A laxative that works quickly. What are constipation pills: laxatives of various mechanisms of action

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

Different reviews of good laxatives can be found on the net. But even the mildest laxatives to normalize bowel function have some drawbacks and are contraindicated under certain conditions. Those who choose an effective laxative for cleansing 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 to get rid of the 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, digestive tablets 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 materials differ in their effect on the intestines.

It is very important that people who have chronic constipation contact specialists in order to be examined and determine the causes of this condition. Then the doctor will advise what to drink for constipation in order to get rid of both the cause and the symptoms.

In most cases, chronic constipation develops as a result of diseases of the gastrointestinal tract, the 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 ensure that natural bowel movement goes smoothly.

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

irritant drugs;
osmotic laxatives;
prebiotics - medicines for constipation in adults and children;
excipient medicines .

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

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

Irritant constipation tablets

Those who are looking for the most powerful laxative should pay attention to this group of drugs. These drugs for the treatment of constipation provide the most rapid 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.

Often used tablets for constipation in the elderly, as they are effective in intestinal atony or in case sluggish peristalsis . This category includes:

medicinal products: Sodium Picosulfate and etc.;
herbal remedies: castor oil, rhubarb root, hay leaves, joster fruit, buckthorn bark.

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

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

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

If you take a fast-acting laxative at home constantly (more than 10 days in a row), 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 increasing the dose is not recommended. In order not to provoke such effects, it is advisable to take such drugs rarely, using periodically folk laxatives for fast-acting constipation.

Another common side effect of these drugs is the development pain in the intestines . Therefore, many patients do not use strong, fast-acting laxatives in drops and tablets of this type, for fear of developing severe pain.

Fast-acting laxative suppositories are shown, as well as drugs in drops and tablets, primarily for constipation, which are not chronic and develop in solitary cases.

Such agents are contraindicated when, lactation , infants (for children are mainly used prebiotics , laxative for children from 1 year old - only as prescribed by a doctor). Do not use in acute. 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 , in acute form, exacerbation;
bleeding stomach, uterine, intestinal;
any inflammatory disease of the abdominal organs;
infringement of inguinal hernia;
symptoms of intestinal obstruction;
, peritonitis ;
violations of water-salt metabolism;
perforation of the stomach, intestines.

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

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

Take 1 tablet in the evening, before going to bed. If there is no effect, use 1-2 tablets. Children under 6 years old are given half a tablet.

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

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

Sennosides A and B

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

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

This popular herbal laxative is not addictive.

Prescribe such drugs to regulate stool with hemorrhoids , at constipation , which develop as a result of sluggish peristalsis, with spastic and atonic constipation.

Apply this remedy once a day, it is effective 6-12 hours after ingestion. The dosage is determined depending on the form of the drug that is used. Usually taken before bed.

Side effects and contraindications are the same as when taking .

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

Sodium Picosulfate

, Weak , Laxigal , .

Laxatives based on this component are tasteless and odorless

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

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 a decrease in pressure can develop.

Do not use in the first trimester of pregnancy, as well as children under 4 years of age. Other contraindications are the same as in the previous descriptions.

Cost - from 180 rubles.

Glycerol

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 means to overcome constipation. They can be used even during the period of bearing a baby 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 the upper gastrointestinal tract. They enter the large intestine unchanged, and there they stimulate the development of beneficial intestinal microflora.

This group of drugs includes Inulin , fructooligosaccharides .

Each of these drugs is a mild laxative, acts slowly, but with their use there is a more stable therapeutic effect than any irritant and saline laxative.

Any prebiotic is a mild laxative for colon cleansing. It not only stimulates the growth of beneficial microflora, but also provides the same effect as mild irritants and osmotic laxatives. After all, in the process of fermentation of prebiotics, the production of organic acids occurs, which stimulate the intestinal muscles.

