" and others. In addition, there are many funds for plant based in the form of tablets or herbs. These are buckthorn bark, senna leaf, rhubarb root or zhostera fruit. Irritants also include castor oil or various candles from constipation. All of them have many contraindications and side effects.

Osmotic drugs

These are laxatives without intestinal addiction. They do not reduce its tone, but they also cannot be taken for a long time. While these drugs are not addictive, they have equally dangerous side effects. With long-term use, these funds lead to dehydration, loss of electrolytes and minerals. Therefore, they are most often recommended for a one-time bowel cleansing in case of poisoning and acute constipation. Such drugs are never taken for more than 2-3 months, they are also not recommended for children and people with heart disease. These products include Karlovy Vary salt, magnesium sulfate, Fortrans, Lavacol and others.

Effectiveness of prebiotics for constipation

These are the best non-addictive ones. Their advantage over other drugs is that they regulate the intestinal microflora, populating it beneficial microorganisms, thanks to which it starts to work correctly. They not only eliminate constipation, but also improve the absorption of mineral salts and remove toxins. These are the safest laxatives and have a long lasting effect. They are recommended even for infants and pregnant women. But many people suffering from constipation do not like such remedies, since their effect occurs after some time. What drugs are classified as prebiotics? The most famous are lactulose preparations: "Poslabin", "Normase", "Duphalac", "Prelax" and others.

Features of bulk laxatives

These are also non-addictive laxatives. Their effect is the longest, therefore, most often such drugs are used to treat chronic mild constipation. Their action is based on the characteristics of some plant fibers swell when absorbing water. Such drugs can be taken for a long time, as they are also non-addictive laxatives. But you need to know that when using them, you need to drink as much water as possible, otherwise they will have the opposite effect. These filler laxatives are made from flax seeds, wheat bran, cellulose or other plant fibers. They have almost no side effects, but not everyone likes them. After all, these drugs do not work immediately, require a lot of water and can cause bloating.

Folk remedies for constipation

• Infusion of rowan berries, lingonberries or gooseberries.
• It helps well with constipation in babies, a decoction of raisins or flaxseed jelly.
• Often even doctors recommend herbal preparations for the treatment of constipation. Buckthorn bark, licorice root, joster berries, fennel and anise seeds have a laxative effect.

• The diet of a constipated person should often include salads from fresh vegetables and fruits, especially pumpkin, beets and carrots.
• Steamed prunes help with constipation, oatmeal jelly and fermented milk products.

How to take these drugs correctly

1. When choosing a laxative, it is imperative to take into account the cause and characteristics of the course of the disease.

2. Chronic constipation often requires constant medication. In this case, it is recommended to drink them in a minimum dose every three days or every day, but after 5-7 days of admission, take a break. Only then will the laxative not be addictive.

3. If the patient has not just constipation, but a complex disorder of intestinal functions, a complex treatment is recommended, for example, together with the usual laxative they drink "Motilium", which stimulates peristalsis.

4. Always start treatment of constipation with mildly acting drugs, for example, with plant fibers or osmotic. Only in the absence of effect can one resort to saline or bowel-stimulating laxatives.

5. These drugs should be taken on an empty stomach.

6. If necessary, a quick bowel movement, suppositories and microclysters are used.

What laxatives are not addictive

V Lately Senna drugs and other drugs that stimulate intestinal motility are gradually being phased out. Doctors recommend safer remedies for constipation to patients. Among them, it is easy to choose the best laxative without intestinal addiction:

• One of these drugs is Prelax. It contains lactulose and helps with both acute constipation and long-term bowel dysfunction. It is very important that this drug not only eliminates constipation, but also normalizes the microflora. And, most importantly, it is not addictive.
• "Guttalax" also has a mild effect. The laxative effect appears 10-15 hours after taking the solution. The drug is prescribed even for children and pregnant women.
• "Forlax" is a herbal medicine with a mild effect and almost no contraindications. It can be taken for a long time without fear of addiction.
• "Fitomucil" is also herbal remedy, gently releasing the intestines and restoring its functions. It is the best non-addictive laxative that normalizes the intestinal microflora. Doctors recommend it even to pregnant women and young children. It is now the most popular laxative.

On the pharmaceutical market there is a huge list of laxatives that are used for constipation, to remove toxins from the body and cleanse the intestines before surgery. How do you choose a good laxative that is both effective and mild? After all, any drug for cleansing the intestines has its drawbacks and contraindications. Our rating of laxatives, based on feedback from doctors and patients, will help you make your choice.

