Bowel cleansing before surgery. Instructions for cleansing the intestines

Bowel cleansing is necessary before surgery, childbirth, or when performing certain examinations. That is why, if the operation is planned, the doctor immediately tells you what diet to follow so that the intestines do not have to be cleaned. Usually, doctors recommend certain drugs if the intervention is emergency, but in order not to injure the intestines, cleansing is best done in natural ways.

We release the intestines

What foods should be excluded before the operation:

Cabbage, beans, nuts
Fruits, vegetables, rye bread
Milk, soda, fried
Oatmeal, fatty meat, sausage
Alcohol and sweets.

Since these drugs cause bloating or can create constipation, they should not be used before surgery.

There is no need to eat at all 12 hours before the operation. In addition, bowel cleansing before surgery is sometimes carried out forcibly with special preparations.

For example:

Fortrans is used as a laxative. Contraindications include age under 15 years, intestinal obstruction and peptic ulcer
Castor oil is used as a laxative. The calculation of the intake is 1 gram per 1 kilogram of weight. If a person weighs a lot, it will be difficult to drink, vomiting may begin.
The drug Lavacol. Analogue of Fortrans, cheaper, has no contraindications
Duphalac is a prebiotic that helps to remove feces by increasing peristalsis.
Guttalax drug. It is applied in drops, use in the morning and in the evening. Laxative.

All of these drugs are used before surgery to cleanse the intestines. Some of them thin the feces, others cause increased peristalsis.

The doctor should prescribe drugs, since each of them has its own characteristics and contraindications.

Other colon cleansers

The most common bowel cleansing method is an enema. She is placed before the operation, if that is planned. This remedy is much more effective than all drugs, since the intestines are completely cleansed, in addition, the siphon enema erodes even the hardest fecal masses. Water is taken 2 liters and poured into Esmarch's mug. It should be around 20 degrees. The patient lies on his left side, his knees pressed to his stomach. After that, the tip is lubricated with petroleum jelly and inserted into the rectum 10-12 cm deep. The mug is raised above the pelvis and the clamp is slowly opened. When all the water has poured in, close the clamp, remove the tip.

Water must be kept inside for about 15 minutes.

Such bowel cleansing before the intervention also has its own contraindications: rectal prolapse, hemorrhoids with bleeding, tumors, inflammation, stomach bleeding.

What is it for?

In addition to drugs and enemas, traditional medicine methods can also be used, but this will not work in a hospital.

Do not brush the day before and at home, you can get an irreversible effect.

It is better to use the drugs indicated by the doctor or agree to an enema if the diet fails. In general, drugs and other drugs are prescribed for one purpose, so that there is no nausea from anesthesia on the operating table, peritonitis does not occur if an intervention is suddenly performed on the abdominal cavity, and the patient should not strain during defecation so that the seams do not open.

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Fortrans belongs to the group of laxatives designed for effective and rapid bowel cleansing in the shortest possible time. Such a pharmacological action of the drug is especially in demand before colonoscopy or surgical procedures. You can find out how to take Fortrans correctly in the detailed annotation attached to the package. But the expediency of using the drug is determined only by the doctor, since the laxative has a significant number of contraindications and exhibits side effects.

With the help of the French drug Fortrans, you can quickly and effectively cleanse the intestines

Characteristic features of the use of the drug

Fortrans is one of the few laxatives that, after taking, provide complete evacuation of feces from all parts of the intestine. The undoubted advantage of the drug is the ability to carry out a cleansing procedure on your own at home without using an enema or Esmarch's mug.

Receiving Fortrans allows you to empty the intestines without experiencing painful cramps in the lower abdomen.

Recommendation: “Fortrans solution has a specific taste that most patients find unpleasant. Even the passionflower extract included in the preparation is not able to improve the situation. To eliminate nausea and vomiting, you should drink the medicine with a small amount of juice prepared from any citrus fruits (lemon, grapefruit, orange).

Fortrans powder is not suitable for frequent use. Some alternative medicine experts recommend using this laxative for weight loss. Indeed, after such a high-quality bowel cleansing, body weight slightly decreases. But this comes exclusively from the excretion of feces. Frequent use of Fortrans will cause:

reducing the body's resistance to viral and bacterial infections;
violations of the absorption of nutrients and biologically active substances;
development of water-electrolyte imbalance.

