Osmotic laxatives. Laxatives

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;
  • tablets.

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

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

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 instructions, active substance 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 passes quickly enough - 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 ingredient 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;
  • fruit ();
  • vegetable oil;
  • and other safe natural ingredients.

Castor oil has a laxative effect. Cleansing starts with small intestine Therefore, it is important for a person to refuse to eat 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, fit folk recipes 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

In any pharmacy today, there is a huge assortment of various laxatives for constipation, and almost everyone has certain contraindications or disadvantages. The most basic "minus" of any laxative is that they are not drugs that treat, they do not have a serious therapeutic effect, but only help to solve the problem of stagnation of feces in the intestine at a time, drank a laxative - cleared, but the problem is not solved. In addition, all constipation tablets, solutions, syrups, herbal preparations, powders should be distinguished by their effect on the intestines.

What is the best, strongest, most effective, quick laxative, which is natural and safe? Is it possible to develop addiction to a particular drug? People who suffer from constipation have many questions, but first of all, you should find out the cause of problems with normal bowel movements. Most often, chronic constipation is caused by diseases of the gastrointestinal tract, the entire digestive system, which should not be eliminated with the help of laxatives. Before using any means, try to try to change the situation with the following simple rules that promote natural bowel movement:

  • The most effective - in the morning, as soon as you wake up, drink 1-2 glasses of not cold, but room temperature water, it is better mineral water without gas 30-40 minutes before breakfast, this clears the stomach and starts the digestion process.
  • Massage of the abdomen helps very well, honey and coffee have a laxative effect.
  • A healthy diet, an active lifestyle, the presence of beets, cabbage, prunes, apricots, any raw vegetables and fruits in the diet improve intestinal motility and do not provoke constipation.
  • The most efficient fast remedy from constipation - the correct determination of the causes of its occurrence and their elimination.
  • Fresh kefir is very useful before going to bed.
  • Castor oil is a fast acting laxative.

All drugs for constipation are usually divided according to the nature of the impact on: means of osmotic action, irritant effect, prebiotics-laxatives, filler preparations. Therefore, when choosing a remedy for constipation, you should decide which class of drugs is indicated and necessary for you, take into account all contraindications and possible side effects.

  • When buying tablets, suppositories in a pharmacy, find out the active ingredient of a particular drug, carefully read the instructions.
  • Do not use irritant laxatives for a long time.
  • You should choose a safe, good, laxative, especially for chronic constipation, the best of all are prebiotic preparations, they both stimulate intestinal activity and restore microflora, with their help you can achieve a stable, long-term therapeutic effect.
  • To achieve a faster effect, you can use, but rather an oily microclyster.

Irritant constipation tablets

These are perhaps the most effective, quick laxatives for constipation, their largest variety, they are prescribed for atony or sluggish intestinal motility. These include drops, syrups, tablets, such as Sodium picosulfate, Bisacodyl, etc., and herbal remedies, such as: senna leaves, castor oil, rhubarb root, joster fruit, buckthorn bark. The advantage of such drugs is a quick effect, the evening intake of irritating tablets for constipation in the morning leads to stool.

  • Action

The laxative effect of irritants is due to chemical irritation of colonic receptors, which stimulates peristalsis. As a rule, such stimulation of the colon leads to a single bowel movement approximately 6 to 10 hours after taking the drug.

  • Side effects

Such stimulating pills for constipation for sluggish intestines cannot be systematically used, this leads to depletion of the receptors of the large intestine, a pronounced decrease in its tone. With prolonged, regular (over 10 days) intake of such laxatives, the risk of laxative disease or intestinal atony, degeneration of the nervous tissue and electrolyte imbalance in the blood increases. To such drugs addiction quickly develops, the initial dose soon does not lead to a significant effect, and it is not desirable to increase it. The disadvantage and side effect of irritant drugs is intense pain in the intestines, due to which most patients refuse to use them.