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

Taking such a drug for constipation without addiction, the patient should not expect instant 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.
These drugs are often used to treat intestinal dysbacteriosis , in which there is a delay in stool and constipation.
Prebiotics also produce a detoxifying effect, remove from the body nitrogenous substances .
They are applied when hepatic encephalopathy .
When taking probiotics, there is an improvement in the absorption of calcium, fluoride.
The drugs suppress the reproduction in the intestine of opportunistic microflora.

Portalak syrup , Lactulose Poly , Romfalak , Lactulose Stada , Livolyuk-PB , .

A mild laxative drug that 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.

It should not be used for intestinal obstruction, hypersensitivity to lactose, galactosemia, it should be used with caution.

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

lactitol

Importal N , - powder from which liquid medicine is prepared. Lactitol is also used 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 feces, improves bowel function.

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

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

Probably manifestations of discomfort in the abdomen, flatulence.

Laxatives with osmotic action

It is not recommended to use saline osmotic laxatives in 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 in case of drug or food poisoning.

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

Salt medicines belong to this group: 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, there is a violation of the 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, for longer than 3 months. It is necessary to choose other, more gentle laxatives for the elderly, for example, glycerin. Also, drugs of this type can provoke abdominal pain during emptying.

Artificial Karlovy Vary salt

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

Shown for use in chronic poisoning , constipation .

Should not be used for intestinal obstruction, hypersensitivity, constipation.

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

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

macrogol

If, nevertheless, with the help of improvised methods it is not possible to cope with constipation, then the doctor should definitely tell the woman what pills to drink during pregnancy. After all, any potent means in this state are contraindicated for a woman. Medicines that activate peristalsis increase the tone of the uterus, which is unsafe when carrying a fetus.

Permitted drugs during pregnancy - glycerin suppositories . 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.

conclusions

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. After all, with inadequate therapy, there may be laxative disease and other complications.

Laxatives for children should be chosen very carefully. Any child 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, as they are most convenient to use. After all, such a medicine acts locally, therefore it is safe for the body. The best remedy for constipation for children is glycerin suppositories, as they are the safest. If one-eighth of a candle is used for a newborn baby, then half a candle is used for a child of 2 years old, and a whole candle for children 4 years old and older.

Also, lactulose-based syrup can be used for children, 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.

Effective laxatives can be either synthetic or natural. All of them have features - a different mechanism of action, method of application and dosage form.

How does a laxative work for constipation?

It is important to take the treatment of constipation seriously, finding out the causes of the pathology and reviewing the diet. For example, if the food is low in fiber, it is not surprising that the intestines do not work well. If a change in diet does not help, laxatives can be used for frequent constipation.

The drugs begin to work in the large intestine. Some laxatives soften feces by attracting water and activate. Other drugs help not only facilitate the act of defecation and eliminate constipation, but also normalize the state of the intestinal microflora.

Laxatives can have the following forms of release:

drops;
syrup;
powder;
microclysters;
candles;
pills.

When is a laxative needed?

Slagging of the body negatively affects human health in general.

A contaminated intestine can cause the following symptoms:

frequent colds;
diseases of the respiratory system;
fast fatiguability;
decrease in working capacity;
constant flatulence, problems with the stool;
dermatological diseases.

These signs are a signal of slagging of the intestine, the accumulation of a huge amount of toxins in it. The situation can be improved by the appointment of a laxative of natural or synthetic origin to cleanse the intestines. The main thing is to choose the right drug.

The best irritant laxatives

These are the most effective and strong laxatives that are prescribed for sluggish bowel movements. These include laxative suppositories and Bisacodyl tablets. The advantage is a quick result, since their evening intake in the morning leads to bowel movements.

The drugs are prescribed as a good fast-acting laxative for spontaneous and acute constipation, but not for chronic problems. Their intake is contraindicated for lactating and pregnant women, children under 8 years old, as well as for cystitis, peritonitis, intestinal perforation, acute hemorrhoids, proctitis, of unknown origin.

According to the instructions, the laxative effect of this group of drugs occurs as a result of chemical irritation of the receptors of the large intestine, which leads to an increase in its peristalsis. Such stimulation helps to empty the intestines 8-12 hours after taking the drug.