The French manufacturer produces Fortrans in the form of a white powder, easily soluble in water, packaged in bags weighing 64 g. The secondary packaging of the laxative is a cardboard box, inside which there are 4 bags and instructions for use. The drug should be stored at room temperature, protected from direct sunlight.

How laxative works

Unlike most drugs, Fortrans completely cleanses the digestive tract from food residues and feces at various stages of formation. Systemic laxatives and solutions used for enemas remove only formed fecal matter. At the same time, significant contamination remains in the upper intestine. This can distort the results of endoscopic, instrumental studies, complicate surgical operations.

Four powders of the laxative agent Fortrans are enough to completely cleanse the intestines of a person weighing about 80 kg.

Pharmacodynamics

The active substance of Fortrans is macrogol 4000. The chemical compound has many useful properties:

not absorbed by the walls of the gastrointestinal tract;
does not enter the systemic circulation;
does not adversely affect other internal organs.

From the stomach, a laxative solution freely penetrates into the intestinal cavity, where its therapeutic activity is manifested. refers to high-molecular polymer compounds and is polyethylene glycol in chemical structure.

The principle of action of Fortrans is to attract the active substance of the liquid that is in the intestine. Macrogol rapidly increases in size, swells, which causes an increase in the volume of feces. The load on the intestinal walls increases, which begin to contract in waves, pushing the feces towards the anus. Portion intake of Fortrans avoids too strong an effect on the intestines, so the evacuation of feces is not complicated by pain or damage to the mucous membranes.

Pharmacokinetics

Some patients have difficulty using the Fortrans solution. The fact is that according to the annotation, one powder is diluted in 1000 ml of water, and a person of average weight needs to drink 3-4 liters of liquid to completely cleanse the intestines. But this way of using it has its advantages. Macrogol attracts only water from the prepared solution, without adsorbing liquid molecules from the digestive tract. This avoids the development of dehydration and the loss of trace elements necessary for the functioning of the body.

potassium;
sodium;
chlorides;
sulfates.

They are necessary to prevent the development of water-electrolyte imbalance. Such substances provide a sour-sweet-salty taste to the solution. Macrogol is not metabolized during passage through the gastrointestinal tract. After swelling, it leaves the human body unchanged along with the feces.

To prepare a treatment solution Fortrans, dilute the powder in warm water.

How long does it take for the drug to take effect?

It is impossible to predict exactly how long Fortrans begins to act. The therapeutic activity of the laxative is manifested within 1-3 hours. It all depends on the quantity and quality of food in the human stomach, its weight and age. If the Fortrans solution is taken on an empty stomach, then bowel movement will begin in about an hour.

When you take the drug again, the urge to defecate occurs after 30 minutes. Gastroenterologists recommend that patients release most of the day during the cleansing procedure. For one person, a complete bowel movement takes about two hours, while for another it stretches for 4-5.

Tip: “In the absence of a bowel movement for a long time, you should not take an additional dose of Fortrans. You can help the body without provoking unnecessary stress on the intestinal walls. To do this, you need to gently massage the stomach with smooth circular movements and move more without leaving the room.

Indications for use

In the annotation to the drug, manufacturers indicate that the use of Fortrans powder is possible only in preparation for an examination or surgical manipulation. The laxative is not intended for the treatment of acute or chronic constipation. Such use is not only inappropriate, but also dangerous. Fortrans has such a powerful effect that its use for the treatment of constipation will cause a decrease in the functional activity of the entire gastrointestinal tract. When to take the drug:

before carrying out endoscopic or radiological manipulations, which include colonoscopy, rectoscopy;
at the stage of preparation for various surgical operations.

A single application of Fortrans cleanses the intestines much faster and more effectively than using several enemas with saline solutions or warm water.

Warning: “During the cleansing procedure, beneficial microbes leave the body along with feces, which can cause the development of dysbacteriosis, indigestion, flatulence. Doctors recommend a course of treatment with eubiotics containing lacto- and bifidobacteria a few days after bowel lavage.”

Difficult environmental conditions, sedentary lifestyle, irregular and unbalanced diet cause slagging of the gastrointestinal tract and deterioration of human well-being. Fortrans can be used to carry out regular cleansing procedures to get rid of accumulated toxic compounds. But such therapeutic manipulations can not be carried out more than three times a year.