  • Contraindications and indications

Such remedies are indicated for acute, occasional constipation, not the chronic stage. They are contraindicated for long-term use, as well as lactating and pregnant women, infants. You can not use such laxatives for constipation with: abdominal pain of unknown etiology, acute, with exacerbation of anal fissures, with intestinal, gastric, acute inflammatory diseases abdominal organs, with intestinal obstruction, with peritonitis, with perforation of the intestine or stomach, in violation of water-salt metabolism.

The list of laxatives is presented in the table. It is worth remembering that before using any medicines you need to consult with your doctor.

Bisacodyl - Laxacodyl, Laxatin, Dulcolax, Bisadil, Laxbene, Pirilax, Stadalax.

Indications for use: bowel preparation for endoscopic examination, constipation after surgery, with diet food, idiopathic constipation.
Mode of application: Take 1 tablet before bedtime, if there is no effect, 2-3 tablets, for children after 6 years of age, half a tablet.
Side effects: pain and bloating, nausea, intestinal colic, a feeling of heaviness in the intestines, rarely the appearance of blood, mucus after stool. With prolonged use - loss of electrolytes, intestinal atony.

Sennosides A and B are Regulax, Senade, Antrasennin, Herbion Laxana, Senadexin, Tisasen, Senalex, Ex-Lax, Senna chewable lozenges with chocolate and vanilla flavor, Senna holly leaves.

This is a large group of drugs for constipation, which include the amount of anthraglycosides found in the leaves of holly and narrow-leaved senna. This popular herbal laxative causes fast emptying intestines, is not addictive, acts 6-12 hours after ingestion.
Indications: regulation of stool in hemorrhoids, constipation due to sluggish peristalsis of the colon, atonic and spastic constipation of various origins. The dosage is determined depending on the form medicinal product preferably at night.
Contraindications and side effects are similar to Bisacodyl.

Sodium picosulfate is Guttalax, Guttasil, Laxigal, Regulax Picosulfate, Slabikap, Slabilen

This group of drugs, acting exclusively at the level of the colon, enhances intestinal motility, reduces the absorption of water and electrolytes.

Indications: similar to Bisacodyl and Sennosides
The action occurs within 10-12 hours after ingestion.
Side effects: abdominal pain, diarrhea, dehydration, cramps, weakness, decreased blood pressure, violations of water and electrolyte balance.
Contraindications: children's age up to 4 years, 1st trimester of pregnancy, the rest is similar to other irritants.

Glycerol - candles Glycerin, Glycelax

Laxative for constipation, which lubricates hard fecal matter, softens and facilitates their passage through the intestines, has a reflex stimulation and irritant effect on the intestinal mucosa.

Indications: prevention of constipation for persons who should not strain during bowel movements - after a heart attack, with hemorrhoids, anal fissures, anorectal stenosis, with constipation during pregnancy and lactation.
Contraindications: tumors of the rectum, hypersensitivity, exacerbation of proctitis, hemorrhoids. At kidney failure apply with caution.
Dosage: 1 suppository rectally, 20 minutes after breakfast.
Side effect: itching, burning of the skin, allergic reactions. With prolonged use, the physiological process of defecation is weakened.

Delayed laxatives - prebiotics

Laxatives – prebiotics are the most safe means in the fight against constipation, so they can be used after childbirth and during lactation. This group of drugs are food ingredients, carbohydrates that cannot be digested in the upper gastrointestinal tract, they reach the colon unchanged, where they act as growth stimulators of beneficial intestinal microflora. These agents include: inulin, lactulose and fructooligosaccharides. They can't be named strong means for constipation, however, they act slowly and safely, give a more stable therapeutic effect than saline and irritant laxatives.

  • Mechanism of action

Prebiotics are the best laxative, in addition to stimulating the growth of beneficial microflora, they gradually restore intestinal function, acting both as osmotic laxatives and as mild irritants, since organic acids produced during the fermentation of prebiotics have a stimulating effect on the intestinal muscles. The most popular and effective prebiotic is Lactulose, the laxative effect at a high dosage of 40-50 ml is achieved after 1.5-2 hours.

  • Side effects

It has practically no side effects, with the exception of which disappears 3 days after the start of taking the prebiotic. And also not a very quick effect on constipation, since it is necessary that the drug passes through the entire gastrointestinal tract, so the chair occurs 2-3 days after the usual dosage.