Good osmotic laxatives

Osmotic laxatives are effective laxatives for a one-time cleansing of the intestines in case of poisoning, acute constipation, as well as for medical and diagnostic procedures on the organs of the gastrointestinal tract ().

They are safe when compared with irritating drugs, do not form intestinal atony syndrome and addiction. But, like most drugs, they cannot eliminate the cause of constipation, providing only a symptomatic effect. You can use them up to 3 months.

Good laxatives in this group are:

Carlsbad salt.
Lavacol.
Sodium sulfate.
Magnesium sulfate (Magnesia).

According to the instructions, the active substance of the drug retains water in the intestinal lumen, which allows you to effectively soften and increase the volume of feces. Increased osmotic pressure causes a laxative effect.

Contraindications to the appointment of osmotic laxatives are dehydration, chronic constipation, pain in the intestines of unclear etiology.

Mild laxative prebiotics

It is an effective laxative for daily use in the elderly, children and pregnant women. Prebiotics are food components that are not digested in the stomach, acting as stimulants for the development of beneficial intestinal microflora.

Means are mild laxatives for every day, as they act harmlessly and slowly, creating a confident therapeutic effect, compared with osmotic and irritant laxatives. These include:

Lactulose.
Inulin.
Bran.

Prebiotics combine two mechanisms of action, working as osmotic and irritant laxatives, but the effect of them will be milder. They have practically no side effects, except for flatulence, which disappears quite quickly - 72 hours after the start of treatment.

Indications for the appointment of prebiotics are chronic and acute constipation, treatment, hepatic encephalopathy. There are no contraindications.

Natural herbal laxatives

Laxative tablets of plant origin, entering the intestines, attract water, as a result of which they swell and increase the volume of feces, while simultaneously stretching the walls of the organ. Against this background, excitation of peristalsis occurs, and further emptying of the intestine becomes the result of a reflex reaction.

The active ingredients in herbal laxatives are natural substances that are almost not absorbed in the stomach. Here are two examples of the best natural laxatives:

Phytolax.
Senade.

Phytolax perfectly fights constipation, working delicately and carefully. Phytolax contains senna extract, plantain, apricot pulp, dill fruits. Release form - chewable dragees and tablets. Indications for use are atony and lethargy of the intestines, constipation. Contraindicated for pregnant and lactating women. The course of treatment with Phytolax takes 2 weeks, the drug is taken at night in the amount of 1-2 tablets.

Senade is a popular laxative of choice for the elderly due to its low cost and effectiveness. This drug, once in the intestine, increases peristalsis, helping to move feces to the anus. The active substance of the drug is senna extract.

Indications for the appointment may be constipation, hemorrhoids, impaired intestinal motility. It is contraindicated to take Senade to persons with bleeding and acute inflammation in the digestive organs,. The drug is prescribed orally, at night in the amount of 1 tablet.

How to make strong laxatives yourself

Laxatives at home are easy to prepare:

laxative plants;
fruits ();
vegetable oil;
and other safe natural ingredients.

Castor oil has a laxative effect. Cleansing begins with the small intestine, so it is important for a person to stop eating before and after the procedure for 5-7 hours. The agent is dosed at the rate of 1 g per 1 kg of the patient's weight. To enhance the cleansing effect, after taking the oil, you need to drink lemon juice in double the amount of castor oil. The result of the procedure can be expected within 1-2 hours.

Instead, which not everyone can do on their own at home, folk recipes are suitable in the form of decoctions and tinctures with alcohol, prepared on the basis of senna leaves, dill, aloe, buckthorn bark. You can also purchase ready-made vegetable preparations, which are easy to prepare, based on the instructions.

It's no secret that you need to start treating stool retention with a nutritional correction. One of the effective and at the same time very tasty remedies for constipation is a dessert made from dried fruits, bran and kefir.

Safe laxatives for pregnant women and children

For constipation, a laxative for children and pregnant women should be light and preferably odorless and tasteless. The drug should not be addictive, interfere with the absorption of nutrients, provoke spasms in the intestines and indigestion.