Contraindications and side effects

Fortrans should not be used in patients with individual sensitivity to macrogol and laxative excipients. In such people, taking the drug will provoke the development of allergic reactions like urticaria - skin itching, rashes and swelling. Also absolute contraindications to the use of Fortrans include:

a state of dehydration against the background of intestinal, respiratory infections or developed for another reason;
pathological expansion of the lumen of the colon;
the general serious condition of the patient caused by a chronic disease of one of their vital systems;
malignant neoplasms of the large intestine;
ulcerative lesions of any part of the gastrointestinal tract;
erosive lesions of the digestive organs;
children's age up to 15 years;
violation of the integrity of the walls of the gastrointestinal tract;
the inability to move the contents of the intestine to the anus;
congenital or acquired predisposition to the occurrence of intestinal obstruction;
and duodenum.

Fortrans is not used to cleanse patients with serious pathologies of the urinary organs. The use of a laxative involves the use of a significant amount of liquid, and this will negatively affect the condition of a person whose kidneys cannot cope with the functions of filtering, concentrating and excreting urine. Despite the absence of painful spasms and absorption of macrogol in the intestine, the use of Fortrans by pregnant women is prohibited.

Often, taking a laxative provokes the development of dyspeptic disorders. A person has nausea, rumbling and seething in the stomach, a feeling of fullness. As a rule, these negative symptoms of excessive gas formation disappear immediately after the act of defecation.

How to take medicine correctly

Before you drink Fortrans to cleanse the intestines, you should carefully read the attached instructions. If the doctor has not prescribed individual single dosages, then they are determined in accordance with the weight of the person. One powder, diluted in a liter of warm water, is designed for 20 kg of body weight. Usually, a package of a laxative is enough to completely cleanse the intestines of a person weighing about 80 kg. The procedure can be carried out in two ways:

Immediately prepare the entire treatment solution. Breeding should be drunk within an hour, using a glass of liquid with short breaks;
Divide the solution into two parts. Diagnostic manipulations are carried out in the morning or lunchtime, so half the dilution must be drunk in the evening. The remaining amount of laxative should be consumed 3-4 hours before the examination or operation.

The second method is preferable to the first, since even a strong, large man has difficulty using 3-5 liters of a laxative solution.

A healthy gut is the foundation of good health. However, a busy lifestyle and poor nutrition provoke the accumulation of toxic substances and decay products in the digestive system. Even our ancestors cleansed the intestines with an enema, but such cleaning is not always effective. For deeper flushing, a powerful laxative "Fortrans" is prescribed. How to drink "Fortrans" to cleanse the intestines, you need to know everyone who plans to study the intestinal system or surgery.

Description

Cleansing the intestines "Fortrans" at home is carried out for various reasons. More often the goal is to free the digestive canal before the upcoming operations, as well as losing weight. Traditional enema cleansing does not always give the desired effect. That is why many doctors prefer modern medicines, such as Fortrans. Powder instead of an enema will help to quickly and effectively clean all parts of the intestine.

The drug belongs to the osmotic laxative drugs, the action of which is aimed at the complete cleansing of the intestinal system. The tool effectively removes not only the remains of feces, but also accumulated in the process of life toxic substances, heavy compounds and slags.

The drug is produced in the form of a white powder for the preparation of a solution.. There are 4 bags in one box. The active ingredient is macrogol 4000, additional substances are sodium chloride, sodium saccharinate, bicarbonate sulfate, potassium.

Due to its components, the medicine dissolves well in water and effectively cleanses the entire digestive tract.

pharmachologic effect

Powder "Fortrans" for cleansing the intestines has the ability to quickly and completely dissolve in the liquid, maintains electrolyte balance without causing dehydration. Penetrating into the body, the active substances capture the thin and thick sections of the intestinal system without having a toxic effect on the human body.

The ingredients have a laxative effect, increasing the osmotic pressure in the intestines and retaining water. This leads to the dissolution of the food bolus, swelling in the volume of the contents of the digestive canal, activation of peristalsis and the urge to empty.

The use of "Fortrans" leads to increased contraction of the intestine and the need to defecate. Unlike similar drugs that act on the lower regions of the intestine without affecting the upper one, the powder flushes the entire system completely.

The laxative does not provoke excessive loss of fluid from the internal organs and, as a result, dehydration. In addition, the drug does not enter the bloodstream, does not dissolve in the digestive tract, and is removed from the body in an unchanged form.

