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* Indications:
– Acute constipation.
– Chronic constipation and bowel training extremely effective in the management of chronic constipation, particularly in older
patients. By gradually lengthening the interval between doses as colonic tone improves, the drug is effective in redeveloping
proper bowel hygiene. There is no tendency to rebound and prolonged use does not cause habit formation.
– Preparation for radiography, sigmoidoscopy or proctoscopy, or ultrasonography: excellent in eliminating fecal and gas shadows.
For unscheduled endoscopic examinations, adequate preparation is usually obtained with a single suppository.
– Pre-operative preparation: an ideal laxative for emptying the gastrointestinal tract.
– Post-operative and postpartum care: A suppository can be given to replace an enema. Tablets are given as an oral laxative
to restore normal bowel hygiene after surgery or delivery, with no contraindications to nursing mothers.
– Preparation for delivery: Suppositories can be used to replace enemas in the first stage of labor provided that they are given
at least 2 hours before onset of the second stage.
* Contraindications: Apart from the acute surgical abdomen in which the use of any laxative is contraindicated there is
no contraindication to the use of Bisadyl.
* Dosage:
Tablets must be swallowed whole, not chewed or crushed, on a full or empty stomach and should be taken within one hour
of taking antacids.
– Adults: 2 tablets at bedtime usually suffice for an ordinary laxative effect. This results in one or two soft formed stools
the next morning. When taken before breakfast, they produce an effect within 6 hours. Two or four tablets are usually
needed, but up to six tablets may be safely given, in preparation for special procedures when greater assurance of complete
evacuation of the colon is desired. Higher doses may result in several loose unformed stools.
– Children: 4 years old and over: one tablet.
– Combined therapy: in preparation for surgery, radiography, endoscopy, and ultrasonography: a combination of tablets
the night before and a suppository in the morning is recommended.
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