Suitable laxatives for the child and the expectant mother:

glycerin suppositories;
Duphalac;
enemas Microlax, which have an effect after 15 minutes.

There are no contraindications to their use.

Laxatives for the elderly

In the elderly, the choice of laxatives should be approached taking into account the state of health of the patient. Most often, doctors prescribe irritant laxatives and drugs of natural origin to the elderly.

It can be:

Guttalax. A drug that gently acts on the intestines and is not addictive, which allows you to take it for a long time.
Weak. It is prescribed for advanced constipation. Drops of Slabilen irritate the receptors of the large intestine, causing a laxative effect.
Dibrolax. A senna-based drug that has the effect of an irritant laxative.

Laxatives for bedridden patients

For patients who are forced to lie down for a long time, taking "slow" laxatives is indicated.

These include:

Portalak. The drug is prescribed for chronic constipation, its most important effect is the elimination of ammonia.
Forlax. It is an osmotic laxative. The result comes in 8-12 hours, sometimes in two days. Should not be taken for more than 3 weeks. With course treatment, it can normalize bowel function, which in the future will need to be maintained with moderate physical activity and proper nutrition.

Before taking any laxatives, you need to read the instructions. Elderly people, pregnant women and children should not take laxatives without the knowledge of their doctor. The effectiveness of well-chosen drugs is undeniable.

Useful video about laxatives

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

How laxatives work

The easiest way to relieve constipation is to take a laxative. Such medicines are presented on pharmacy shelves 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 and soften feces. 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 variety of fast-acting: in tablets and drops, in the form of syrup and powder for solution, in the form of rectal suppositories. All of them differ in their mechanism of action. Most patients, wanting to get a quick result, choose the most dangerous group of laxatives - drugs that irritate the colon receptors. They should be used only for acute constipation for the speedy relief of the condition. The therapeutic effect is 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 helps to thin the stool. These are safe products that can be used for a long time and do not cause a negative effect on the body. They have a mild laxative effect and do not cause the development of lazy gut syndrome.

Intestinal fillers and herbal preparations

Intestinal fillers are products of natural or synthetic origin. They are not absorbed into the intestinal walls, contribute to an increase in the volume of feces and accelerate the emptying of the rectum. Such a laxative for the intestines 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 fluid per day. Patients often refuse treatment with intestinal fillers due to side effects.

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

Possible causes of constipation

Normally, the urge to defecate, the multiplicity of which depends on individual characteristics, occurs spontaneously. If, for some reason, the work of the lower calving intestines is disturbed, there is a delay in the products of processing. The causes of constipation can be very different. Predisposing factors are:

irritable bowel syndrome;
unbalanced diet;
limited fluid intake;
curbing the urge to defecate;
weakness of the muscles of the lower intestine;
frequent use of laxatives.

Can disrupt the intestines: various pathologies of the endocrine system, autonomic dysfunction, changes in blood flow (blood circulation in the intestinal walls worsens).

Fast-acting laxatives: a list of effective drugs

Fast-acting laxatives are considered the most unsafe for the body. They should only be used as a last resort. They retain fluid and interfere with the absorption of electrolytes. This group includes the following drugs:

"Guttalax".
"Bisacodyl".
"Weak."
"Laksatin".
Phytomucil.
Regulax.
"Senadexin".
"Dulcolact".
"Guttasil".
"Senade".

Fast-acting irritant laxatives (in tablets, drops, suppositories) should be taken with reduced intestinal motility. The therapeutic effect can be observed already 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 The substance irritates the intestinal walls, increasing motility. The activity of the drug is observed only in the large intestine. Guttalax is prescribed to regulate stool in case of dysbacteriosis, hemorrhoids. According to the instructions, a laxative is used if necessary to thin the feces in elderly patients suffering from chronic constipation, in preparation for surgery and during the recovery period.

In pediatrics, such a laxative for constipation is rarely prescribed. Children can use it only from 4 years. Among the contraindications are pregnancy, acute inflammation of the digestive tract, dehydration.

