Laxative psyllium

Bulk-Producing Laxatives psyllium Rberall Tropical Fruit Flavor, Follow directions on... 

This is a cosmopolitan family of which one genus, Planlago, yields the familiar laxative, psyllium seed. 

The elderly client with diverticulosis is instructed to take the bulk laxative psyllium mucilloid (Metamucil). Which question would be most important for the nurse to ask the client ... 

A laxative is most often prescribed for the short-term relief or prevention of constipation. Certain stimulant, emollient, and saline laxatives are used to evacuate the colon for rectal and bowel examinations. Fecal softeners or mineral oil are used prophylactically in patients who should not strain during defecation, such as after anorectal surgery or a myocardial infarction. Psyllium may be used in patients with irritable bowel syndrome and diverticular disease. Fblycarbophil may be prescribed for constipation or diarrhea associated with irritable bowel syndrome and diverticulosis. Mineral oil is... 

When using as a laxative, drink 8 oz water or other liquid with each dose. PSYLLIUM Refer to respective package inserts for particular dosing. 

Psyllium (Metamucil/ Serutaii/ Effer-Syllium) [Laxative]... 

The bulk-forming laxative group includes the hydrophilic substances described previously calcium polycarbophil FiberCon, Equalactin), methylcellulose Citrucel), and various psyllium seed derivatives Metamucil). All act by increasing the bulk of the feces, part of this action being due to their capacity to attract water and form a hydrogel. The increased volume of feces stretches the walls of the GI tract and stimulates peristalsis. Their action may not be evident for 2 to 3 days after starting treatment. Because their use results... 

Laxative effect. Seed hull, taken orally by adults at a dose of 7 g/person, increased weekly fecal mass without influencing transit time or frequency . Seedcoat, administered orally to 80 patients at a dose of 6.4 g/person three times daily, was active in a blinded placebo controlled study of efficacy of extract in treatment of irritable bowel syndrome " . Water extract of the dried kernel, administered orally to 40-year-old adults of both sexes, was active . Seed powder, administered orally to adults of both sexes, was active. Biological activity reported has been patented ". Dried seeds, administered orally to adults at a dose of 0.5 g/person, were active. Placing the seeds in water increased their volume, 90% alcohol produced a decrease in volume to normal seed size, and linseed oil had no effect on volume. The seed mucilage remained in gel form and is considered preferable to the solid form because it is more easily digested " . Dried seed powder, administered orally to 35 patients with chronic constipation at a dose of 50 mg/person, was active in a controlled, double-blind study " . Fiber, administered orally to adults, was active. Psyllium fiber and sennosides were prepared into a wafer to be... 

POOH Odes, H. S., and Z. Madar. A doubleblind trial of a celandine. Aloe vera and psyllium laxative preparation in adult patients with constipation. Digestion... 

Porter, and J. S. Fordtran. Effect of psyllium, calcium polycarbophil, and wheat bran on secretory diarrhea induced by phenolphthalein. Gastroenterology 1993 104(4) 1007-1012. Colliopoulos, J. Psyllium-based laxative compositions. Patent-US-5,232, 699 1993 6 p. 

Wasicky, B. Investigations of the seeds of Plantago ovata, P. psyllium, and P. major variety cruenta as laxatives. 

Bjorksten. Anaphylactic shock due to ingestion of psyllium laxative. Allergy 1983 38(5) 363-365. 

Bulk-forming laxatives are indigestible, hydrophilic colloids that absorb water, forming a bulky, emollient gel that distends the colon and promotes peristalsis. Common preparations include natural plant products (psyllium, methylcellulose) and synthetic fibers (polycarbophil). Bacterial digestion of plant fibers within the colon may lead to increased bloating and flatus. 

Bulk-forming laxatives Methylcellulose, psyllium, etc increase volume of colon, stimulate evacuation... 

Laxatives Bulk formers Polycarbophil, psyllium, and methylcellulose preparations. Citrucel, Fibercon, Konsyl, Metamucil, Perdiem, The safest laxatives for chronic use include the bulk formers and stool softeners. Saline laxatives and stimulants may be used acutely but not chronically (see text). Bulk formers hold water and expand in stool, promoting peristalsis. 

N.A. Plantago psyllium L. Mucilage, linoleic acid, oleic acid, palmitic acid.100 154 Demulcent, laxative, antidiarrhea. 

The purified gum hydrates slowly in water to give viscous solutions at concentrations up to 1% and clear gelatinous masses at higher concentrations. Psyllium seed gum is a laxative additive and is used in cosmetics and in hair-setting lotions. 

Patients taking colestyramine often have constipation, abdominal discomfort, and heartburn, but dietary fiber, such as psyllium, can reduce the symptoms (5,6). Other effects are flatulence, nausea, and fecal impaction a mild laxative may be needed, particularly in the elderly. Many other patients complain of anorexia and occasionally there is diarrhea. Doses of colestyramine higher than the 10-16 g normally used can cause steatorrhea (7). 

Bulk-Forming Laxatives. These agents absorb water and swell within the lower GI tract. The increased size of the water-laden laxative stretches the bowel, thus stimulating intestinal movement (peristalsis). Bulk laxatives commonly contain natural and semisynthetic dietary fiber such as bran, psyllium, and methylcellulose. 

LAXATIVES Gently loosen the bowels.—Cascara Sagrada, Dandelion, Feverfew, Golden Seal, Mountain Flax, Psyllium, Senna, Turkey Rhubarb. 

As shown on Table III, the subjects fed 20 g of hemicellulose from purified psyllium fiber excreted significantly more manganese in the feces than when they were fed bread without the hemicellulose supplement. Unlike wheat bran, purified psyllium fiber (sold commercially as a bulk laxative) contains no manganese or phytates hence, any change in fecal manganese excretion when psyllium fiber is added to human diets can probably be credited to the mixture of hemicellulose comprising this product. 

Certain bulk-forming laxatives, such as ispaghula husk and psyllium, can impair the absorption of lithium (654). 

Plantago seeds are widely used as bulk laxatives under the names of psyllium (from P. psyllium or P. indica) and ispaghula (from P. ovata). The possibility that the intestinal absorption of lithium and other drugs may be inhibited should also be considered (658). 

Opioid-induced constipation is more troublesome in older patients, and it should be anticipated by instituting laxative therapy along with the narcotic. A typical laxative regimen consists of psyllium and a stool softener. A mild stimulant laxative such as bisacodyl (Dulcolax) can be added if constipation becomes problematic. 

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