Bisacodyl

Bisacodyl

Bisacodyl is a laxative medication that can help ease the movement of the bowels. It is effective in providing relief to patients suffering from constipation.
It is also used in hospitals before surgery. It is readily available as a tablet or a suppository. This medication can be procured with a prescription.

Doctors recommend adding more fibre to your diet and drinking more water or exercising before prescribing Bisacodyl. They may recommend Bisacodyl after prescribing other laxatives like fybogel, methylcellulose, lactulose, or polyethylene glycol. 

What are the uses of Bisacodyl?

Bisacodyl is a medication commonly used for its laxative effects. It is primarily indicated for the short-term relief of constipation and for the preparation of patients before certain medical procedures, such as colonoscopies. Here are the main uses of Bisacodyl:

• Constipation Relief: Bisacodyl is often employed to alleviate constipation by promoting bowel movements. It works by irritating the intestines, which stimulates the muscles of the bowel to contract and move stool through the digestive tract. This effect helps to soften and facilitate the passage of stool.
• Bowel Preparation for Medical Procedures: Prior to certain medical examinations, such as colonoscopies or other diagnostic procedures, healthcare providers may prescribe Bisacodyl to help cleanse the bowel. This ensures a clear view of the colon during the procedure.

How and when to take Bisacodyl?

• Follow the direction on the packaging and the instructions provided by the doctor. Do not try to use the medication in a lesser or more than the prescribed quantity. Refrain from taking the medication beyond the recommended course.
• If your doctor has prescribed you an oral tablet, do not try to crush, break, or chew the tablet. Instead, swallow it whole with water.
• Your doctor can also recommend its use through the rectum for faster results. If you use a rectal suppository or enema, do not try to take it through the mouth, because it is for administration through the rectum only.
• Try to empty the bladder before taking Bisacodyl through the rectum. Maintain hygiene by washing hands before and after using rectal Bisacodyl. 

What are the side effects of Bisacodyl?

If you notice allergic reactions like hives, breathing problems, or swelling of the face, lips, tongue, or throat, then get emergency medical help. 

Some common side effects associated with Bisacodyl can be: 

• Stomach Pain/Discomfort: Stomach pain or discomfort is a frequent side effect of Bisacodyl use. This discomfort is typically mild and temporary, often associated with the stimulant effects of the medication on the intestines. If the pain persists or becomes severe, it is advisable to consult with your healthcare provider.
• Lightheadedness: Some individuals may experience lightheadedness or a feeling of dizziness after taking Bisacodyl. This effect is generally mild and may be related to changes in fluid and electrolyte balance. If lightheadedness is persistent or severe, it's important to seek medical advice.
• Rectal Burning: Rectal burning is a specific side effect that may occur, particularly when using Bisacodyl in suppository form. This sensation is usually temporary and related to the irritation caused by the medication. If rectal burning persists or becomes uncomfortable, it should be discussed with your healthcare provider.

Immediately stop using Bisacodyl and contact your healthcare provider directly in case of the following side effects: 

• Rectal Bleeding: If you experience rectal bleeding after using Bisacodyl, it is a serious side effect that requires prompt medical attention. Rectal bleeding may indicate irritation, inflammation, or other underlying issues in the gastrointestinal tract that need evaluation by a healthcare professional.
• No Bowel Movement After Using Bisacodyl: If you have taken Bisacodyl as directed and do not experience a bowel movement, it is important to contact your healthcare provider. The lack of a bowel movement could indicate various issues, and your healthcare provider will need to assess the situation to determine the appropriate course of action.

How to cope with the side effects of bisacodyl?

Here are some tips if you experience side effects while taking Bisacodyl:

• If you feel nauseous, try taking Bisacodyl with food. Avoid rich or spicy foods, as they may worsen your symptoms.
• If you develop diarrhea, stop taking Bisacodyl and drink plenty of water or other fluids. Contact a pharmacist if you show signs of dehydration, like urinating less than usual or having dark, strong-smelling urine. Do not use other medications for diarrhea without consulting a pharmacist or doctor.
• If you experience stomach pain or cramps, consider reducing your Bisacodyl dose or temporarily stopping it until these side effects resolve.