"Dulcolax" (tablets)

A strong fast-acting laxative "Dulcolax" (manufactured in Germany) contains the active substance bisacodyl, which irritates the mucous walls of the intestine. In the large intestine, the drug causes increased secretion of mucus, activates peristalsis. The urge to defecate after taking the tablets can be felt after 6 hours. If the drug was taken at 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

Fast-acting laxatives have the greatest number of contraindications for use. In tablets, the drug "Dulcolax" can not 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's age up to 4 years.

Among the side effects, spastic pains, diarrhea (fraught with severe dehydration and electrolyte imbalance), flatulence, and allergies can be observed.

Laxative tablets "Senadexin"

The drug contains sennoside A and B, a substance of natural origin, isolated from senna leaves. The component acts on the motility of the colon, irritating the receptors, and is not addictive. The laxative effect of chewable tablets is 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 with plenty of water. According to the instructions, the tablets can be taken once or you can undergo a course of therapy. The drug can be prescribed to children from six years of age. The dosage should be calculated by the attending physician.

Analogues of "Senadexin" are the following fast-acting laxatives (in tablets):

"Glaxenna".
"Senna".
"Senade".
"Bekunis".

Before taking irritant laxatives, you should consult a doctor.

In most cases, experts recommend that patients take a mild laxative that will not cause addiction and other complications from the gastrointestinal tract. In addition to drug therapy, it is necessary to follow a diet, consume plenty of fluids and foods rich in fiber. Also, don't forget about exercise.

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

Prolonged neglect of constipation can lead to its development into a chronic form.

Therefore, at the first signs of this disease, effective treatment is required. Consider what means for constipation are better.

The best remedies for constipation depending on the cause

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

When choosing a tool, you should pay attention to such points:

drug tolerance, side effects;
estimated time of bowel movement after taking it;
the remedy should not be addictive.

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

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

The best laxatives with osmotic action

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

Forlax

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

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

The main contraindications to the use of Forlax are:

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

The disadvantage of this medication is that it can cause bloating and nausea. As for the benefits, it has increased effectiveness for constipation by increasing and thinning feces.

The cost of the drug varies within 280 rubles.

Lavacol

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

To eliminate constipation, you need to use 1 sachet dissolved in 1 glass of purified water. After a couple of hours, the urge to defecate is already felt. If a person has not gone to the toilet, then the medicine should be drunk again.

Contraindications to the use of Lavacol:

intestinal obstruction;
toxic expansion of the rectum;
narrowing of the lumen of the stomach;
stomach or duodenal ulcer;
impaired functioning of the renal system;
dehydration of the body;
age under 15 years old.

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

The price in Russia for Lavacol averages 180 rubles.

Irritant Colon Cleansing Medications with Quick Result

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

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

Bisacodyl

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

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

Bisacodyl is contraindicated in such cases:

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

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

You can buy Bisacodyl for an average of 40 rubles.

Guttalax

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

Guttalax should not be used in the treatment of constipation in such cases:

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

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

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

Effective prebiotics

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

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

Duphalac

The drug is a viscous syrup for oral administration. To eliminate problems with bowel movements, you should take the syrup for 2 days. The dosage for an adult is up to 45 ml. In childhood, Duphalac should not be drunk more than 10 ml per day.

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

You can buy Duphalac in pharmacies for about 800 rubles.

Normase

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

It is forbidden to use Normaze in the fight against constipation in such cases:

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

This drug has the advantage that it can treat constipation in infants. As for the disadvantages, Normaze in some cases causes nausea and diarrhea.

The cost of Normaze in pharmacies averages 280 rubles.

natural fillers

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

Mukofalk

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

You should not use Mucofalk in such cases:

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

The advantage of this medicine is its natural basis. As for the shortcomings, Mucofalk cannot be used to treat children.

The cost of the drug is approximately 570 rubles.

Citrucel

This is a medicine that promotes an increase in fecal masses. Citrucel is available in capsule form. For the treatment of constipation, take 2 capsules per day.

