Stimulant laxatives

N.A. Oleostearic acid, hydrociannic acid, tannin, linolenic acid, oleic acid, linoleic acid, protein, thiamine.100 This herb is toxic. Laxative, stimulant, and sudorific. 

N.A. Anthraquinone, beta-sitosterol, rhein, dianthrone glucosides, sennosides A, B, naphthalene glycosides, aloe-emodin, mucilage.99 100 510 511 Laxative, stimulant, anticancer, cathartic. 

N.A. Anthraquinones, nepodin, emodin, chrysophanol, tannins, oxalates, volatile oil.99 Mild laxative, stimulates bile flow, as a cleansing. 

N.A. Gelidium cartilagineum L. Polysaccharides, agarose, agaropectin, mucilage.99 Laxative, stimulating bowel activity and elimination of feces. 

Stimulant laxatives - stimulation of smooth muscle of the gastrointestinal tract increasing intestinal motility causing muscle contraction and thus defecation. 

Bulk-forming laxatives Stimulant laxatives Osmotic laxatives ... 

Laxatives should be avoided if there is any question that the patient has an intestinal obstruction, severe abdominal pain, or symptoms of appendicitis, ulcerative colitis, or diverticulitis. Most laxatives stimulate peristalsis. Laxative abuse from chronic use of laxatives is a common problem, especially with the elderly. Dependence can become a problem. 

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... 

Irritant or stimulant laxatives increase peristalsis by direct action on the intestine. An example of an irritant laxative is cascara sagrada and senna (Senokot). 

Slow-transit constipation can be treated with chronic administration of osmotic laxatives. Tegaserod maleate 6 mg orally twice daily is an acceptable treatment. Senna, bisacodyl, and other stimulants should be used only when the others fail to deliver the desired effect. 

When acute overuse or chronic misuse of saline or stimulant laxatives is suspected, it may be necessary to check for electrolyte disturbances (e.g., hypokalemia, hypernatremia, hyperphosphatemia, or hypocalcemia). 

Lactulose is the foundation of pharmacologic therapy to prevent and treat hepatic encephalopathy. It is a non-digestible synthetic disaccharide laxative that is hydrolyzed in the gut to an osmotically-active compound that draws water into the colon and stimulates defecation. Lactulose also lowers colonic pH, which favors the conversion of ammonia (NH3) to ammonium (NHf).48 Ammonium is ionic and cannot cross back into systemic circulation it is eliminated in the feces. Lactulose is usually initiated at 15 to 30 mL two to three times per day and titrated to a therapeutic goal of two to four soft bowel movements daily.20 49 50... 

Opiates Monitor patients for sedation and depressed cognition. Address constipation with use of stimulant laxatives. 

Laxative. Flowers and berries have a milder bowel-stimulating effect than the roots and bark. Parts used flowers, berries, roots, inner bark. 

Phenolphthalein, like anthraquinones and other irritant phenolic compounds, is a stimulant laxative Colonic peristalsis is increased by stimulation of sensory nerve endings in the mucosa of the intestine. Phenolphthalein also enhances entrance of water and salts into the bowel... 

Secretory diarrhea occurs when a stimulating substance (e.g., vasoactive intestinal peptide [VIP], laxatives, or bacterial toxin) increases secretion or decreases absorption of large amounts of water and electrolytes. 

When prescribing strong opioids as analgesics for severe pain, it is even recommended to combine the treatment with prophylactic use of laxatives to avoid constipation. The effect of opioids on the bowel is to cause almost no movement at all in the bowels and therefore it is unavoidable to use stimulating laxatives sometimes combined with bulk forming preparations. 

Dulco-lax containing bisacodyl (stimulant laxative) is available as 5 mg tablets. 

Arthrotec tablets contain the non-steroidal anti-inflammatory drug diclofenac and the prostaglandin misoprostol. The combination of the two active ingredients makes Arthrotec suitable in patients predisposed to gastrointestinal ulceration. Dulco-lax (bisacodyl) tablets act as a stimulant laxative. Voltarol Retard tablets contain the non-steroidal anti-inflammatory drug diclofenac. All... 

Co-codamol is a combination of paracetamol (nonnapioid analgesic) and codeine (opioid analgesic). One of the side-effects of opioids is constipation. Naprosyn is a proprietary (trade name) preparation of the non-steroidal antiinflammatory drug naproxen Adalat is a proprietary preparation of the calcium-channel blocker nifedipine Amoxil is a proprietary preparation of the beta-lactam amoxicillin and Dulco-lax is the brand name of the stimulant laxative bisacodyl. 

Dulco-lax tablets containing bisacodyl, a stimulant laxative, must be swallowed whole with water and not chewed to decrease occurrence of abdominal cramps. 

Bisacodyl is a stimulant laxative that does not take long to act and is therefore useful in acute constipation. The bulk-forming laxative ispaghula husk takes longer to act when compared with bisacodyl but is useful for long-term administration. Lactulose, which is an osmotic laxative, has a lag time of about 48 hours before onset of action. Loperamide and kaolin and morphine mixture are antidiarrhoeals used in acute diarrhoea. 

One of the main side-effects of opioid analgesics, such as codeine and tramadol, is constipation. Amitriptyline (tricyclic antidepressant) and orphenadrine tend to have antimuscarinic properties, resulting in side-effects such as constipation. Senna is a stimulant laxative indicated in constipation. 

Autonomic ganglia. Ganglionic stimulation occurs in both the sympathetic and parasympathetic divisions of the autonomic nervous system. Parasympathetic activation results in increased production of gastric juice (smoking ban in peptic ulcer) and enhanced bowel motility ( laxative effect of the first morning cigarette defecation diarrhea in the novice). 

Laxatives promote and facilitate bowel evacuation by acting locally to stimulate intestinal peristalsis, to soften bowel contents, or both. 

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