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Bisacodyl - Benefits, dosage and side effects

 Bisacodyl - Benefits, dosage and side effects. Bisacodyl is a drug to treat constipation or constipation. This medicine can also be used to clean the intestines before a medical examination or surgery, for example during a colonoscopy procedure.

Bisacodyl - Benefits, dosage and side effects


Bisacodyl works by increasing bowel movements, so that feces can be pushed out and easier to pass by the body. Bisacodyl is available as tablets, suppositories, and enemas.


  • Precautions Before Using Bisacodyl

  • There are several things to consider before using bisacodyl, including:

  • Do not use bisacodyl if you are allergic to this drug.

  • Do not give bisacodyl suppositories or enemas to the elderly without consulting a doctor first.

  • Do not give bisacodyl to children younger than 2 years without consulting a doctor first.

  • Do not use bisacodyl suppositories or enemas if you have anal fissures, hemorrhoids, or proctitis. This condition can be characterized by pain or itching in the anus, pain during defecation, or fresh blood when defecating.

  • Do not use bisacodyl without consulting your doctor if you are dehydrated, have severe abdominal pain, fever, nausea and vomiting, or have bloating and are unable to pass the wind.

  • Talk to your doctor about using bisacodyl if you have colitis, a sudden change in bowel pattern that lasts for more than 2 weeks, kidney disease, or an eating disorder, such as anorexia or bulimia.

  • Avoid using bisacodyl for more than 5 days. If constipation doesn't get better, see a doctor.

  • Talk to your doctor about using bisacodyl if you are pregnant, breastfeeding, or planning a pregnancy.

  • Talk to your doctor about using bisacodyl if you are taking other medications, including supplements and herbal products, to anticipate drug interactions.

  • See your doctor right away if you have an allergic drug reaction, serious side effect, or overdose after using bisacodyl.


Dosage and Rules for Use of Bisacodyl

The dose of bisacodyl is different for each patient. The following is the dosage of bisacodyl that can be consumed based on the patient's age and the form of the drug:


Tablet form


Goal: Overcome constipation


Adults and children >10 years of age: 5–10 mg, once daily, taken at bedtime. The maximum dose is 20 mg per day.

Children aged >4–10 years: 5 mg, once daily, taken at bedtime.

Purpose: Empty the intestines before a medical examination or surgical procedure


Adults and children >10 years of age: 5 mg, twice daily, in the morning and evening, followed by 10 mg of bisacodyl suppository the following morning.

Children aged >4–10 years: 5 mg taken at night. Followed by the use of 5 mg bisacodyl suppository form the next morning.

Suppository and enema forms


Adults and children >10 years of age: 10 mg, once daily, in the morning.

Children >4–10 years: 5 mg, once daily, in the morning.


How to Use Bisacodyl Correctly

Follow the doctor's advice and read the instructions on the bisacodyl packaging before using it. Do not increase or decrease the dose without consulting your doctor first.


Bisacodyl tablets should be taken on an empty stomach. Swallow the tablet whole with the help of water. Do not split, chew, or crush the medicine. It takes about 6–12 hours for bisacodyl tablets to cause you to have a bowel movement.


If you have recently consumed milk, dairy products, or antacids, wait more than 1 hour before taking bisacodyl tablets, as they can reduce the effectiveness of bisacodyl and cause stomach pain, cramps, and nausea.


For bisacodyl suppositories and enemas, do not forget to wash your hands before and after using the drug.


To insert the bisacodyl suppository, open the package and lie on your side with your left leg straight and your right leg bent to your chest. Insert the medicine into the rectum with the index finger, then slowly push until one knuckle of your finger goes into the rectum.


After that, stay lying down for 15-20 minutes, until you feel the urge to defecate. If it is difficult to insert the suppository, the tip of the medicine can be moistened with water first.


To use bisacodyl enema form, do not forget to shake the medicine before use. Unpack and lie on your side with your left leg straight and your right leg touching your chest. Insert the tip of the enema into the rectum, then press the bottle until the contents of the package are used up. After that, slowly pull the tip of the bottle out.


Remain lying down and hold the enema fluid in the rectum for 10 minutes. If you feel the urge to defecate, go to the toilet immediately.


Bisacodyl is only used when there are complaints of constipation, so it does not need to be used regularly. To help overcome constipation, you are advised to drink more water and regularly eat high-fiber foods, such as vegetables, fruits, whole grains, and whole grains.


Store bisacodyl in a cool and dry place, away from heat and direct sunlight. Keep medicine out of reach of children.


Interactions of Bisacodyl with Other Drugs

The following are interactions that can occur if you use bisacodyl together with certain medicines:

  • Increased risk of electrolyte disturbances when used concomitantly with diuretics or corticosteroids

  • Increased risk of gastrointestinal side effects, such as abdominal pain, bloody diarrhea, cramping, and nausea, when used with other laxatives

  • Decreased effectiveness of bisacodyl and increased risk of stomach ulcers and dyspepsia when used with antacids


Side Effects and Dangers of Bisacodyl

Side effects that may arise after using bisacodyl include:


  • Abdominal pain or cramps

  • Nauseous

  • Diarrhea

  • Weak

  • Dizzy

  • Burning sensation in the anus


Check with your doctor if the side effects above don't go away or get worse. See your doctor immediately if you have an allergic reaction to the drug or a more serious side effect:


  • Nausea, vomiting or diarrhea that doesn't go away

  • Irregular heartbeat (arrhythmia)

  • Cramps or muscle weakness

  • Decreased frequency of urination

  • Mood swings

  • Faint

  • Bleeding from the rectum


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