According to the mechanism of action, all laxatives can be divided into 3 main groups: irritants, osmotic laxatives and prebiotics.

Best irritant laxatives

Irritant drugs are quick-acting laxatives of synthetic (sodium picosulfate, bisacodyl) or vegetable (castor oil, hay leaf, buckthorn bark, joster fruit) origin. Available in tablets, drops, suppositories. The therapeutic effect of the drugs is achieved due to irritation of the colon receptors, resulting in increased intestinal motility.

Advantages

Irritant drugs are the best cure for constipation for the elderly because they are effective for sluggish motility and intestinal atony. Another advantage of this group is its fast action - the effect develops within 6-10 hours after taking the drug.

Flaws

Irritant laxative tablets have many contraindications, cause dehydration and other adverse reactions. Taking drugs for more than 10 days in a row can provoke intestinal atony, electrolyte imbalance (manifested by weakness, convulsions), degeneration (structural destruction) of nervous tissue. Negative impact drugs on receptors leads to the development of addiction, when the initial therapeutic dose does not have the desired effect, and emptying the intestines without taking pills becomes impossible. Therefore, irritating drugs are indicated only for occasional use.

Ranking of the best irritant laxatives

Rating

#1

#2

#3

Name

Price

RUB 316

153 RUB

RUB 78

Points

Mild effect on the intestines

Ease of use

Availability in the network of pharmacies

Bisacodyl

A quick-acting laxative in tablets or in suppositories is used in the preparation of the intestines for endoscopy, it is prescribed for constipation that occurs after an operation or against the background of a diet.

After taking the pill, intestinal colic, bloating, intestinal atony may occur, in rare cases, the appearance of mucous membranes or bloody discharge after stool. The agent can cause dysbiosis, dehydration and electrolyte imbalance, intestinal atony. However, more often such consequences occur with constant uncontrolled reception Bisacodyl.

Among the contraindications - acute disorders digestive tract work, constipation due to intestinal polyposis, intestinal neoplasm, disturbances in water and electrolyte balance, sharp forms hemorrhoids and proctitis, cystitis.

Application: 1 tablet in the evening, before bedtime. If there is no effect, the dose can be increased to 2 tablets. Before diagnostic measures or on the eve of the operation, 2 tablets are prescribed at night.

Analogs - Pirilaks, Laxakodia, Bisadil, Stadalaks.

• Suppositories and tablets are quickly laxative.
• Bisacodyl suppositories can be used for constipation in children over 2 years old.
• With care, tablets and suppositories can be used during pregnancy, but not abused (the active substance is not absorbed into the bloodstream, does not adversely affect the fetus, does not contribute to the contractile activity of the uterus).
• Cheapness: 30 tablets cost from 18 to 29 rubles, 10 candles - 35-50 rubles.

• Very sharp, swift action. If taken in the evening, sleepless night provided - the drug begins to act in 4–6 hours.
• Often, while taking the pills, there is severe abdominal pain, nausea, and some have severe dizziness.
• Many people develop diarrhea even when taking one pill, and they have to take reverse-acting drugs.
• Due to the strong laxative effect, the drug can only be taken on weekends, when you do not need to leave the house.
• It removes a lot of fluid from the body. You need to drink a lot while taking the pill to stay hydrated.

Senadexin

Fast-acting laxative based on sennosides A and B (anthraglycosides) - substances contained in the leaves of narrow-leaved and holly hay. It can be used to normalize stool for proctitis and hemorrhoids, for constipation associated with sluggish peristalsis, for spastic and atonic constipation. The drug develops within 6-12 hours after administration. When taking pills, various side reactions can occur - nausea, diarrhea, colic, intestinal atony, electrolyte imbalance, allergic reactions ( itchy skin, urticaria).

Contraindications include nausea and vomiting, colitis and intestinal obstruction, bleeding (uterine and gastrointestinal), cystitis, imbalance in water and electrolyte balance, organic liver damage, appendicitis and peritonitis.

Application - 1 tablet in the evening or in the morning. If there is no effect, a single dose can be increased to 2 tablets.

Analogues - Senade, Regulax, Tisasen, Senalex, Gerbion Laksana, Glaxenna, hay leaf (vegetable raw material for the preparation of broth).

• Acts quickly, but softer compared to Bisacodyl.
• Herbal preparation.
• Low cost - 20-25 rubles for 20 tablets.

• Addictive, not suitable for frequent and prolonged use.
• Sometimes it can cause diarrhea (more often - if the dosage is exceeded).

