Dulcolax is a leading over-the-counter laxative trusted by healthcare professionals and patients for decades. Its active ingredient, bisacodyl, is a stimulant laxative that works directly on the colon to encourage bowel movement, providing reliable and effective relief from occasional constipation. This product is designed for adults and children over 6 years of age, offering a solution that helps restore comfortable regularity with a predictable onset of action. It is available in various forms, including coated tablets and suppositories, to suit individual needs and preferences.

Features

• Active Ingredient: Bisacodyl (5 mg per coated tablet; 10 mg per suppository)
• Drug Class: Stimulant laxative
• Onset of Action: Tablets: 6 to 12 hours; Suppositories: 15 to 60 minutes
• Formulations: Enteric-coated oral tablets and rectal suppositories
• Non-Habit Forming: When used occasionally and as directed for short-term relief
• Sugar-Free and Gluten-Free Formulation

Benefits

• Provides predictable and effective relief from occasional constipation.
• Offers a choice of administration methods to align with personal comfort and urgency of need.
• Works locally in the large intestine, with minimal systemic absorption.
• Helps restore comfortable bowel regularity and alleviate associated discomfort.
• A trusted, clinically proven option with a long history of safe use.
• Prevents straining, which can be particularly beneficial for individuals with hemorrhoids or post-surgical patients.

Common use

Dulcolax is indicated for the short-term relief of occasional constipation. It is also frequently used for bowel cleansing prior to surgical procedures, colonoscopies, or radiological examinations where a clear colon is required, always under medical supervision. It is not intended for long-term daily use but serves as an effective intervention for temporary irregularity.

Dosage and direction

For oral tablets (adults and children 12 years and older):

• Take 1 to 3 tablets (5 mg to 15 mg) orally as a single daily dose. Swallow whole with a full glass of water; do not crush or chew.
• Best taken at bedtime for predictable results the following morning (6-12 hours later).
• Do not take within 1 hour of taking antacids or drinking milk.

For oral tablets (children 6 to under 12 years):

• Take 1 tablet (5 mg) orally as a single daily dose. Usage should be under the guidance of a doctor.

For suppositories (adults and children 12 years and older):

• Use 1 suppository (10 mg) rectally as a single daily dose.
• Onset of action is typically between 15 to 60 minutes.

For suppositories (children 6 to under 12 years):

• Use 1 suppository (10 mg) rectally as a single daily dose under the guidance of a doctor.

Do not use for more than 7 days unless directed by a physician.

Precautions

• Before use, consult a doctor if you are pregnant, breastfeeding, or have a history of kidney disease.
• Do not use if you have nausea, vomiting, abdominal pain, or a sudden change in bowel habits that persists for more than 2 weeks.
• Prolonged or excessive use may lead to dependency on laxatives for bowel movements and loss of normal bowel function.
• Taking this product may worsen conditions like appendicitis or inflammatory bowel disease (e.g., Crohn’s disease, ulcerative colitis).
• Ensure adequate fluid intake while using this medication to prevent dehydration.
• Rectal bleeding or failure to have a bowel movement after use may indicate a more serious condition; discontinue use and consult a physician.

Contraindications

Dulcolax is contraindicated in patients with:

• Known hypersensitivity to bisacodyl or any component of the formulation.
• Acute surgical abdomen, nausea, vomiting, or other signs of appendicitis or acute abdomen.
• Severe abdominal pain accompanied by fever.
• Acute inflammatory bowel diseases, such as severe ulcerative colitis or Crohn’s disease.
• Intestinal obstruction or ileus.
• Severe dehydration.

Possible side effect

While generally well-tolerated when used occasionally, some individuals may experience:

• Common: Abdominal discomfort, cramping, and mild nausea.
• Less Common: Diarrhea, weakness, dizziness, and rectal burning (with suppositories).
• Rare: Allergic reactions (skin rash, itching, hives), electrolyte imbalance (especially with prolonged use), and fainting. Electrolyte loss may lead to muscle cramps or weakness.

Drug interaction

• Antacids and Proton Pump Inhibitors (e.g., omeprazole): Concomitant use may cause the enteric coating of tablets to dissolve prematurely in the stomach, leading to stomach irritation or cramping. Separate administration by at least 1 hour.
• Diuretics or Corticosteroids: Concurrent use may increase the risk of electrolyte imbalance (e.g., low potassium levels).
• Other Laxatives: Using multiple laxatives simultaneously may increase the risk of adverse effects like severe diarrhea and dehydration.
• Digoxin: Electrolyte imbalance (particularly hypokalemia) can potentiate the toxic effects of digoxin.
• Antiarrhythmic Drugs: Electrolyte disturbances may affect cardiac rhythm.

Missed dose

Dulcolax is used on an as-needed basis for occasional constipation. It is not intended for scheduled daily dosing, so the concept of a “missed dose” does not apply. Do not take extra medication to make up for a missed dose.

Overdose

• Symptoms: Overdose may lead to severe cramping, abdominal pain, profuse diarrhea, dehydration, and electrolyte imbalance (manifesting as muscle weakness, dizziness, and fainting).
• Treatment: Discontinue use immediately. Treatment is primarily supportive and includes replenishing fluids and electrolytes. In cases of severe dehydration or electrolyte disturbance, seek immediate medical attention or contact a Poison Control center.

Storage

• Store at room temperature (20°C to 25°C or 68°F to 77°F).
• Keep the product in its original container, tightly closed, and protect from moisture.
• Keep out of reach of children and pets.
• Do not use suppositories if they are melted or softened; they may be reshaped by cooling in a refrigerator while still in the foil wrapper.

Disclaimer

This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition or before starting any new treatment. Never disregard professional medical advice or delay in seeking it because of something you have read here.

Reviews

• “As a gastroenterology nurse, I often recommend Dulcolax to patients preparing for a colonoscopy. Its predictable timing is invaluable for both patients and medical staff. It’s a workhorse in our pre-procedure protocols.” – Medical Professional, 45
• “I’ve struggled with occasional constipation for years, especially when traveling. Dulcolax tablets are my go-to solution. I take one at night, and I’m guaranteed relief by morning without any unpleasant surprises during the day. It’s reliable and effective.” – Sarah T., 38
• “I used the suppository form post-hemorrhoid surgery when straining was not an option. The onset was within 30 minutes and provided the relief I needed without causing additional irritation. It was a crucial part of my recovery.” – James K., 52
• “I appreciate that a small dose is effective for me. I only need half the adult dosage to get results, which makes it economical. I’ve never experienced any cramps, just gentle relief.” – Maria L., 29
• “I tried this after other laxatives failed. It worked, but the abdominal cramps were quite intense for me. It was effective, but I’ll be discussing other options with my doctor for next time.” – David R., 61