Bisacodyl
Indications
Bisacodyl is used for:
Constipation, Bowel evacuation
Adult Dose
Oral
Constipation
Adult: 5-10 mg at night, up to 20 mg may be given as necessary.
Bowel evacuation
Adult: Initially, 10-20 mg the night before the procedure followed by 10 mg rectal supp the next morning. Alternatively, 10 mg on each of the 2 nights before the procedure.
Child Dose
Oral
Constipation
Child: 4-10 yr 5 mg at night; >10 yr Same as adult dose.
Bowel evacuation
Child: 4-10 yr 5 mg the night before the procedure and 5 mg rectal supp the following morning; >10 yr Same as adult dose.
Renal Dose
Administration
Should be taken on an empty stomach. Take on an empty stomach for rapid effect. Do not take w/in 1 hr of antacids, milk or other dairy products.
Contra Indications
Acute surgical abdomen or intestinal obstruction, severe dehydration, faecal impaction, chronic use.
Precautions
Swallow the tab whole. Pregnancy; inflammatory bowel disease.
Lactation: Has not been detected in excreted milk; use with caution
Pregnancy-Lactation
Interactions
Do not give antacids or milk within 1 hr of taking the drug (enteric coated).
Adverse Effects
Side effects of Bisacodyl :
Abdominal cramping,Electrolyte and fluid imbalance,Excessive diarrhea,Nausea,Rectal burning,Vertigo,Vomiting
Mechanism of Action
Bisacodyl acts mainly in the large intestine by increasng its motility to effect bowel evacuation.