A fast-acting laxative in drops and tablets based on sodium picosulfate has a stimulating effect on the intestinal walls, promotes softening of the stool (due to the accumulation of electrolytes and water in the lumen of the large intestine). Drops are prescribed for atonic constipation, to normalize stool with proctitis and hemorrhoids, before examining a thick and small intestine, on the eve of the operation on the abdominal organs.

Contraindications include cystitis, acute inflammatory diseases of the abdominal organs, pain in the epigastric region of unexplained origin, intestinal obstruction, spastic constipation, bleeding in gastrointestinal tract, electrolyte imbalance and dehydration.

Application: dilute 10 drops in a small amount of warm water, take at bedtime. If there is no effect, the dose can be increased to 30 drops. The dosage for tablets is 1-2 per appointment.

Analogs - Laxigal, Slabilen, Slabikap, Guttasil, Regulax picosulfate.

• Fast acting mild laxative (compared to bisacodyl and hay preparations).
• Can be given to children over 4 years of age (dose - 5-10 drops).
• Allowed to be used by pregnant women from the second trimester.
• Available in tablets and drops. The liquid form of release acts faster, allows you to select an individual optimal dosage.
• Drops are available in a bottle with a pipette, it is convenient to dispense the product.
• Does not cause severe pain in a stomach.

• May cause diarrhea, severe drop in blood pressure, stomach pain (usually in case of overdose).
• With prolonged use, it is addictive, you need to increase the dose.
• High cost compared to other laxatives: 200 rubles (20 tablets), 300 rubles (15 ml drops) and 400 rubles (30 ml drops).

Glycerin-based laxative in the form of suppositories (suppositories). The active ingredient irritates rectal receptors, stimulates intestinal motility. The tool is used in the treatment of constipation of various origins, including the elderly and children. In some, it can cause local irritation reactions (itching, burning), allergies.

Among the contraindications are inflammatory diseases of the rectum, hemorrhoids in the acute stage, benign and malignant tumors rectum, pregnancy. In case of kidney disease, use with caution.

Application: 1 suppository in the morning, 15 minutes after a meal.

Analog - Glycerin candles.

• Helps relieve constipation.
• Available in child and adult dosages.
• Baby candles can be used for babies from 3 months.
• Small in size, tapers, convenient to use.
• Does not cause side reactions.
• Acceptable price - 100–130 rubles (10 candles per pack).

• In 30% of cases, it does not help.
• Cannot be used by pregnant women, children under 3 months.
• Some candles crumble at the base.
• Can only be used occasionally.
• Not every child can tolerate the rectal route of medication well.
• The instructions do not indicate the time of the onset of the effect.

Castor oil is obtained from castor bean seeds. The agent has a pronounced laxative effect, which is caused by irritation of the intestinal receptors. The remedy for constipation cannot be taken with individual intolerance, poisoning with fat-soluble toxic compounds, acute inflammatory diseases of the abdominal organs, pregnancy.

Application: a single dose for adults is 70-100 ml of the product. After reaching positive result oil is recommended to be taken in a tablespoon 2-3 times a week to prevent constipation.

Castor oil is produced by various manufacturers and has no structural analogues.

• Quickly solves the problem of constipation, does not cause abdominal pain with the correct dosage.
• Removes toxins from the body, can be used in integrated program bowel cleansing and weight loss.
• Low cost - 57–65 rubles 30 ml.

• With prolonged use, it can cause intestinal atony.
• Do not drink during pregnancy.
• Overdose can cause severe abdominal cramps, diarrhea, dizziness and even loss of consciousness.
• Very bad taste causing severe nausea, gag reflex.

Best osmotic laxatives

Osmotic laxatives include agents based on sodium and magnesium sulfates, magnesium hydroxide, citrate, Karlovy Vary salt, macrogol (polyethylene glycol). After taking these funds, water is retained in the intestinal lumen, as a result of which the feces soften and increase in volume, the osmotic pressure increases, and a laxative effect is achieved.

Advantages

They have a higher safety profile compared to irritant laxatives. Not addictive. Help relieve the condition and remove toxins from food or drug poisoning.

Flaws

With prolonged use, they can cause electrolyte imbalance, dehydration, and therefore are not suitable for the treatment of chronic constipation. The main purpose of the funds is a one-time bowel cleansing in case of acute stool retention.