The therapeutic effect begins 60-90 minutes after consumption and lasts from 2 to 5 hours.

If no effect occurs within 2-3 hours from the moment of taking the liquid, the patient should massage the stomach, and also move more actively.

"Fortrans" is a remedy that should not be used regularly. The drug is taken for a one-time bowel cleansing, it is not suitable for the systematic elimination of constipation.

Cleansing of the intestinal system occurs due to repeated acts of defecation that occur under the influence of the use of the next portion of the solution. It is the portioned method of taking the diluted powder that allows you to gently and effectively cleanse yourself, as well as prevent the loss of electrolytes that occurs during emptying. Most often, after the procedure is completed, the patient quickly recovers normal defecation.

Indications for use

Most often, the drug is prescribed before the following diagnostic measures:

examinations of the digestive tract: endoscopy, fluoroscopy, colonoscopy;
upcoming surgical interventions on the colon, which require the absolute absence of contents;
in the treatment of chronic and acute constipation.

All patients who are prescribed anoscopy, fibrocolonoscopy, sigmoidoscopy, irrigoscopy, enteroscopy should take Fortrans to cleanse the large intestine.

In some cases, specialists prescribe a procedure before ultrasonography. However most often cleaning is carried out before surgery.

Some proponents of alternative medicine use this method of cleansing before fasting or special diets.

Contraindications and negative consequences

Absolute restrictions on the use of the powder are:

kidney disease;
dehydration;
serious pathologies of the heart;
the presence or tendency to intestinal obstruction;
ulcers and erosion of the stomach;
oncological neoplasms;
perforated ulcers;
the age of the child is less than 15 years;
hypersensitivity to active components.

Medicine for cleansing the intestines before surgery can cause the following negative consequences after taking:

nausea and gag reflexes due to the unpleasant taste of the solution, which usually stop with subsequent use;
bloating, increased gas formation;
heaviness in the stomach;
the occurrence of diarrhea;
allergic manifestations in the form of skin rash and swelling;
in extremely rare cases, anaphylaxis may develop.

The indigestion that occurs under the influence of active components disappears 24-48 hours after the end of the cleansing and does not require therapy.

Instructions for use

For more effective cleaning, 2-3 days before the procedure, it is necessary to include foods containing dietary fiber in your diet. On the day of the cleansing manipulations, you should eat a light breakfast and limit the intake of other foods..

"Fortrans" for bowel cleansing is drunk according to the instructions. For preparation, the patient needs to know his weight: the dosage is calculated based on the patient's body weight. Most often, rinsing requires 3-4 bags of powder. A bag of powder is dissolved in 1 liter of water.

One package corresponds to 15-20 kg of body weight. The prepared composition is used for 2-4 hours in small portions. The amount of the drug drunk is approximately 1 liter per 1 hour.

If vomiting and nausea occur, the patient is advised to drink lemon juice or chew a slice of lemon.

It is most effective to take bowel cleansing powder before surgery in the evening if surgery is scheduled for the morning, or 3-4 hours before the examination.

The urge to defecate occurs after about 1.5-2 hours, but you should not stop taking the remedy. The entire solution must be drunk whole.

The use of the drug does not lead to an overdose, since the active substances are not able to be absorbed into the bloodstream and are excreted unchanged. However, the use of a laxative may interfere with other medications taken, weakening their therapeutic effect.

Throughout the day, you need to drink plenty of water, consume juices and lean meals.. After completing the cleansing procedures, patients easily return to their normal diet. The next day, light food, plenty of water should be gradually introduced into the diet, and physical activity should be excluded.

Frequent urge to void leads to irritation of the anus, so the patient needs to use wet wipes instead of toilet paper, and apply baby cream.

"Fortrans" as a way to lose weight

Laxatives are often used by people who want to lose weight. However the use of the drug will not be effective if the person does not follow a diet. The medicine is able to cleanse the digestive tract and remove its contents, but does not burn body fat. That is why adherents of traditional medicine recommend this medication as an additional method of detoxification before therapeutic fasting, as well as to facilitate entry into a new diet.

Experts do not recommend using powder to remove toxins more than 2-3 times a year. The drug can disrupt the intestinal microflora, increase the growth of pathogenic microorganisms in the intestinal system, and also cause colitis, enteritis and chronic constipation. Frequent use of a laxative can lead to a lack of vitamins and minerals, as frequent diarrhea can flush out beneficial substances from the body.