  • Indications, contraindications and benefits

Prebiotics are indicated for both acute and chronic constipation. They are often used for stool retention, constipation. In addition to a laxative effect and normalization of microflora, prebiotics also have detoxifying properties, removing toxic nitrogen-containing substances, they are also indicated for hepatic encephalopathy. Prebiotics improve the absorption of phosphorus and calcium, inhibit the reproduction of conditionally pathogenic flora in the intestine.


Lactulose - Normaze, Portalak syrup, Goodluck, Dufalac, Lactulose Poly, Lactulose Stada, Livoluk-PB, Romfalak

An osmotic mild laxative for constipation, hepatic encephalopathy, and is also used before diagnostic procedures on the gastrointestinal tract (see).
Lactulose has a hyperosmotic effect, promotes the excretion of ammonium ions and better absorption of calcium and phosphorus, stimulates intestinal motility. Lactulose thins the stool, increases its volume, increases the secretion of bile in the small intestine.

Contraindications: intestinal obstruction, galactosemia, sensitivity to lactose, fructose, with caution in diabetes mellitus.

The dosage is determined individually according to the doctor's prescription. This is the best, good laxative for children.

Lactitol - Exportal, Importal N - powder for solution

Lactitol is used as a sugar substitute in diabetic products, as well as a prebiotic for the treatment and prevention of constipation and diseases of the large intestine. It helps soften stool, increases osmotic pressure, facilitates the act of defecation, the effect is achieved 24 hours after ingestion.
Usage: It is taken orally along with drinks 1 r / day with meals. After the onset of a stable effect, the dose is reduced.

Among side effects there is only flatulence, discomfort in the abdomen.

Osmotic laxatives

In chronic constipation caused by any diseases of the gastrointestinal tract, saline osmotic laxatives are not recommended. Most often, they are prescribed for a one-time bowel cleansing in case of acute stool retention, in case of food or drug poisoning, as well as for diagnostic procedures on the gastrointestinal tract. They are safe laxatives, unlike irritating drugs, osmotic agents for constipation do not form lazy bowel syndrome, they can be used for a long time (Forlax) up to 3 months, but like other laxatives, they do not eliminate the cause of constipation, but only provide symptomatic action.

Their advantage is that they do not weaken muscle tone and are not addictive. The means of this group include the following salt preparations: citrate, magnesium hydroxide, sodium and magnesium sulfate, Karlovy Vary salt, polyethylene glycol.

  • Action

Osmotic laxatives hold water in the intestinal lumen, thereby softening the feces and increasing their volume. They increase osmotic pressure by also attracting water from adipose tissue and blood plasma, resulting in a laxative effect.

  • Side effects

In chronic constipation, the use of saline laxatives is more appropriate and physiological, but if they are used for several months, there is a loss of electrolytes, sodium, potassium salts, which disrupts the water-salt balance, causes dehydration, which is unacceptable for a growing child's body and elderly people with heart failure, therefore, the use of such drugs for more than 3 months is not recommended. Also, the disadvantage is the occurrence of pain in the abdomen during bowel movements.

  • Contraindications and indications

The most basic indication for their use is food and drug poisoning, acute constipation. Polyethylene glycol can be taken by pregnant and lactating women.

Carlsbad salt artificial

It is a substitute for natural geyser Karlovy Vary salt, it is a saline laxative that has a choleretic effect.

Indications: chronic cholecystitis, food poisoning, constipation.

Contraindications: intestinal obstruction, hypersensitivity, acute febrile syndrome.

Side effects: diarrhea, atony of the large intestine, impaired water and electrolyte metabolism.

Dosage and administration: as a laxative, it is used inside on an empty stomach, for children from 2 years old, a teaspoon, spreading in 1/2 glass of water, for adults, a tablespoon in a glass of water 40 minutes before meals.

Macrogol - analogues of Lavacol, Osmogol, Fortrans, Realaxan, Tranzipeg, Forlax, Forteza Rompharm.

