Details About Generic Salt ::  Bisacody

Main Medicine Class:: Laxative   

(BISS-uh-koe-dill)
Dulcolax, Fleet, Bisacodyl Uniserts,  APO-Bisacodyl, PMS-Bisacodyl
Class: Laxative

 

Drugs Class ::

 Action Acts as cathartic stimulant.

Indications for Drugs ::

 Indications Short-term treatment of constipation; evacuation of colon for rectal and bowel evaluations; preparation for delivery or surgery.

Drug Dose ::

 Route/Dosage

Oral

ADULTS: PO 10 to 15 mg. PREPARATION OF LOWER GI TRACT: Up to 30 mg. CHILDREN > 6 YR: PO 5 to 10 mg (0.3 mg/kg).

Suppository

ADULTS: PR 10 mg. CHILDREN > 2 YR: PR 10 mg. CHILDREN < 2 YR: PR 5 mg.

Contraindication ::

 Contraindications Nausea, vomiting or other symptoms of appendicitis; acute surgical abdomen; fecal impaction; intestinal obstruction; undiagnosed abdominal pain; ulcerative lesions of colon; rectal fissures; ulcerative hemorrhoids.

Drug Precautions ::

 Precautions

Pregnancy: Category B. Lactation: Undetermined. Children: Tablet form not recommended for children < 6 yr. Abuse/Dependency: Long-term use may lead to laxative dependency. Long-term abuse results in cathartic colon (poorly functioning colon). Rectal bleeding or failure to produce bowel movement: May indicate serious condition that may require further medical attention.

PATIENT CARE CONSIDERATIONS


Drug Side Effects ::

 Adverse Reactions

CV: Palpitations. CNS: Dizziness, fainting. GI: Excessive bowel activity (griping, diarrhea, nausea, vomiting); perianal irritation; bloating; flatulence; abdominal cramping; proctitis and inflammation. OTHER: Sweating, weakness. Suppositories may cause proctitis and inflammation with long-term use.

Drug Mode of Action ::  

 Action Acts as cathartic stimulant.

Drug Interactions ::

 Interactions

Milk or antacids: May cause enteric coating of tablets to dissolve, resulting in gastric lining irritation or gastric indigestion.

Drug Assesment ::

 Assessment/Interventions

  • Obtain patient history, including drug history and any known allergies.
  • Assess living and dietary habits, including bulk or fiber intake, exercise, fluid intake and use of laxatives.
  • Assess for presence of bowel sounds and usual pattern of bowel function.
  • Assess for abdominal distention, excessive bowel activity, abdominal cramping, weakness, fluid and electrolyte imbalance, perianal irritation.
  • Monitor color, consistency, and amount of stool produced.
  • Notify physician of unrelieved constipation, rectal bleeding and signs and symptoms of electrolyte imbalance (eg, muscle cramps or pain, weakness, dizziness).

Drug Storage/Management ::

 Administration/Storage

  • Administer tablet at bedtime or before breakfast.
  • Do not administer within 1 hr of patient ingesting antacids, milk or cimetidine.
  • Have patient take tablets whole with full glass of water. Tablets should not be crushed or chewed.
  • Insert suppository at time bowel movement is desired or 1 to 2 hr before scheduled procedure. Onset of action is 6 to 8 hr for tablets and 15 to 60 min for suppositories.
  • Moisten suppository with lukewarm water, insert high into rectum and instruct patient to retain suppository in rectum for as long as possible until urge to defecate is felt.
  • Store tablets and suppositories in tightly closed containers in cool location.

Drug Notes ::

 Patient/Family Education

  • Inform patient not to take bisacodyl when constipation is accompanied by abdominal pain, fever, nausea or vomiting.
  • Advise patient to use laxative only for short-term therapy; do not use > 1 wk.
  • Caution patient that prolonged, frequent, or excessive use of drug may result in dependence and/or electrolyte imbalance.
  • Encourage patient to incorporate high-fiber foods in diet, increase fluid intake (³ 6 to 8 glasses daily) and increase or maintain exercise level.
  • Instruct patient to report the following symptoms to physician: Unrelieved constipation, rectal bleeding, muscle cramps, pain, weakness, or dizziness.

Disclaimer ::

The Information available on this site is for only Informational Purpose , before any use of this information please consult your Doctor .Price of the drugs indicated above may not match to real price due to many possible reasons may , including local taxes etc.. These are only approximate indicative prices of the drug.

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