Citrucel is contraindicated:

diabetes;
age up to 15 years;
intestinal obstruction.

You can buy Citrucel for about 700 rubles.

Which of the presented medicines to choose?

Laxative - which is better? In order to answer this question, it is better to contact a specialist. Since it is required to identify the cause of the development of this ailment. Depending on this factor, a laxative is chosen.

Modern pharmacology offers many laxatives of various groups. Therefore, making the right choice is not difficult, even considering their cost.

Stories from our readers

Defeated hemorrhoids at home. It's been a month since I forgot about my bumps. Oh, what methods I did not try - nothing helped. How many times I went to the doctors, but they prescribed me useless drugs again and again, and when I returned, the doctors recommended surgery. Finally I got over the disease, and all thanks to this article. Anyone with hemorrhoids should read this!

Video: how to treat hemorrhoids?

Laxatives - a group of drugs used to combat constipation, detoxification, bowel cleansing before surgery. There are 3 groups of drugs that have a laxative effect: laxative, medium-strength and drastic (carrying).

Any strong fast-acting laxative is referred to as a carrying agent 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 the use of salt medicines, a quick effect can be achieved by taking castor oil and some synthetic drugs.

The concept of "instant laxative" is very arbitrary, since any drug, before starting to act, must pass through the esophagus, stomach, and enter the intestines. Only then does he begin to act. Among the "instant" conditionally include magnesium sulfate and saline enteral solution, which is used only in a hospital under the supervision of physicians.

Magnesium sulfate

Magnesium sulfate as a laxative is applied through the mouth, in the 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 hypertonic saline solutions, promotes the release and retention of a large amount of fluid in the intestine. Due to this, the feces soften.

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

Important: magnesium sulfate is an emergency remedy and is used once. Its regular use disrupts the water-electrolyte balance, causes dehydration, and destroys the microflora.

The use of magnesium sulfate is possible at home in the absence of 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;
respiratory 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 SER is similar to that for magnesium sulfate, however, unlike magnesia, the solution:

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

The intestinal lavage procedure is performed under medical supervision. The patient takes 100-150 ml of solution every 10 minutes. Stool discharge begins after 2-3 doses and ends 30-40 minutes after the last serving. The total amount of medicine needed for 1 flush can reach 3-5 liters. Lavage is stopped after the patient begins to stand out yellowish water without feces.

SERs are not used in the treatment of chronic constipation, signs of intestinal perforation or intestinal bleeding, acute inflammation of the intestine and its obstruction. With caution, the method is used in relation to patients with renal failure, internal edema, low blood pressure. Lavage is rarely used in pediatrics.

Strong fast-acting laxatives

Almost any strong laxative can lead to 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 body. Fast-acting laxatives include drugs, the effect of which develops after 4-7 hours.

For adults

When prescribing laxatives, it is necessary to remember the possibility of addiction. Long-term regular intake of medications leads to the fact that self-emptying of the intestine becomes impossible.

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

For adult patients, the drug is prescribed once, at any time of the day, regardless of the meal. 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 laxatives.

Lactulose (softening)- hyperosmotic laxative. Stimulates intestinal receptors, draws fluid into its lumen, diluting fecal masses, increasing their volume, positively affects the microflora (can be used for a long time). The term for obtaining the effect after the first application is 12-24 hours.

Take lactulose should be 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- Available 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. 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 drug is contraindicated in patients with hypernatremia, mechanical obstruction and intestinal perforation.

For the elderly

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

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

Elderly people are prescribed bisacodyl 5-10 mg in the morning, on an empty stomach, half an hour before meals. 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 may have a laxative, laxative or purgative effect. The maximum effect is 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 per day 2-3 times a week to prevent constipation.

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

Senade- a preparation based on senna leaves, which can be used as a fast-acting laxative. It irritates the receptors of the colon, 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 is manifested within 6-8 hours after the first dose of the drug. To speed up the action, it is recommended to take the tablet with a glass of warm salted liquid.