This is enough effective remedy for constipation, which can be taken up to 3 months, which should help to normalize bowel function in the future, supporting its work with diet and physical activity.
This drug is not absorbed, not metabolized, and has an effect regardless of the composition of the intestinal microflora. Its use is not accompanied by flatulence, burning sensation and pain in the anus, it does not increase fermentation, its action is aimed at increasing the fluid content in the feces, it softens them, facilitates defecation. Also, its advantage is that it prevents the loss of electrolytes with faeces, and Macrogol does not disrupt lipid metabolism.
Efficiency is manifested after 1-2 days after administration. Macrogol should be taken with breakfast as a drinking solution.

Magnesium sulfate heptahydrate - analogues of bitter salt, Epsom salt, magnesia, epsom salt.

Indications for use: gallbladder dyskinesia, constipation, bowel cleansing before diagnostic procedures, cholecystitis, heavy metal salt poisoning. Renders
choleretic and laxative action.
Dosage - dissolve the contents of the package in 100 ml of water.

Solution for rectal administration - combination drug, which has both an irritant effect and a liquefaction of feces.

Microlax is a microclyster, the main advantages of which are the rapid onset of action (after 15 minutes) and the small volume of the injected solution - only 5 ml (one tube) is enough to achieve the effect. It is important that these drugs do not have a systemic effect and do not affect the work of the intestine as a whole, preventing addiction from developing.

Sodium citrate, which is part of Microlax, is a peptizer that displaces bound water in the feces.
Sodium lauryl sulfoacetate has a thinning effect. Sorbitol stimulates the flow of water into the intestines, which enhances the laxative effect of the drug.
Indications: Constipation and preparation for the study of the gastrointestinal tract. Children over 3 years of age and adults are prescribed one microclyster by inserting the tip to the full length into the rectum.

Intestinal fillers

Bulk intestinal fillers are preparations of both synthetic (modified polysaccharides) and natural origin, they are difficult to digest, not absorbed, increase the volume of feces and help to accelerate the act of defecation. However, many patients with chronic constipation refuse to use them, since such remedies do not always help in the fight against constipation, they often cause bloating, rumbling, pain, but do not improve intestinal motility. The main representatives of this group of constipation remedies are: Flax seed, Agar-agar, Wheat bran, Sterculia, Methylcellulose, Fleaworth seeds, ovoid or oval plantain seed husks.

  • Action

The action of bulk laxatives is based on the fact that they swell, absorb water, and due to the increase in volume, they contribute to the stretching of the intestinal walls. Therefore, defecation is accelerated due to the reflex reaction from the contractile wave; with a sluggish intestine, such agents may not be effective. To achieve the desired effect, the ability of the colon to swell must be maintained, in addition, when using them, you should drink at least 2 liters of fluid per day. Filler laxatives are considered mild delayed-acting drugs, with Agra-Agra the effect occurs after 12 hours, after taking Fleaworth seeds, stool evacuation occurs after 24 hours, and the use of methylcellulose leads to defecation after 1-3 days.

  • Side effects

Stretching of the walls leads to flatulence, rumbling, bloating, and such an abundant fluid intake is not always possible, since urination becomes more frequent and, with some concomitant diseases, excessive fluid intake is not desirable.

  • Contraindications

Such remedies for constipation during pregnancy are contraindicated due to the threat of miscarriage, also with irritable bowel syndrome, since this further increases flatulence. It is not advisable to increase the amount of feces in the patient's bed rest, with intestinal obstruction and neurological disorders.

Laxative herbal remedies

Among the laxatives of herbal origin, the following most popular drugs can be distinguished:

