{"id":415,"date":"2022-04-07T10:58:09","date_gmt":"2022-04-07T10:58:09","guid":{"rendered":"https:\/\/kidneydiseaseclinic.net\/blog\/?p=415"},"modified":"2022-04-07T10:58:09","modified_gmt":"2022-04-07T10:58:09","slug":"bisacodyl","status":"publish","type":"post","link":"https:\/\/kidneydiseaseclinic.net\/blog\/bisacodyl\/","title":{"rendered":"BISACODYL"},"content":{"rendered":"\n<p>Mode of action<br>Act by direct stimulation of nerve endings in colonic mucosa to increase intestinal motility. May cause accumulation of water and electrolytes in the colonic lumen.<\/p>\n\n\n\n<p><br>Indications<br>Constipation; Bowel preparation before diagnostic or surgical procedures requiring bowel emptying.<\/p>\n\n\n\n<p><br>Contraindications<br>Intestinal obstruction, partial or complete; Acute abdominal conditions, e.g. appendicitis; Inflammatory bowel condition.<\/p>\n\n\n\n<p><br>Specific considerations<br>Elderly: increased risk of faecal incontinence.<br>Pregnancy: avoid direct stimulants except for occasional doses; ADEC category A.<br>Lactation: may be used.<\/p>\n\n\n\n<p><br>Adverse effects<br>Infrequent: rectal irritation, proctitis (with rectal administration), abdominal cramps, fluid and electrolyte imbalance (especially hypokalaemia).<\/p>\n\n\n\n<p><br>Dosage<br>Constipation<br>Adult: Oral, 5\u201315 mg as a single dose at night. Rectal, 10 mg once daily when required.<br>Child: >3 years, oral 5\u201310 mg as a single dose at night; rectal 5\u201310 mg once daily as required. &lt;3 years, rectal 5 mg once daily as required.<br>Bowel preparation: Adult, up to 30 mg orally on the night before the procedure (or 10 mg on each of the 2 nights before the procedure), usually followed by 10 mg rectally on the morning of the procedure.<\/p>\n\n\n\n<p>Practice points<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>onset of action is 6\u201312 hours (oral); 15\u201360 minutes (suppository); 5\u201315 minutes (enema)<\/li><li>may be used long term for constipation in spinal damage, chronic neuromuscular disease and in people<\/li><li>taking opioids; often used with other laxatives<\/li><li>stimlants are the laxative group most often associated with laxative misuse.<\/li><\/ul>\n\n\n\n<p>Products<\/p>\n\n\n\n<p>BISACODYL SUPP. 10 MG (DULCOLAX\u00ae, LAXADYL\u00ae, SACOLUX\u00ae)<\/p>\n\n\n\n<p>BISACODYL TABS 5 MG (BICODYL\u00ae, DULCOLAX\u00ae, LAXADYL\u00ae)<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Mode of actionAct by direct stimulation of nerve endings in colonic mucosa to increase intestinal motility. May cause accumulation of water and electrolytes in the colonic lumen. IndicationsConstipation; Bowel preparation before diagnostic or surgical procedures requiring bowel emptying. ContraindicationsIntestinal obstruction, partial or complete; Acute abdominal conditions, e.g. appendicitis; Inflammatory bowel condition. Specific considerationsElderly: increased risk [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-415","post","type-post","status-publish","format-standard","hentry","category-med"],"_links":{"self":[{"href":"https:\/\/kidneydiseaseclinic.net\/blog\/wp-json\/wp\/v2\/posts\/415","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/kidneydiseaseclinic.net\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/kidneydiseaseclinic.net\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/kidneydiseaseclinic.net\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/kidneydiseaseclinic.net\/blog\/wp-json\/wp\/v2\/comments?post=415"}],"version-history":[{"count":1,"href":"https:\/\/kidneydiseaseclinic.net\/blog\/wp-json\/wp\/v2\/posts\/415\/revisions"}],"predecessor-version":[{"id":418,"href":"https:\/\/kidneydiseaseclinic.net\/blog\/wp-json\/wp\/v2\/posts\/415\/revisions\/418"}],"wp:attachment":[{"href":"https:\/\/kidneydiseaseclinic.net\/blog\/wp-json\/wp\/v2\/media?parent=415"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/kidneydiseaseclinic.net\/blog\/wp-json\/wp\/v2\/categories?post=415"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/kidneydiseaseclinic.net\/blog\/wp-json\/wp\/v2\/tags?post=415"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}