Forlax - instructions for use, analogs, reviews and release forms (powder for the preparation of a solution of 4 g and 10 g) laxative drugs for the treatment of constipation and bowel cleansing in adults, children and pregnancy. Composition
In this article, you can read the instructions for using the drug Forlax. There are reviews of visitors to the site - consumers of this medication, as well as opinions of physicians specialists on the use of laxative Forlax in their practice. A big request is to actively add their feedback on the drug: the medicine helped or did not help get rid of the disease, which were observed complications and side effects, possibly not declared by the manufacturer in the annotation. Analogues of Forlaks in the presence of existing structural analogues. Use to treat constipation and bowel cleansing in adults, children, as well as during pregnancy and lactation. Composition of the preparation.
Forlax osmotic laxative preparation.The large molecular weight of Macrogol 4000 (the active ingredient of the Forlax preparation) is due to long linear polymers that hold water molecules through hydrogen bonds. Due to this, after oral administration of the drug, the volume of intestinal contents increases. The volume of unabsorbed fluid, which is in the lumen of the intestine, supports the laxative action of the solution.
The laxative effect of Forlax occurs 24-48 hours after ingestion.
Composition
Macrogol 4000 + auxiliary substances.
Pharmacokinetics
Pharmacokinetic data confirm that, when ingested, Forlax is not subject to either gastrointestinal absorption or biotransformation.
Indications
- symptomatic treatment of constipation in adults and children aged 8 years and older.
Forms of release
Powder for solution for oral administration 4 g (for children) and 10 g.
Instructions for use and how to use them
Is taken orally, preferably 1 package once a day in the morning or 1 package 2 times a day - in the morning and in the evening.
The daily dose is adjusted according to the clinical effect.
The contents of each package should be dissolved in a glass of water immediately before taking.
The recommended course of treatment for adults and children aged 8 years and older is 3 months. In children, treatment should not exceed 3 months due to insufficient clinical data.
After restoration of normal operation of the intestine, the patient must maintain the effect: to lead an active lifestyle and include in the diet products rich in vegetable fiber.
If the symptoms of constipation persist for more than 3 months, it is necessary to conduct a repeated extended diagnostic examination.
Powder for children
Children aged 6 months to 1 year are prescribed 1 packet per day; from 1 year to 4 years - 1-2 packets per day; from 4 to 8 years - 2-4 packages per day.
The contents of 1 package should be dissolved in about 50 ml of water and taken orally in the morning (at a dose of 1 packet per day) or in the morning and in the evening (at a dose of more than 1 packet per day).
Side effect
- bloating and / or pain;
- nausea, vomiting;
- diarrhea;
- an urgent urge to defecate;
- fecal incontinence;
- itching;
- hives;
- transient rash;
- swelling of the face;
- angioedema;
- anaphylactic shock.
Contraindications
- serious inflammatory bowel diseases (ulcerative colitis, Crohn's disease);
- toxic megacolon in combination with symptomatic stenosis;
- perforation or threat of perforation of the digestive tract;
- intestinal obstruction or suspected intestinal obstruction;
- abdominal pain of unclear etiology;
- children's age to 8 years (for adult form of the drug);
- hypersensitivity to macrogol (polyethylene glycol) or other components of the drug.
Application in pregnancy and lactation
When prescribing Forlax, pregnant women should be careful because there is insufficient data on the use of the drug in this category of patients.
It is not known whether Macrogol 4000 is excreted in human milk. Since Macrogol 4000 is not absorbed, Forlax can be used during lactation (breastfeeding).
In experimental studies, it was shown that Macrogol 4000 did not cause teratogenic effects in rats and rabbits.
Use in children
It is possible to use a special pediatric form of the drug from the age of 6 months in age dosages.
special instructions
Before the start of therapy, organic gastrointestinal diseases should be excluded.
Treatment of constipation with drugs is recommended only as an addition to a healthy lifestyle and diet,for example: increased consumption of liquids and fiber; adequate physical activity, which contributes to the restoration of gastrointestinal motility.
If diarrhea develops with extreme caution, patients who are predisposed to water-electrolyte balance disorders (for example, in patients with impaired hepatic or renal function, or patients taking diuretics) should be treated; in such cases it is necessary to control the content of electrolytes.
There are reports of aspiration cases when large volumes of polyethylene glycol are introduced with electrolytes through a nasogastric tube. Children with neurological disorders with swallowing disorders are especially at risk of aspiration.
Very rare cases of hypersensitivity (including rashes, urticaria, edema) were observed with the administration of preparations containing macrogol (polyethylene glycol). In exceptional cases, anaphylactic shock was observed.
Forlax contains sorbitol, so the drug should not be used in patients with congenital fructose intolerance.
Forlaks does not contain a lot of sugar or polyol, so the drug can be prescribed to patients with diabetes, as well as patients,from the diet of which galactose is excluded.
Impact on the ability to drive vehicles and manage mechanisms
The drug does not affect the ability to drive vehicles and work with mechanisms.
Drug Interactions
The interaction of Forlax with other drugs is not described.
Forlax slows the absorption of concomitant medications. Therefore, it is recommended to appoint it not earlier than 2 hours after taking other drugs.
Analogs of the Forlax drug
Structural analogs for the active substance:
- Lavakol;
- Osmogol;
- Realaksan;
- Transit;
- Fortez Rompharm;
- Fortrans.
Analogues for the pharmacological group (laxatives):
- Agiolax;
- Bisacodyl;
- Vaseline oil;
- Glaxen;
- Glycerol;
- Good luck;
- Guttalax;
- Guttasil;
- Dinolac;
- Dulcolax;
- Dufalac;
- Califig;
- Castor oil;
- Clam;
- Buckthorn bark;
- Laxatin;
- Laxbene;
- Laxigal;
- Lactulose;
- The Legend;
- Lizalak;
- Flax seeds;
- Mikrolaks;
- Milk of magnesia;
- Mukofalk;
- Musinum;
- Naturoolax;
- Norgalax;
- Normase;
- Osmogol;
- Portalac;
- Pursennid;
- Realaksan;
- Regulax;
- Relistor;
- Romfalak;
- Senadé;
- Senadexin;
- Senales;
- Senna;
- Sennalax;
- Slabicap;
- Weak;
- Laxative collection;
- Licorice root;
- Software;
- Thyssen;
- Transulose;
- Tritinate;
- Fiberleks;
- Endofalk;
- Enema Klin.
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