  • Buckthorn Fruit - Also Buckthorn Bark, Syrup, Extract, Ramnil, Jostera Fruit
  • Kafiol is a combined preparation, which includes the fruits and leaves of senna, fig fruits
  • Laxative Phytolax is a dietary supplement, which includes common apricot fruits, large plantain leaves, garden dill fruits, senna leaves and extract.
  • Laminaria thallus (seaweed) is granules, tablets, extract, FitoTranzit, Mamoclam Laminaria thallus
  • Plantain oval seed shell - drugs Mucofalk, Naturolax, Fiberlex are herbal laxatives
  • Proctophytol (Antihemorrhoidal collection) - the composition of the collection includes Senna holly leaves, Coriander fruits, Licorice roots, Buckthorn alder bark, Yarrow herb
  • Rhubarb palmate roots - tablets, extract, syrup
  • Licorice root powder is a combined preparation, which includes Licorice roots, Senna leaf, Fennel fruit extract, Sulfur
  • Stalnik tincture - roots of harrow, tincture has a laxative, anti-inflammatory, hemostatic effect
  • Laxative collection No. 1 - which includes Yarrow grass, Alder buckthorn bark, Dioecious nettle leaves
  • Laxative collection No. 2 - in the composition of Buckthorn bark, Senna leaf, Anise fruit, Licorice root, Buckthorn fruit.

A fast-acting laxative in drops will help to cope with the problem in a few hours, but you need to know how it works a separate remedy. More often this form of release for oral administration is used in pediatrics. Flavorless and odorless laxative drops are added to food and the child takes them without problems. But adults can also use this method of treatment.

A fast-acting laxative in the form of drops is not so common. Usually, funds begin to give an effect within 6-12 hours. Strong fast-acting laxatives in drops are more aggressive drugs that irritate the intestinal mucosa and can be addictive when defecation is impossible without additional stimulation. In addition, such a medicine for constipation does not always help adults.

Laxative drops, when taken correctly, have a positive effect on the entire gastrointestinal tract, reducing the load on the stomach and pancreas.

The different composition of the drops causes a different pharmacological action:

  • irritation of the mucosa - stimulation of peristalsis occurs, usually this effect is given by strong fast-acting laxatives in drops that are addictive;
  • expansion of the walls - such drugs have a gentle, mild effect, which does not start very quickly - 7-11 hours, after use, flatulence and frequent urination may occur;
  • fluid retention in the feces - such a fast-acting laxative in solution prevents absorption into the intestinal wall, which makes the feces soften and come out, but this has risks in case of intoxication of the body.

You need to choose a fast-acting laxative in drops with a specialist (pediatrician or therapist), especially for treating a child. Each substance has its limitations and the risk of side effects.

List of funds

It is difficult to single out the best laxative in drops, because an individual approach is important in therapy.

The list of common constipation medications includes:

  • Weakcap;
  • Espumizan and others.

Most of these solutions not only eliminate constipation, but also generally have a beneficial effect on bowel function - they prevent inflammation, normalize microflora, and remove bloating.

Drops for constipation irritant Guttalax get good reviews, especially in the treatment of children from 4 years. For adults and after 10 years, the drug is prescribed 15 drops per day, up to 10 years - 5 drops.

Guttalax is not recommended for use in dehydration and violation of the water-salt balance, but this applies to almost all laxatives. It is also worth stopping the medication when acute pain in a stomach. Children under 4 years of age should not be given Guttalax.

Possible adverse reactions from reception:

  • diarrhea, flatulence, vomiting;
  • soreness in the neck;
  • allergic symptoms;
  • cramping pains in the abdomen.

This is a strong laxative, but the effect largely depends on the individual characteristics of the microflora. The effect develops over 6-11 hours.

During pregnancy and breastfeeding, the use of the product is not recommended. In the first trimester of gestation, the drug is contraindicated. V breast milk the active substance does not enter, but during treatment, feeding should be stopped for a while.

A strong laxative without taste and smell in drops - Slabilen. The drug acts by irritating the intestinal walls, so with prolonged use it is addictive.

You can not take Slabilen with a spastic type of constipation, as the drug will increase pain. Pregnant and lactating medicine is prescribed by a doctor according to indications.

Regulax is a cheap, plant-based laxative. The drug can be used for hemorrhoids and anal fissures. The remedy is well suited for constipation after childbirth. Pregnant women are used in extreme cases and only in the 2nd trimester.

These fast-acting constipation drops are contraindicated in cystitis, hernia, peritonitis, spastic intestinal disorders, and severe dehydration.

