DULKOLAKS (Pills)
Active material: Bisakodil
When ATH: A06AB02
CCF: Laxatives, stimulating peristalsis
ICD-10 codes (testimony): K59.0, Z51.4
When CSF: 11.08.01
Manufacturer BOEHRINGER INGELHEIM FRANCE (France)
Pharmaceutical form, composition and packaging
◊ Pills, coated beige yellow, round, lenticular, with smooth, smooth, shiny surface and white kernel.
1 tab. | |
bisakodil | 5 mg |
Excipients: lactose, corn starch, glycerol, magnesium stearate.
The composition of the shell: sucrose, talc, acacia, Titanium dioxide, Еудрагит S, Еудрагит L, diʙutilftalat, polyethylene glycol 6000, iron oxide yellow, beeswax, carnauba wax, unbleached shellac.
10 PC. – blisters (3) – packs cardboard.
30 PC. – plastic bottles (1) – packs cardboard.
Pharmacological action
Laxatives, diphenylmethane derivative. It is a prodrug. The alkaline medium is hydrolyzed to yield a compound, is irritating to the gastrointestinal mucosa (enhances mucus secretion in the colon, It accelerates and enhances its peristalsis).
Laxative effect comes through 6-10 no, when taken before bedtime – through 8-12 no.
Pharmacokinetics
The data on the pharmacokinetics Dulkolaks® not provided.
Testimony
- Constipation, hypotension due to colon (in elderly patients, in bedridden patients, after surgery, delivery);
- To regulate the chair of hemorrhoids, proctitis, anal fissures;
- Purgation during the preoperative;
- Purgation in preparation for instrumental and radiological studies.
Dosage regimen
Adults and children over 12 years at Garnishment, hypotension due to colon, for controlling the chair with haemorrhoids, proctitis, anal fissures the drug is prescribed for 1-2 tab. 1 time / day, children aged 6 to 12 years appoint 1 tab. 1 time / day.
The drug is taken at night or in the morning for 30 minutes before meals.
At preparing for surgery, instrumental and radiological studies appoint 2 tab. per day at night before the study and 2 tab. the night before the operation or investigation.
The tablets should be swallowed whole, drinking a small amount of liquid.
Side effect
From the digestive system: abdominal cramping, flatulence, diarrhea, which can lead to dehydration and disruption of water and electrolyte balance (muscular weakness, convulsions, decrease in blood pressure); In overdose possible intestinal atony.
There are: allergic reactions.
Contraindications
- Bowel obstruction;
- Strangulated hernia;
- Acute inflammatory diseases of the abdominal cavity (including as peritonitis);
- Acute abdominal disease;
- Severe dehydration;
- Bleeding from the gastrointestinal tract;
- Uterine bleeding;
- Spastic constipation;
- Acute proctitis;
- Acute hemorrhoids;
- Cystitis;
- Children up to age 6 years;
- Hypersensitivity to the drug.
FROM caution prescribe the drug to patients with kidney and / or liver, in patients with suspected inflammatory bowel disease history.
Pregnancy and lactation
Precautions should be prescribed the drug Dulkolaks® Pregnancy and lactation (breast-feeding).
Cautions
Avoid prolonged ingestion.
Do not take the medication simultaneously with antacids, alkaline mineral water or milk.
Overdose
Symptoms: possible diarrhea, degidratatsiya, disruption of water and electrolyte balance, kaliopenia, atony of the colon, stomach cramps, clinically significant loss of potassium and other electrolytes.
Treatment: symptomatic therapy.
Drug Interactions
In a joint application of the drug Dulkolaks® with antacids, and milk alkaline mineral water and possibly premature dissolution shell tablet Dulkolaksa®, which can irritate the stomach and duodenum.
Conditions of supply of pharmacies
The drug is resolved to application as an agent Valium holidays.
Conditions and terms
The drug should be stored in a dry, inaccessible to children at temperature not exceeding 25 ° C. Shelf life – 5 years.