Guttalax 5mg pills №50

Indications

As a laxative in the following cases:

- constipation caused by atony and hypotension of the colon (including in old age, in bedridden patients, after operations, after childbirth and during lactation);

- Constipation caused by taking medication;

- to regulate the stool with hemorrhoids, proctitis, anal fissures (to soften the consistency of feces);

- diseases of the gallbladder, irritable bowel syndrome with a predominance of constipation;

- Constipation caused by intestinal dysbiosis, dietary disorders.

Dosage and administration

Is ingested. pills need to drink with a sufficient amount of liquid.

Adults and children over 10 years appoint 1-2 tab. (5-10 mg).

Children aged 4-10 prescribe 1/2 each-1 tab. (2.5-5 mg).

To get a laxative effect in the morning hours, you should take the drug the night before.

Adverse effects

From the digestive tract: discomfort, nausea, vomiting, cramps and abdominal pain, diarrhea.

Nervous system: dizziness and fainting. Dizziness and fainting that occur after taking the drug, apparently, are associated with vasovagal response (for example, stress during defecation, abdominal cramps).

Immune system: hypersensitivity reactions, including angioedema and skin reactions.

Contraindications

- intestinal obstruction;

- obstructive bowel disease;

- acute diseases of the abdominal organs, including appendicitis;

- acute inflammatory bowel disease;

- severe abdominal pain, accompanied by nausea and vomiting, which may be a sign of the above severe conditions;

- severe dehydration;

- rare inherited disorders, such as galactose intolerance, for example, galactosemia, lactase deficiency, glucose-galactose malabsorption;

- children's age up to 4 years;

- hypersensitivity to the drug or its components.

Use during pregnancy and lactation

During the long experience of using the drug, no adverse events were detected during pregnancy. However, due to the lack of research, the use of the drug Guttalax ^® during pregnancy is recommended only in cases where the potential benefit to the mother outweighs the possible risk to the fetus. In pregnancy, the drug can be applied only after consulting with a specialist.

The active metabolite and its glucuronides are not excreted in breast milk. Thus, the drug can be used during breastfeeding.

Studies on the effect of the drug on fertility were not conducted. In the course of preclinical studies, no teratogenic effects on reproduction have been identified.

Use in children

Contraindicated in children under 4 years.Children from 4 to 10 years old should be used only as prescribed by a doctor.

Special notes

Do not use the drug daily without consulting a doctor for more than 10 days. Prolonged use of high doses of the drug can lead to loss of fluid, electrolyte imbalance, hypokalemia.

Dizziness and fainting were observed in patients taking the drug Guttalax^®. The analysis showed that these cases are associated with fainting during defecation (or fainting caused by stress during defecation), or with a vasovagal response to abdominal pain, which may be due to constipation, and is not necessarily associated with taking the drug.

One pill (5 mg) contains 67.5 mg of lactose. The maximum recommended daily dose for the treatment of adults and children over 10 years old and for children 4-10 years old contains 135.0 mg and 67.5 mg of lactose, respectively.

Children older than 4 years should take the drug only as prescribed by a doctor.

Influence on ability to drive motor transport and control mechanisms

Special clinical studies of the effect of the drug on the ability to drive vehicles or work with mechanisms have not been conducted. Despite this, patients should be told that they may experience dizziness and / or fainting due to a vasovagal reaction (i.e., during a bowel spasm). If patients have an intestinal spasm, they should avoid potentially hazardous activities, including driving vehicles or driving arrangements.

Overdosage

Symptoms

When taken in high doses, diarrhea, dehydration, lowering blood pressure, impaired water and electrolyte balance, hypokalemia, convulsions are possible.

In addition, there are reports of cases of ischemia of the muscles of the large intestine associated with taking the drug in doses far exceeding those recommended for conventional treatment of constipation.

Drug Guttalax^®, like other laxatives, with chronic overdose can lead to chronic diarrhea, abdominal pain, hypokalemia, secondary hyperaldosteronism, urolithiasis. Due to the chronic abuse of laxatives, renal tubular damage, metabolic alkalosis and muscle weakness associated with hypokalemia may develop.

Treatment

To reduce the absorption of the drug after ingestion, you can induce vomiting or gastric lavage. It may be necessary to replenish the fluid and correct the balance of electrolytes, as well as the appointment of antispasmodics.

Drug interaction

Diuretics or glucocorticosteroids increase the risk of electrolyte imbalance (hypokalemia) when taking the drug in high doses.

Disruption of electrolyte balance may increase sensitivity to cardiac glycosides.

The combined use of the drug and antibiotics can reduce the affectionate effect of the drug.

Pharmacy sales terms

The drug is approved for use as a means of OTC.

Terms and conditions of storage

The drug should be stored at a temperature not exceeding 25 ° C, out of the reach of children.