The remedy is used at bedtime, 10-15 drops. With persistent constipation, an increase in dosage may be recommended. For children from 4 years old, a laxative is prescribed for 5-7 drops.

V rare cases the drug gives adverse reactions in the form of nausea, soreness in the intestines and fatigue. It should be used with caution with diuretics and antibiotics.

Weakcap

Slabikap is another strong, fast-acting laxative without taste and smell in drops. As for the speed of the onset of the effect, it does not differ from analogues. The drug accelerates peristalsis, which contributes to the passage of feces.

Indications for use are atonic constipation, anal fissures, hemorrhoids, preparation for surgery and diagnostic procedures.

There are many contraindications:

  • acute pain of an unclear nature;
  • hypersensitivity to substances in the solution;
  • inflammatory diseases of the urinary system;
  • first trimester of gestation;
  • acute inflammation of the gastrointestinal tract;
  • strangulated hernia;
  • age up to 4 years;
  • spastic type of constipation;
  • intestinal obstruction.

The initial dose of the drug for adults is 10 drops, with severe constipation, the doctor may recommend a dosage of up to 30 drops. After 4 years, up to 8 drops are prescribed.

Possible side effects serve as diarrhea syndrome, lowering pressure, failure of the water-salt balance, a feeling of fatigue. Overdose may cause dehydration.

Drops of Ogarkov

Ogarkov's drops for constipation are an expensive drug with a relatively quick effect. This is a strong laxative that contains natural elements. Used as a dietary supplement. The composition contains extracts of licorice, aloe, senna, wild rose, nettle.

Adults are advised to take 30 drops up to 3 times. Before starting the course, you should consult with a gastroenterologist. Drops of Ogarkov from constipation are forbidden to drink during pregnancy, breastfeeding, at acute pathologies gastrointestinal tract and irritable bowel syndrome.

Hofitol

Hofitol is good for children. It consists of natural ingredients, helps to cope with constipation and eliminate toxins. It is also often used by women after giving birth. Hofitol refers to choleretic drugs, but affects the gastrointestinal tract in such a way that it activates the motor function. It not only fixes the problem, but also fights its cause. It is recommended to use Hofitol for heaviness, bloating, nausea.

Pikolaks - quick-acting constipation drops that irritate the intestinal walls, increasing motility. The desired effect can be observed a few hours after use. It is commonly used for constipation and other conditions where there is difficulty with defecation.

Adults are prescribed 10-25 drops once a day, from 4 years old - 5-12 drops. It is not recommended to take more than 3 days. The course of treatment should be prescribed by a specialist.

The agent is well tolerated without causing adverse reactions. With prolonged use, unpleasant symptoms from the gastrointestinal tract may occur - nausea, colic, flatulence, diarrhea. Very rarely occur headache, convulsions, allergic manifestations, sleep disturbance. Not recommended for people with lactose intolerance. The elderly are prescribed with caution, especially when undergoing operations on the gastrointestinal tract.

Pregnant and breastfeeding women should discuss treatment with their doctor first.

Espumizan

Espumizan refers to mild laxative solutions, the main action of which is aimed at eliminating bloating. After the age of 6 years and adults, it is prescribed in the complex therapy of gastrointestinal diseases. The main indications are flatulence, colic.

Limitations include complete intestinal obstruction and substance intolerance. The medicine prescribed by a doctor can be used up to 6 years. Rare adverse reactions - allergic manifestations, hypersensitivity reactions.

Baby Calm

Baby Calm baby drops are designed for babies. The solution contains vegetable oils. This is a dietary supplement to eliminate flatulence in young children. The drug activates the intestines, which helps to eliminate bloating and constipation. Also, the agent has an antibacterial, anti-inflammatory, carminative and pronounced antispasmodic effect.

Hilak Forte

Hilak Forte is used as an auxiliary medicine in the treatment of diseases of the stomach and intestines. They normalize the microflora, prevent flatulence and constipation. The drug is indicated for long-term use antibacterial drugs and intestinal infections. This remedy can not be attributed to laxatives, but it helps to maintain the health of the digestive tract.