Take the solution in order to lose weight should be correct, following the annotation for use. One sachet is diluted in 1 liter of water. It is necessary to use the composition 2 hours after eating in small sips, every quarter of an hour. Drinking water or juice is allowed, but eating food is excluded.

During the cleansing procedures, the patient must be at home, as the need for defecation may occur for 6 hours. In addition, weakness may be felt during cleaning.

The day after the procedure, it is recommended to eat boiled rice, which helps to restore the digestive system and prevents diarrhea. In the next 7 days, the patient should take probiotics, which include bifidobacteria and lactobacilli, which contribute to the normalization of intestinal microflora.

Analogues

The powder has proven itself from the best side, however, due to the rather high cost, many people have found a replacement for it with other, cheaper medicines. Besides, most patients cannot tolerate the taste of the solution, resulting in incomplete consumption of the volume. Also, the drug is contraindicated in childhood, unlike other drugs with a similar effect.

On pharmacy shelves you can find various preparations containing the same active ingredient as Fortrans - macrogol (polyethylene glycol). You can replace Fortrans for bowel cleansing with the following medicines:

"Lavacol".
"Osmogol".
Forlax.
"Tranzipeg".
Forteza Rompharm.
"Realaxan".

These funds are similar in indications and have the same limitations.. In case of individual intolerance, drugs can be replaced with agents that have other active ingredients, but have a similar effect:

"Duphalac".
Bioflorax.
"Laktuvit".

Analogues also include "Goodluck" in the form of a syrup, magnesium sulfate powder, "Normaze" in syrup, "Transulose" in the form of a gel, "Bisacodyl" - a product produced in the form of tablets and suppositories. These tablets instead of an enema effectively cope with chronic constipation and can be used in childhood.

The deterioration of the environment, improper diet and a decrease in physical activity lead to slagging of the body. Cleansing the intestines with "Fortrans" is one of the options for removing toxins, salts and harmful substances at home. The solution helps cleanse the intestines before an operation or diagnostic procedure. With the right dosage, the drug promotes weight loss. However, to achieve the desired effect, you need to consult a doctor.

"Fortrans" is a drug that has a laxative effect and removes poisons from the body during intoxication.

Description of the drug

Powders "Fortrans" have a powerful laxative effect, which has a cleansing effect on the intestines. By combining a single application with proper nutrition and exercise, you can lose weight and restore health. To understand that the cleaning was effective, you can by the number and appearance of bowel movements. According to the reviews of people who used the solution, the result from Fortrans helped the body to cheer up and cleanse itself.

Tool Components

The main substance of the drug, which has a laxative effect, is macrogol 4000. The powder also contains:

sodium chloride;
sodium saccharin;
sodium bicarbonate;
potassium chloride;
anhydrous sodium sulfate.

Auxiliary components of "Fortrans" are used to regulate the salt and alkaline balance in the intestine, as well as as a sweetener. The use of macrogol 4000 alone, along with a laxative effect, provokes an imbalance of microelements in the body. For this reason, only specialists prescribe Fortrans for use at home and in the hospital.

"Fortrans" is available in a crumbly form, which is dissolved in water before use.

Release form

"Fortrans" is produced in the form of a powder, white. The drug dissolves easily in water without forming a precipitate. Following the instructions on the package, the preparation of the drink is allowed to be done at home, on your own. The product is packaged in sachets, 64 grams each. One sachet is designed for a patient weighing up to 90 kg. Cardboard boxes contain 4 bags of "Fortrans".

Mechanism of action

"Fortrans" is a drug of the laxative group. The effect of its use is compared with the action of an enema. The difference is that "Fortrans" not only cleanses the intestines, but also maintains a balance of salt and bile. The main action is to retain water, which plays the role of a solvent. The powder, when combined with the liquid, increases in volume and has a laxative effect. Simultaneously with the release of intestinal contents, the drug itself is excreted from the body. "Fortrans" is not absorbed into the blood and into the walls of the intestine, so you can drink it without fear. The effect occurs one and a half hours after taking the remedy and lasts up to 6 hours.

Indications and contraindications

It is not advisable to use Fortrans by minors.

