Bisacodyl is a drug to treat  constipation or constipation . This medicine can also be used to clean the intestines before a medical examination or surgery , for example during a colonoscopy procedure .

Bisacodyl works by increasing bowel movement, so that feces can be pushed and more easily excreted by the body. Bisacodyl is available as tablets, suppositories, and enemas.

Bisacodyl trademarks:  Bisacodyl, Custodiol, Dulcolax, Laxacod, Laxana, Neodulax, Oralax, Prolaxan, Stolax

What is Bisacodyl

group Limited over-the-counter drugs
Category Stimulant laxatives
Benefit Overcome constipation  and empty bowel contents for medical examination and surgery
Used by Adults and children ≥4 years of age
Bisacody for pregnant and lactating mothers Category C: Animal studies have shown adverse effects on the fetus, but there have been no controlled studies in pregnant women.

Drugs should only be used if the expected benefit outweighs the risk to the fetus.

Bisacodyl can be absorbed into breast milk. If you are breastfeeding, do not use this medication without consulting your doctor first.

Drug form Tablets, suppositories and enemas

Warning Before Using Bisacodyl

There are several things that need to be considered before using bisacodyl, including:

  • Do not use bisacodyl if you are allergic to this drug.
  • Do not give bisacodyl suppositories or enemas to the elderly without consulting a doctor first.
  • Do not give bisacodyl to children younger than 2 years without consulting a doctor first.
  • Do not use bisacodyl suppositories or enemas if you have anal fissures , hemorrhoids, or proctitis . This condition can be characterized by pain or itching in the anus, pain during bowel movements, or fresh blood when defecating.
  • Do not use bisacodyl before consulting your doctor if you have dehydration , severe stomach pain, fever, nausea, vomiting, or flatulence and cannot pass gas.
  • Talk to your doctor about using bisacodyl if you have colitis, a sudden change in bowel pattern that lasts for more than 2 weeks, kidney disease, or an eating disorder, such as anorexia or bulimia .
  • Avoid using bisacodyl for more than 5 days. If constipation doesn't get better, see a doctor.
  • Talk to your doctor about using bisacodyl if you are pregnant, breastfeeding, or planning a pregnancy.
  • Consult your doctor about using bisacodyl if you are taking other medications, including supplements and herbal products, to anticipate drug interactions.
  • See your doctor right away if you have an allergic drug reaction , serious side effect, or overdose after using bisacodyl.

Dosage and Rules for Use of Bisacodyl

The dose of bisacodyl varies for each patient. The following are the doses of bisacodyl that can be consumed based on the patient's age and the form of the drug:

Tablet form

Purpose: Overcoming constipation

  • Adults and children >10 years of age : 5–10 mg, once daily, taken at bedtime. The maximum dose is 20 mg per day.
  • Children >4–10 years: 5 mg, once daily, taken at bedtime.

Purpose: Empty the intestines before a medical examination or surgical procedure

  • Adults and children >10 years : 5 mg, twice daily, in the morning and evening, followed by 10 mg bisacodyl suppository the next morning.
  • Children >4–10 years: 5 mg taken at night. Followed by the use of 5 mg bisacodyl suppository form the next morning.

Forms of suppositories and enemas

  • Adults and children >10 years of age : 10 mg, once daily, in the morning.
  • Children >4–10 years: 5 mg, once daily, taken in the morning.

How to Use Bisacodyl Correctly

Follow the doctor's advice and read the instructions on the bisacodyl packaging before using it. Do not increase or decrease the dose without consulting your doctor first.

Bisacodyl tablets should be taken on an empty stomach. Swallow the tablet whole with the help of water. Do not split, chew, or crush the medicine. It takes about 6–12 hours for bisacodyl tablets to cause you to have a bowel movement.

If you have recently consumed milk, dairy products, or antacids, wait until after 1 hour before taking bisacodyl tablets, as they can reduce the effectiveness of bisacodyl and cause stomach pain, cramps, and nausea.

For bisacodyl suppository and enema forms, be sure to wash your hands before and after using the medication.

To insert a bisacodyl suppository, open the package and lie on your side with your left leg straight and your right leg bent to your chest. Enter the drug into the rectum with the forefinger, then push gently until one knuckle of your finger enters the rectum.

After that, stay lying down for 15-20 minutes, until you feel the urge to defecate. If it is difficult to insert the suppository, the tip can be moistened with water first.

To use bisacodyl enema form, don't forget to shake the medicine before use. Unpack and lie on your side with your left leg straight and your right leg touching your chest. Insert the end of the enema into the rectum, then press the bottle until the contents of the package run out. After that, slowly pull the tip of the bottle out.

Remain lying down and hold the enema fluid in the rectum for 10 minutes. If you feel the urge to defecate, go to the toilet immediately.

Bisacodyl is only used when there are complaints of constipation, so it does not need to be used regularly. To help overcome constipation, you are advised to drink more water and regularly eat high-fiber foods, such as vegetables, fruits, whole grains, and whole grains.

Store bisacodyl in a cool and dry place, away from heat and direct sunlight. Keep medicine out of reach of children.

Interactions of Bisacodyl with Other Drugs

The following are interactions that may occur if you use bisacodyl together with certain medicines:

  • Increased risk of electrolyte disturbances when used concomitantly with diuretics or corticosteroids
  • Increased risk of gastrointestinal side effects, such as abdominal pain, bloody diarrhea, cramping, and nausea, when used with other laxatives
  • Decreased effectiveness of bisacodyl and increased risk of stomach ulcers and dyspepsia when used with antacids

Side Effects and Dangers of Bisacodyl

Side effects that may arise after using bisacodyl include:

  • Abdominal pain or cramps
  • Nauseous
  • Diarrhea
  • Weak
  • Dizzy
  • Burning sensation in the anus

Check with your doctor if the side effects above don't go away or get worse. Immediately see a doctor if an allergic drug reaction or more serious side effects occur:

  • Nausea, vomiting or diarrhea that doesn't go away
  • Irregular heartbeat ( arrhythmia )
  • Cramps or muscle weakness
  • Decreased frequency of urination
  • Mood swings
  • Faint
  • Bleeding from the rectum
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