What precautions should be taken while using Bisacodyl?

• Do not take Bisacodyl if you have a history of allergies or experience stomach pain, vomiting, or nausea. 
• Contraindications: Ask your doctor whether it is safe to use the medicine if you have experienced other adverse conditions like a sudden change in bowel habits, haemorrhoids/anal fissures, ulcerative colitis, inflammatory bowel disease, other intestinal disorders, or eating disorders. 
• Usually, adults are not recommended for rectal Bisacodyl. Therefore, consult your doctor if you are an adult before taking it. 
• Pregnancy and breastfeeding: Discuss with your doctor before taking Bisacodyl if you are pregnant or breastfeeding. 
• Do not administer Bisacodyl to a child aged less than 2 years of age unless recommended by the doctor. 

Dosages of Bisacodyl

The dosage of Bisacodyl can vary depending on the specific formulation of the medication and the reason for its use. It's important to follow the dosing instructions provided by your healthcare provider or those outlined on the product label. Here are some general guidelines:

• For Constipation:
  • For oral tablets (usually 5 mg tablets), the typical adult dosage for constipation is 5 to 15 mg taken once daily.
  • The tablets are usually taken with a full glass of water and should be swallowed whole, not chewed or crushed.
• Bowel Preparation for Medical Procedures:
  • The dosage for bowel preparation may be different and is typically prescribed by a healthcare professional.
  • Bisacodyl is often used as part of a larger bowel preparation regimen, and the specific instructions will depend on the healthcare provider's recommendations and the type of medical procedure being performed.
• Suppositories:
  • Bisacodyl is also available in suppository form, usually 10 mg per suppository. The suppository is inserted into the rectum.
  • The dosage and frequency of suppository use may vary based on the individual's condition and the healthcare provider's instructions.

What special dietary section should I follow?

Following a consistent diet and exercise routine is crucial for maintaining regular bowel function. Consume a diet rich in fiber and ensure adequate hydration by drinking eight glasses of liquids daily, as advised by your doctor. This combination of a balanced diet and regular physical activity supports overall digestive health and helps prevent constipation.

What if I missed the dose of Bisacodyl?

Bisacodyl is used whenever required. Therefore it does not have a course regimen. However, if you take it for a medical test or procedure, contact your doctor for the necessary process. 

What if there is an overdose of Bisacodyl?

Find emergency medical help or contact the poison helpline if you have overdosed. Even if anyone mistakenly ingests a rectal suppository, immediately consult a doctor. 

Storage conditions for Bisacodyl

• Store the medicine at room temperature of 15 to 30C (59-86F). Do not exceed the temperature of 30C. 

• The medicines are individually sealed for protection. Do not use the medication if the foil is torn, damaged, or open. 

Disposal method for Bisacodyl

Unused medications should be disposed of carefully to prevent accidental ingestion by pets, children, or others. Flushing medications down the toilet can harm the environment. The safest way to dispose of them is through a medicine take-back program, often available at pharmacies or community centers. These programs ensure safe disposal and protect both people and the environment.

Caution with other medicine

It is possible that other drugs, including over-the-counter prescription medicines, vitamins, or herbal products, can interact with the drug. Therefore, it is essential to communicate with your healthcare provider about all the medicines you might be using or want to use.

How quickly does Bisacodyl show results?

If Bisacodyl is taken orally, it can produce a bowel movement within 6-12 hours. If a rectal suppository is used, then it can lead to bowel movement in 15-60 minutes. If a rectal enema is used, it can be effective in 5-20 minutes. Inform your doctor about all the health conditions you are experiencing and all the medications you have taken or are about to take so that your doctor can provide proper care. 

What should I tell my doctor before taking the medicine?

Before taking Bisacodyl, tell your doctor:

• If you have any health problems, especially with your stomach or intestines.
• About any allergies you have, especially to laxatives.
• If you are pregnant, planning to get pregnant, or breastfeeding.
• All the medications you're currently taking, including vitamins and supplements.
• If you've used laxatives before and had any issues.
• Any changes in your diet or eating habits.
• Any symptoms you have related to your bowel movements or stomach.