For children

The main cause of constipation in children is not intestinal atony, but a violation of its microflora. Failures in the process of digestion lead to the absence of defecation. Accordingly, constipation in children is treated with probiotics.

Acipol- eubiotic containing live lactobacilli and elements of kefir fungus. Normalizes the microflora, strengthens the immune system, normalizes the excretory function of the intestine. Children under the age of 3 years are given 1 capsule 2-3 times a day with meals. Patients older than 3 years are allowed to increase the daily dose to 4 capsules. The course of treatment is 10-14 days, but the stool is normalized already on the 2nd-3rd day of admission.

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

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 dufalac 1 time per day. The drug can be used both diluted and undiluted. Contraindicated in galactosemia, intolerance to the components of the drug, blockage of the intestine.

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

For children from one year to 6 years, the drug is prescribed at 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. Tablets are taken orally with a sufficient amount of liquid. During treatment, hot baths, baths and saunas are prohibited. Buscopan is contraindicated in atony of smooth muscle organs, tachyarrhythmia, acute urinary retention. In addition, contraindications common to all laxatives should be taken into account.

In tablets

Tablets are easy to dose and use. As a rule, this dosage form is prescribed to patients over the age of 3-4 years. Do not prescribe tablets to young children and patients with swallowing disorders. In addition to the drugs described above (bisacodyl, poslabin, dufalac), tablets are available:

Laxatin- 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 after 8-12 hours. Tablets are swallowed without chewing.

Senadexin- analogue of "Senade". Used at bedtime, 1 tablet. The medicine is washed down with a small amount of 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.

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

Drops

Medicines produced in drops are convenient to use in relation to pediatric patients and people with swallowing disorders. In the form of drops are available:

Laxigal- contraindicated in patients aged less than 4 years. Children from 4 to 6 years old are given 6-12 drops per appointment, patients over 12 years old are prescribed 12-24 drops per 1 dose. The drug is taken at bedtime, inside, washed down with boiled water. The action develops 6-8 hours after taking the medicine.

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

Picolax- based on sodium picosulfate. Take at night, 13-27 drops for adult patients, and 7-13 drops for children from 4 to 10 years old. Usually the action develops 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 pharmacological industry produces:

Glycelax- based on glycerin. It is indicated for blockage of the lower intestines with hardened feces. Glycerin softens them, making stool possible. Suppositories are used 1 time per day 20 minutes after breakfast. The systematic use of this dosage form is not necessary.

Relief- a complex drug with a laxative and local regenerating effect. For the treatment of constipation in children over 12 years of age, the remedy is used after breakfast, before bedtime and after each act of defecation. The effect develops during 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 a medicinal enema (acute inflammation and wounds of the rectum, anus, perianal area).

Folk remedies with a quick effect: 3 super recipes!

Laxatives from the arsenal of traditional medicine have a fairly strong, but at the same time milder, compared to synthetic drugs, action. Among the most effective folk recipes include:

Nettle infusion- to prepare 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 received means within the next day. The medicine is filtered beforehand.

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

A decoction of sea buckthorn- to prepare a strong fast-acting laxative at home, pour a handful of sea buckthorn berries with two cups of boiling water, put the mixture on a slow fire and boil for 2-3 minutes. The resulting substance is filtered, cooled and drunk ½ cup 4 times a day. The decoction 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.

In what case is a quick laxative harmful to the body

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

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

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

lack of certain mineral salts;
lazy bowel syndrome;
course of treatment with broad-spectrum antibiotics;
chronic renal or hepatic insufficiency;
dysbacteriosis.

It is forbidden to take long-term course laxatives, unless absolutely necessary. This approach to treatment usually causes addiction and the development of lazy bowel syndrome. In this case, the patient loses the opportunity to perform an act of defecation on his own, without the use of drugs.

Despite all of the above, fast-acting laxatives are an excellent way to quickly and effectively empty the intestines. Their competent use helps to get rid of waste products, prepare for endoscopic examinations and operations, and avoid many problems associated with the presence of 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 administration necessary in each specific case. This will help to make the medicine a helper, and not a poison that will only aggravate the situation.