Ranking of the best osmotic laxatives

Rating

#1

#2

#3

Name

Price

487 RUB

RUB 25

347 RUB

Points

Effective relief from constipation

Mild effect on the intestines

Ease of use

Normalizes the digestive tract

Availability in the network of pharmacies

The best macrogol osmotic laxative comes in powder form for solution preparation. At the first application, the effect of the drug develops after 1–1.5 hours, and lasts up to 5 hours. With repeated administration, the effect occurs within 15-30 minutes. The drug is prescribed to prepare the intestines for diagnostic procedures (endoscopy, X-ray, irrigoscopy) or surgery. Contraindications include malignant intestinal tumors, severe chronic diseases (including heart failure), complete or partial intestinal obstruction, age up to 15 years, individual intolerance to the drug.

Application: dissolve the contents of 1 packet in 1 liter of water. Dose calculation: 1 liter of ready-made solution for 15–20 kg of body weight (that is, an adult needs to drink an average of 3-4 liters of solution). The drug is taken the evening before diagnostic research... The reception can be divided in two: the first 2 liters - in the evening, another 2 liters - 4 hours before the scheduled time of the operation or diagnostic procedure.

Analogs - Forlax, Tranzipeg, Lavakol.

• Effectively cleanses the intestines.
• The drug additionally contains electrolytes (potassium chloride, sodium chloride and sulfate), therefore, during use, the water-electrolyte balance is not disturbed.
• Acts quickly (1–1.5 hours after ingestion).
• Does not cause spasms, intestinal colic, exacerbation of chronic hemorrhoids.
• After cleansing the intestines, it is possible to lose 1–2 kg of weight, and if you follow your diet, the kilograms will not return.

• According to some doctors, Fortrans does not cleanse the intestines as efficiently as needed, the diagnostic measure may fail because of this.
• May cause flatulence, nausea, and vomiting.
• Not suitable for elderly people suffering from chronic diseases heart and other organs.
• The solution has a very unpleasant sweetish taste that causes nausea.
• A large amount of liquid that needs to be drunk at one time.
• High cost - 470–520 rubles per package of 4 bags (for an adult, the package is enough for one cleansing procedure).

An effective laxative based on sorbitol, sodium citrate and sodium lauryl sulfate is available in the form of a solution for rectal use (micro enema). The drug increases the volume and liquefies the contents of the intestines, thereby having a pronounced laxative effect. Begins to act in 5-15 minutes after application. It is prescribed for constipation (including in patients with hemorrhoids), to cleanse the intestines before diagnostic procedures.

Among the contraindications is hypersensitivity to the components of the drug. In rare cases, against the background of the use of the drug, irritation reactions and a slight burning sensation occur.

There are no structural analogs on the pharmaceutical market.

• Helps with constipation, works quickly - after 10-15 minutes.
• Can be used by adults, children, babies.
• The components of the drug are not absorbed into the bloodstream, do not cause systemic side reactions.

• There are complaints about the lack of effect.
• For some it causes strong burning in the rectum.
• In isolated cases, after using the agent, tissues were injured, and rectal bleeding developed.
• When used for children, you need to measure out half the dose, it is impossible to accurately calculate the required amount.
• High cost - 305–325 rubles per package (4 microclysters).

Norgalax

Another effective micro enema laxative contains sodium docusate, a surfactant that helps retain water in the intestines. It is used for constipation and to prepare the intestines for endoscopy.

It is contraindicated to use the drug in case of hypersensitivity to components, intestinal obstruction, ulcerative colitis, inflammatory bowel diseases, hemorrhoids and anal bleeding, children and adolescents under 15 years of age.

In rare cases, with the use of the drug, allergic reactions (urticaria) develop. With frequent or prolonged use of the drug, burning and rectal pain may occur, the development of diarrhea, congestive proctitis, rectal bleeding.

Application: 1 micro enema per day.

There are no drugs with a similar composition on the pharmaceutical market.

• Helps to cope with the problem of constipation, works in 5-10 minutes.
• It acts gently, does not cause spasms, does not irritate the intestines.
• An easy-to-use alternative to an enema.

• In rare cases, the drug did not have a laxative effect.
• Cannot be used for constipation in children under 12 years of age.
• Expensive - 400 rubles a pack (6 microclysters).

Magnesium sulfate powder helps to retain water in the intestines, thereby exerting a pronounced laxative effect, also exhibits choleretic properties. It is used for constipation, to cleanse the intestines before diagnostic manipulations, in case of poisoning with salts of heavy metals (serves as an antidote). Also, the remedy is prescribed for cholangitis, biliary dyskinesia.