When should I call my doctor for the side effects?

You should call your doctor if you experience any of these side effects while taking Bisacodyl:

• Severe abdominal pain or cramping
• Persistent nausea or vomiting
• Rectal bleeding or no bowel movement after using Bisacodyl
• Signs of an allergic reaction, such as rash, itching, swelling (especially of the face/tongue/throat), severe dizziness, or trouble breathing

These symptoms could indicate serious side effects that require medical attention. It's important to report any unusual or concerning symptoms to your doctor promptly to ensure appropriate evaluation and management.

Bisacodyl Vs Colace

Faqs

1. Can I take Bisacodyl every day for constipation?

It is generally not recommended to take Bisacodyl every day for an extended period without the guidance of a healthcare professional. Prolonged or frequent use of stimulant laxatives like Bisacodyl may lead to dependence and could interfere with normal bowel function. It's essential to use Bisacodyl as directed by your healthcare provider and explore other strategies for managing constipation, such as dietary changes, increased water intake, and lifestyle modifications.

2. Are there any age restrictions for using Bisacodyl in children?

Bisacodyl is typically not recommended for regular use in children without the supervision of a healthcare professional. The safety and efficacy of Bisacodyl in children may not be well-established, and alternative approaches to managing constipation in children should be explored. Parents or caregivers should consult with a healthcare provider before using Bisacodyl in children.

3. Is it safe to use Bisacodyl as a long-term solution for constipation?

Using Bisacodyl as a long-term solution for constipation is generally not recommended without the guidance of a healthcare provider. Long-term use of stimulant laxatives may lead to a decrease in bowel function and can create dependence. It's important to address the underlying causes of constipation and explore lifestyle changes, dietary modifications, and other interventions for more sustainable and healthy bowel habits.

4. How does Bisacodyl work as a laxative?

Bisacodyl is a stimulant laxative that works by irritating the intestines, specifically the colon. It promotes bowel movements by increasing the muscular contractions in the intestines, which helps move stool through the digestive tract. Additionally, Bisacodyl increases the water and electrolyte secretion into the bowel, softening the stool and facilitating its passage. The combined effects result in relief from constipation.

5. Can I take bisacodyl for constipation?

Yes, bisacodyl is a laxative commonly used to treat constipation.

6. Does bisacodyl cause diarrhea?

Yes, bisacodyl can cause diarrhea as it stimulates bowel movements.

7. Does bisacodyl cause cramping?

Yes, some people may experience abdominal cramping when taking bisacodyl.

8. Why is bisacodyl given at night?

Bisacodyl is often taken at night because it typically works within 6-12 hours, leading to a bowel movement the next morning.

9. Can I take bisacodyl daily?

Bisacodyl is not intended for daily use. It should only be used occasionally as directed by a healthcare provider to avoid dependency and potential side effects.

10. Is it safe to take bisacodyl?

Bisacodyl is generally safe when used as directed for short-term relief of constipation. Long-term use can lead to dependence and other health issues.

11. When should I take bisacodyl tablets?

Take bisacodyl tablets in the evening before bed to have a bowel movement the next morning. Always follow the dosage instructions provided by your healthcare provider or the packaging.

References:

https://www.drugs.com/mtm/Bisacodyl-oral-and-rectal.html https://www.webmd.com/drugs/2/drug-12263/Bisacodyl-oral/details https://www.nhs.uk/medicines/Bisacodyl/#:~:text=Bisacodyl%20is%20known%20as%20a,after%20you've%20used%20them.

Disclaimer: The information provided here is not meant to substitute an advice from a healthcare professional. The information is not intended to cover all the possible uses, side-effects, precautions, and drug interactions. This information is not intended to suggest that using a specific drug is suitable, safe, or efficient for you or anyone else. The absence of any information or warning regarding the drug should not be interpreted as an implicit guarantee from the organisation. We strongly advise you to consult a doctor if you have any concerns about the drug and never use the medication without a doctor’s prescription.