Drops for adults and from 12 years old are taken 50-60 times a day. From 2 years old, 20-30 drops are prescribed. As the condition improves, the dosage is reduced.

There are also contraindications:

  • severe condition with fever;
  • diarrhea;
  • dehydration;
  • the presence of blood in the stool.

In rare cases, adverse reactions appear in the form of allergies and abdominal discomfort. Before use, the product must be diluted with water or another drink, but not dairy products.

Precautionary measures

Constipation can be of different types and the method of treatment depends on this. In case of episodic violation, the use of drops will be a good option to get rid of the problem. However, constipation medication should not be the only option.

If you regularly take a laxative, the intestines will cease to function normally, defecation will occur only "on a signal" - after taking the drug. This is called addiction, which develops when the drug is abused.

Drugs for the treatment of children can only be prescribed by a pediatrician after finding out the cause of constipation. When carrying a fetus and breastfeeding, a strong laxative is contraindicated, so you need to consider alternative options - microclysters, suppositories.

Constipation is not an independent disease, but a sign of a digestive, endocrine or nervous system. Choosing which laxative is better, they rely on the recommendations of the attending physician, trying to eliminate the cause of constipation.

Constipation remedies

Constipation refers to difficult or infrequent bowel movements. The chair may be absent for 3 or more days. Feces, accumulating in the large intestine, put pressure on the pelvic organs, and toxic substances contained in feces are absorbed into the bloodstream, poisoning the body.

The main types of laxatives that promote the excretion of feces:

  • osmotic;
  • increasing the volume of excrement;
  • enhancing motor skills;
  • loosening the contents of the intestine.

Constipation that occurs in the elderly is caused mainly by a decrease in the muscle tone of the intestinal wall, a deterioration in intestinal motility. The best laxatives for constipation for the elderly are drugs of natural origin that increase the motility of the intestinal walls.

A delay in defecation is observed with constipation of a spastic nature caused by a tumor of the intestine, polyps, ulcerations of the intestinal wall. In this case, choose mild laxatives with a laxative effect.

It is forbidden to use Bisacodyl, Dulcolax, Microlax suppositories for spastic constipation.

V childhood constipation occurs mainly as a result of changes in the composition of the intestinal microflora. Children are prescribed probiotics Bactistatin, Bifidumbacterin for constipation, from 3 months they use Glycelax suppositories.

When choosing a drug, consider which laxatives are not addictive.

Not addictive:

  • osmotic agents;
  • increasing the volume of feces;
  • prebiotics with lactulose;
  • vegetable.

Liquids, drops

Fast-acting laxative drops (price in rubles):

  • Weak - 90;
  • Guttalax - 400;
  • Ogarkov liquid - 240;
  • Picolax - 200.

Laxative with Slabilen drops can be given to children from 4 years of age. Take the medicine at bedtime, the duration of the course of treatment is 10 days. Slabilen is used to normalize stools, with weak intestinal motility, anal fissures, inflammation of the rectum.

Ogarkov's drops eliminate intestinal cramps and bloating. Regulax liquid laxative without taste and smell effectively eliminates constipation. The active ingredient of the drug stimulates the sensitive endings of the nerves located in the intestinal wall. This enhances intestinal peristalsis and accelerates the excretion of intestinal contents.

A laxative is taken at night. Regulax drops are allowed for children from 4 years old. During pregnancy, the use of the drug in the 2nd and 3rd trimesters is allowed.

The pharmacy offers a wide range of drugs that allow you to restore the natural process of defecation and eliminate all unpleasant symptoms. That is why it will be difficult for a person without experience and special knowledge to make the right choice. Laxative drops should be selected only by a gastroenterologist or therapist, after making the correct diagnosis. Next, consider the most popular drugs for constipation in adults and children.

The following advantages of the drug can be distinguished:

  • Convenient form. Drops are sold in a 30 ml bottle, which is enough to treat constipation.
  • The price fluctuates within 400 rubles, depending on the pharmacy chain.
  • Drops promptly stimulate the work of the intestinal muscles, which, in turn, actively absorb useful substances and remove solid fecal neoplasms from the body.