A laxative should not be taken for intestinal bleeding, intestinal obstruction, appendicitis, dehydration. Rarely, against the background of taking the drug, there is an increase in thirst, flatulence, vomiting, diarrhea, exacerbation of chronic diseases of the digestive system, imbalance of electrolytes.

Lowers blood pressure, not suitable for hypotensive patients, people suffering from heart disease.

Bad taste.

Prebiotics

Prebiotics - preparations based on carbohydrates (inulin, lactulose, fructo-oligosaccharides), which are not digested in the upper digestive tract, enter the large intestine unchanged, where they stimulate the development of beneficial microflora, and also have a weak irritating effect. As a result, stool normalization occurs. Prebiotics can be used for acute and chronic constipation, for the treatment of intestinal dysbiosis, accompanied by constipation, with hepatic encephalopathy.

Advantages

• They are distinguished by high safety, therefore, they are the best remedies for chronic constipation, when drugs have to be drunk regularly.
• They not only stimulate digestion, but also normalize the state of the intestinal microflora, as a result of which their long-term and persistent therapeutic effect is noted.
• They do not cause addiction and other adverse reactions, with the exception of flatulence. But this reaction goes away within a few days after the start of the intake.
• They have a detoxifying effect, since they contribute to the elimination of nitrogen-containing substances from the body.
• Improves absorption of calcium and fluoride.
• Suppress the reproduction of conditionally pathogenic flora in the intestine.

Flaws

Any prebiotic is a mild laxative, from which one should not expect instantaneous action. The therapeutic effect develops 2-3 days after the start of the drug.

Rating of the best prebiotics

Normase

A mild laxative based on lactulose is used to treat constipation in children (including newborns), the elderly, and pregnant women. The drug helps to restore normal intestinal microflora in case of dysbiosis, is used in the treatment of hepatic encephalopathy.

Contraindications include galactose and fructose intolerance, intestinal bleeding and obstruction, suspected appendicitis. Caution when taking should be observed by patients with diabetes mellitus... Side effects can be nausea, diarrhea, flatulence.

Application: 15-40 ml per day for the first 3 days, then 10-25 ml per day. Children over 6 years old are assigned first 15 ml, and then 10 ml. Children from one to 6 years old are given 5-10 ml per day, children under one year old - 5 ml per knock. The drug is taken after meals. The duration of therapy is 1–4 months.

Analogs - Romfalak, Normolact, Medulak, Goodlak, Lactulose, Duphalac, Poslabin lactulose.

• An effective remedy that helps to normalize bowel function.
• Acts gently, not fast like other laxatives.
• Can be used by adults, children, pregnant and lactating women.
• Sweetish, pleasant taste.
• Not addictive.

• For quick and complete cleansing of the intestines, the drug is not suitable.
• It causes flatulence in many.
• For some patients, it was not effective.
• Inconvenient bottle cap - it does not close tightly, it can leak.
• High cost - 235–290 rubles per bottle of 200 ml (for an adult, when taking maximum single doses, the bottle lasts only for 6 days).

Exportal

A mild lactitol laxative comes in powder form for solution preparation. It is used in the treatment of constipation, dysbiosis, hepatic encephalopathy. Undesirable side reactions are manifested by abdominal discomfort and flatulence, usually occurring in the first days of admission.

It is contraindicated to take the remedy for individual intolerance to the components, intestinal obstruction, galactosemia, rectal bleeding of unknown origin.

Application: the powder is mixed with water, juice, tea, taken with meals. The daily dose is taken in one dose. The dosage for adults is 20 g (2 packs of 10 g). Children from one to 6 years old are prescribed 2.5–5 g, from 6 to 12 years old - 5–10 g. Teenagers from 12 to 16 years old should take 10–20 g of funds.

Analog - Import N.

• It normalizes intestinal motility, not only has a laxative effect, but heals constipation.
• Acts gently, without pain or spasms.
• Does not cause diarrhea and dehydration.
• Restores flora after antibiotic therapy.
• Not addictive.
• Convenient to use and can be mixed with your favorite beverage.
• Acceptable cost - 300-360 rubles (packing 10 bags) and 400-500 rubles (packing 20 bags).

• Some patients did not notice positive effect after using the product.
• Causes flatulence.
• Not all pharmacies can be found.

conclusions

All drugs for constipation are highly effective, but they can have side effects and have a number of contraindications. Which laxative to choose is up to the doctor. Moreover, bowel cleansers do not eliminate the cause of constipation. Only a comprehensive treatment will help to completely get rid of the unpleasant condition, including not only a laxative, but also means to normalize the functioning of the digestive tract.