Dulcolax 40 Coated Tablets 5 mg

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Minsan
008997064
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WARNINGS
The drug should not be taken continuously every day or for long periods of time without investigating the cause of constipation.In case of diabetes mellitus, hypertension or heart disease use only after medical consultation. The abuse of laxatives (frequent or prolonged use or with excessive doses) can cause persistent diarrhea with consequent loss of water, mineral salts (especially potassium) and other essential nutritional factors. In the most severe cases the onset of dehydration or hypokalaemia is possible which can cause cardiac or neuromuscular dysfunction, especially in the case of simultaneous treatment with cardiac glycosides, diuretics or corticosteroids. Intestinal fluid loss can cause dehydration. Symptoms can be thirst and oliguria. In patients, for whom dehydration can 'be dangerous (patients with renal insufficiency, elderly patients), treatment with the drug should be stopped and restarted only under medical supervision. In patients, hematochezia (blood in the stool) may occur, which is usually mild and goes away on its own. The abuse of laxatives, especially contact laxatives (stimulant laxatives), can cause addiction (and, therefore, possible need to gradually increase the dosage), chronic constipation and loss of normal intestinal functions (intestinal atony). Cases of dizziness and / or syncope have been reported after taking the medicine. The data relating to these cases suggest that the events, rather than a phenomenon related to drug intake, could be interpreted as a manifestation of "defecation syncope" (attributable to the effort of the act of defecation), or as a vasovagal response abdominal pain related to constipation itself. The use of suppositories can lead to painful sensations and local irritation, in particular, in patients with fissures and ulcerative proctitis. The tablets contain lactose and sucrose. In children aged between 2 years and 10 years, the medicine can be used only after consulting your doctor. The drug should not be taken daily or for prolonged periods without first evaluating the cause of constipation. The treatment of chronic or recurrent constipation always requires the intervention of the doctor for the diagnosis, the prescription of drugs and the surveillance during the course of therapy. Consult your doctor when the need for the laxative derives from a sudden change in previous bowel habits (frequency and characteristics of bowel movements) that has lasted for more than two weeks or when the use of the laxative fails to produce effects. It is also advisable for elderly people or those in poor health to consult their doctor before using the medicine.
PHARMACOTHERAPEUTIC CATEGORY
Constipation medications.
STORAGE
Coated tablets: This medicine does not require any special storage conditions. Suppositories: store at temperatures no higher than 30 degrees C.
CONTRAINDICATIONS / SECONDARY EFFECT
Hypersensitivity 'to the active substance or to any of the excipients; contraindicated in patients with paralytic ileus, acute abdominal conditions, such as appendicitis, and severe abdominal pain associated with nausea and vomiting which may be indicative of severe pathological conditions, intestinal obstruction or stricture, acute inflammation of the gastrointestinal tract, rectal bleeding of unknown origin , severe state of dehydration. Pregnancy and breastfeeding; contraindicated in case of rare hereditary conditions that may be incompatible with the intake of one of the excipients; contraindicated in children younger 'less than 2 years. Suppositories are contraindicated in cases of anal fissures and ulcers (pain and perianal bleeding may occur).
NAME
DULCOLAX
EXCIPIENTS
Coated tablets: lactose monohydrate, maize starch, soluble starch, glycerol, magnesium stearate, sucrose, talc, gum arabic, titanium dioxide (E171), methacrylic acid / methyl methacrylate copolymer (1: 1), methacrylic acid / methyl methacrylate copolymer ( 1: 2), little oil, macrogol 6000, iron oxide (E172), white wax, carnauba wax, shellac. Suppositories: triglycerides of saturated fatty acids.
SIDE EFFECTS
The most commonly reported side effects during treatment with the drug are abdominal pain and diarrhea. Immune system disorders: anaphylactic reactions, angioneurotic edema as well as other hypersensitivity reactions. Metabolism and nutrition disorders: dehydration. Nervous system disorders: dizziness, syncope. The phenomena of dizziness and syncope that occur after taking bisacodyl seem to be attributable to a vasovagal response (resulting, for example, from abdominal pain, or from the evacuation of faeces). Gastrointestinal disorders: abdominal cramps, abdominal pain, diarrhea, nausea, haematochezia (blood in the stool), vomiting, abdominal discomfort, anorectal discomfort, colitis.
PREGNANCY AND BREASTFEEDING
There are no adequate and well-controlled studies on the use of the drug in pregnancy. Therefore, although no adverse or toxic effects have ever been reported during pregnancy, like all medicines, the drug should only be used in case of need, after evaluating the expected benefit for the mother in relation to the possible risk for the fetus. . No studies have been conducted to investigate the effects on human fertility. Clinical data show that neither the active form of bisacodyl BHPM, bis- (p-hydroxyphenyl) - pyridyl-2-methane (BHPM), nor its glucuronic derivatives are excreted in breast milk, however the drug should only be used in case of necessity, after evaluating the expected benefit for the mother in relation to the possible risk for the infant.
INDICATIONS
Short-term treatment of occasional constipation.
INTERACTIONS
The concomitant administration of diuretics or adrenocorticosteroids and excessive doses of the drug can 'lead to an increased risk of electrolyte imbalance. This imbalance, in turn, can lead to an increase in sensitivity to cardioactive glycosides. Laxatives can reduce the time spent in the intestine, and therefore the absorption, of other drugs administered simultaneously orally. Therefore, avoid ingesting laxatives and other drugs at the same time: after taking a medicine, leave an interval of at least two hours before taking the laxative. Milk or antacids can change the effect of the medicine; leave an interval of at least an hour before taking the laxative.
DOSAGE
>> Coated tablets. Adults: 1-2 coated tablets per day. >> Pediatric population. Children over 10 years: 1-2 coated tablets per day. Children aged between 2 and 10 years: 1 coated tablet per day. It is advisable to start with the lowest prescribed dose. The dose can then be increased, up to the maximum recommended dose, for regular stool evacuation. The maximum daily dose should never be exceeded. Instructions for use: take the coated tablets preferably in the evening to evacuate the following morning (after about 10 hours). With the administration in the morning, fasting, the effect is obtained after about five hours. The coated tablets should not be administered together with products that reduce acidity of the upper gastrointestinal tract, such as milk, antacids (eg bicarbonate) or proton pump inhibitors. The coated tablets should be swallowed whole. Ingest together with an adequate quantity of water (a large glass). A diet rich in liquids favors the effect of the medicine. >> Suppositories. Adults: 1 adult suppository (10 mg). >> Pediatric population. Children over 10 years: 1 adult suppository (10 mg). Children aged between 2 and 10 years: 1 child suppository (5 mg). It is advisable to start with the lowest prescribed dose. The dose can then be increased, up to the maximum recommended dose, for regular stool evacuation. The maximum daily dose must never be exceeded. Children aged 10 years or younger with chronic or persistent constipation should take the medicine under medical supervision. The medicine should not be administered to children younger 'less than two years. Instructions for use: the effect of suppositories usually occurs in about 20 minutes (range: 10 - 30 minutes). Do not exceed the recommended dose. Laxatives should be used as infrequently as possible and for no more than seven days. Use for longer periods of time requires a doctor's prescription after adequate evaluation of the individual case.
ACTIVE PRINCIPLES
Bisacodyl.
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Dulcolax 40 Coated Tablets...

€12.90