"Fortrans" is prescribed for the purpose of cleansing the intestines as an effective replacement for an enema. It is indicated on the eve of an endoscopic examination of the colon and for weight loss. As a means for weight loss, repeated use of the drug leads to a deterioration in overall health. Therefore, experts do not recommend the use of "Fortrans" for this purpose. The main reason for prescribing a laxative is the need to quickly empty the intestines.

It is forbidden to use the drug for patients under the age of 18 years. Against the background of general dehydration of the body, taking the drug is also not recommended, as the condition is aggravated. If you are allergic to the components of the composition when using Fortrans, it can cause itching and rash. Other contraindications are diseases of the gastrointestinal tract and intestinal obstruction.

How to take "Fortrans" when cleansing the colon?

The use of the laxative "Fortrans" implies, according to the instructions, preliminary preparation for the procedure and subsequent rest for the body. This is due to the fact that cleansing the intestines with this drug is not an easy task, from a moral point of view. This is facilitated by the large volume of the drink, its taste and discomfort associated with subsequent repeated urge to defecate.

Body preparation

2 days before taking the medicine, it is necessary to prepare the body. It concerns the diet. Before use, you can not eat foods that contain fiber. Directly on the day of taking Fortrans, meals should be limited to a light breakfast. Cleansing the intestines with the drug will take the whole day: 3-4 hours for drinking a drink, 5-6 hours for the cleansing procedure itself and the rest of the time is spent on rest.

How much solution to take?

You need to prepare a drink at the rate of: 1 sachet of powder per 1 liter of water. The weight of the patient affects the amount of powder: 1 sachet is designed for 20 kg. So, for a person weighing 80 kg, you need 4 bags. A liter of liquid should be drunk in 1 hour. Drinking more quickly can cause a gag reflex. Therefore, the resulting 4 liters are drunk in 4 hours.

The effect of the use of "Fortrans" comes quickly and lasts for the next half of the day.

Cleaning action time

The effect of the use of "Fortrans", according to the instructions, comes quickly enough and lasts up to 6-10 hours. Therefore, on the day of admission, you must abandon your plans and spend all the time at home. Immediately during use and the next day, it is necessary to abandon physical and mental stress. The body needs a state of rest.

How to facilitate the effect of the solution?

Cleansing with this medicine is similar to using an enema. Therefore, the drug must be drunk gradually so that the feces have time to soften. After an hour and a half, the effect of "Fortrans" comes. At the same time, you need to be ready to go to the toilet every 20-30 minutes. With so many bowel movements, the patient may feel discomfort and burning in the anus. With such symptoms, the use of petroleum jelly or baby cream is recommended. In addition, not all patients manage to drink a drink in due time. This happens because of its specific taste. In this case, doctors recommend drinking Fortrans with juice or snacking on fruit slices.

Approximate scheme of use

Scheme of the use of "Fortrans", so that the intestines are properly cleansed:

The schedule for the use of "Fortrans" may consist of 6 doses of the drug per day.

12:00 - a meal consisting of light meals. After that, eating is prohibited.
14:00-15:00 - drinking 1 liter of a laxative drink (1 glass every quarter of an hour).
15:00-16:00 - use of the 1st liter of Fortrans solution, divided into 4 glasses. The interval between doses is no more than 15 minutes.
16:00-17:00 - rest for the body. At this time, the drug begins to have a visible cleansing effect.
17:00-18:00 - taking 1 liter of water diluted with Fortrans medicine (1 glass every 15 minutes).
18:00-19:00 - apply the last liter of the drink.

This scheme is an example of how to use Fortrans medicine correctly. It is designed for a single use by a patient whose weight is 70–80 kg. Appointment hours can be changed according to the doctor's prescription. After drinking the last portion of the solution, you can not eat anything. It is allowed to drink only mineral water without gas, in small quantities. It is necessary to take "Fortrans" to cleanse the intestines, before the operation, according to the scheme proposed by the doctor. Drinking "Fortrans" according to the proposed schedule should be in order to cleanse the intestines and replace the enema.

Frequency of use for cleaning

The drug "Fortrans" is intended for a single dose. The reason lies in the strong laxative effect that is exerted on the body. For this reason, experts do not recommend the use of a means for losing weight. Repeated intake of "Fortrans" leads to an imbalance of salt and trace elements in the intestine, which negatively affects the entire body.

Side effects of "Fortrans" can be expressed in addiction to the drug and depletion of the intestinal flora.