However, there are certain disadvantages, namely:

  • It is necessary to strictly follow all the instructions from the manufacturer, because there is a high risk of dehydration. The drug draws out excess fluid from the cells, which is necessary to soften solid toxins in the intestinal system.
  • Suitable only for mild forms of constipation, when it is necessary to quickly cleanse the body of solid fecal neoplasms. For chronic constipation, you need to choose a safer method.
  • During pregnancy and in children, be sure to consult a specialist.

Regulax

Regulax constipation drops have the following advantages:

  • The drug has different forms of release, which allows it to be used for different age groups.
  • The tool has a fast action, and the first positive result can occur within 15 minutes after application.
  • Stimulates the work of the muscular system of the stomach, which positively affects the process of absorption of nutrients from food.
  • Promptly liquefies and removes solid decay products from the body.

You can also highlight the following disadvantages of Regulax:

  • According to the manufacturer's instructions, drops are recommended to be taken immediately before bedtime. At the same time, patients claim that it is better to take it in the morning through the operational effect of the drug. The positive effect occurs within an hour, so you will not be able to sleep at night due to the constant use of the toilet.
  • During pregnancy, be sure to consult your doctor.

Weak

The following features of the drug can be distinguished:

  • The composition includes only artificial components, which can in some cases cause allergic reactions.
  • A large number of contraindications, including children, pregnancy and breastfeeding.
  • The positive effect occurs only 6 hours after the application of the product.
  • Not suitable for long-term use in the treatment of chronic constipation.
  • Ideal for mild constipation.
  • A large number of side effects, so be sure to consult your doctor.

Drops of Ogarkov

It is these drops for constipation that are most popular and in demand on the market, as they have a quick therapeutic effect and a minimum number of contraindications.

The following features of Ogarkov's laxative drops can be distinguished:

  • The composition of the drug includes only natural and safe components that almost never cause allergic reactions.
  • High level of effectiveness in the treatment of constipation of various nature.
  • They help to relieve abdominal cramps and eliminate increased gas formation.
  • Restore stable functioning of the gastrointestinal tract.
  • Drops remove toxic substances from the body.
  • Suspend the process of decay of decay products in the intestinal system.

Picolax

Drops from constipation have the following features:

  • The remedy is recommended for use in case of weakness of the intestinal muscles.
  • With constipation of a different nature.
  • Do not use during pregnancy and breastfeeding. Contraindications also include children under 10 years of age.

Hilak Forte

The following advantages and features of Hilak Forte laxative drops can be distinguished:

  • A quick therapeutic effect, which allows you to use the remedy in an emergency, when you need to quickly cleanse the intestines of toxins.
  • The possibility of use in the treatment of constipation in children due to the minimum number of contraindications and unpleasant reactions.
  • Simultaneous restoration of normal stool and work of the gastrointestinal tract.
  • Recovery normal level beneficial bacteria in the body.
  • The composition of the drug includes only safe components, namely bacteria, which are responsible for a stable digestive process and the absorption of nutrients from food.
  • It is recommended to use after long-term antibiotic treatment, when it is necessary to restore the balance of beneficial bacteria in the stomach.
  • Should be used when complex treatment diseases of the stomach, including dysbacteriosis.
  • Allows you to speed up the process of assimilation of nutrients from food.
  • No contraindications and side effects.

Laxigal

Drops from constipation Laxigal have the following features:

  • The therapeutic effect occurs only 6 hours after the application of therapeutic drops.
  • May be used to treat constipation in children older than four years of age.
  • The minimum number of contraindications.
  • It is recommended to apply before going to bed to get the desired therapeutic effect in the morning.

Espumizan drops

Espumisan constipation drops have the following features and benefits:

  • Designed to eliminate increased gas formation and bloating.
  • Relief of mild constipation.
  • Can be used from birth to old age.
  • Effective in violation of the gastrointestinal tract

In which case drops will harm

  • Allergic reactions to individual components of laxatives.
  • Obstruction of the intestinal system.
  • Serious diseases of the digestive system.
  • Internal bleeding of unknown nature.
  • Acute form of hemorrhoids.
  • Exceeding the recommended dose.