Bisacodyl (Bisacodyl)

Bisacodyl is a laxative drug, its action is based on strengthening and accelerating the peristaltic contractions of the large intestine. In addition, Bisacodil increases the secretion of mucus by the cells of the large intestine, as a result of which it envelops the feces, facilitating their passage to the outside.

The drug has been shown to be effective as a laxative for constipation caused by atony of the large intestine, as well as in bedridden patients who underwent surgery or childbirth. Another area of ​​use of the drug is the regulation of the stool during proctitis, anal fissures, hemorrhoids, and to cleanse the intestines in preparation for operations.

Clinico-pharmacological group

Laxative drug that stimulates intestinal motility. The action occurs after 6 hours when taken orally (when taken before bedtime - after 8-12 hours) and during the first hour after rectal administration.

Pharmacy sales terms

Over the counter.


How much does bisacodyl cost? The average price in pharmacies is at 25 rubles.

Release form, composition and packaging

Enteric Coated Tablets1 tab.
bisacodyl5 mg

Excipients: lactose monohydrate - 49 mg, wheat starch - 40 mg, colloidal silicon dioxide - 1 mg, talc - 3 mg, magnesium stearate - 1 mg, gelatin - 1 mg.

The composition of the shell: copolymer of methacrylic acid and ethyl acrylate (1: 1) (Eudragit L100-55) - 6.9957 mg, macrogol 6000 - 700 μg, dye quinoline yellow 70 E104 - 330 μg, talc - 1.57 mg, titanium dioxide - 400 μg.

  • 10 pieces. - blisters (3) - packs cardboard.
  • 30 pieces - blisters (1) - packs cardboard.

Pharmachologic effect

Laxative. Causes irritation of the intestinal receptor apparatus, has a direct effect on the intestinal mucosa, enhancing its motility and increasing the secretion of mucus in the colon. The laxative effect usually occurs after 6-10 hours, when taken before bedtime after 8-12 hours.

Indications for use

The main indications for prescribing Bisacodil are such conditions / diseases:

  1. Constipation caused by hypotension and a sluggish peristalsis of the large intestine, in particular after operations, childbirth, dietary diet, in old age;
  2. Preoperative preparation and preparation of the colon for X-ray and endoscopic examination.


Contraindications to the use of the drug are the following states:

  • intestinal obstruction;
  • strangulated hernia;
  • acute inflammatory diseases of the abdominal organs;
  • peritonitis;
  • bleeding from the gastrointestinal tract;
  • uterine bleeding;
  • spastic constipation;
  • acute proctitis;
  • acute hemorrhoids;
  • cystitis;
  • children's age (up to 6 years);
  • hypersensitivity to the drug.

It is used with caution in pregnant and lactating women, in patients with liver and / or kidney diseases, as well as in patients with suspected inflammatory bowel disease.

Instructions for use of bisacodyl

The instructions for use indicate that Bisacodil is taken orally in the evening before bedtime, starting with 1 tab. In the absence of effect, a single dose is increased to 2-3 tab.

Children older than 6 years appoint 1 tab. in the evening.

In preparation for surgical operations, instrumental and X-ray examinations, 2 tab. at night per day and 2 tab. on the night before the operation or study.

Bisacodyl for weight loss

Some people use Bisacodil for weight loss. In this case, however, it should be borne in mind that such a tool does not help get rid of body fat. It only contributes to the removal of toxins and slags from the body, as well as improving the bowels. To some extent, the weight is reduced, but this drug is not intended for weight loss.

Before you start using Bisacodil, you need to be well aware of what it is and how to use it. Otherwise, it is fraught with the fact that it may develop addiction, and there will be various side effects (intestinal atony, etc.).

Side effects

Taking the drug can lead to the development of negative adverse reactions from various organs and body systems, these include:

  1. Allergic reactions are possible.
  2. On the part of the gastrointestinal tract there may be spastic abdominal pain, flatulence, diarrhea, which can lead to dehydration of the body, disruption of water and electrolyte balance (muscle weakness, convulsions, lower blood pressure).


The use of high doses of bisacodil is manifested by the occurrence of diarrhea, intestinal colic, significant loss of potassium or other electrolytes, arterial hypotension.

Chronic overdose can manifest as chronic diarrhea, abdominal pain, secondary hyperaldosteronism, hypokalemia, renal colic. The development of metabolic muscle weakness, alkalosis, localized or generalized convulsions in chronic overdose with laxative drugs is the result of hypokalemia.

Treatment of overdose: cessation of drug use, gastric lavage, cleansing enema, correction of acid-base and water-electrolyte balance. If necessary, use anticonvulsants.

Drug interactions

The combined use of Bisacodil with antacid agents, as well as with milk and alkaline mineral water can lead to premature dissolution of its shell and irritation of the stomach and duodenum.


In most cases, Bisacodil tablets are rated positively by people, since they have a pronounced laxative effect rather quickly. Many consider the drug an indispensable tool for problems with bowel movements, prolonged constipation or the need to go to the toilet at certain times. Also, people note that the drug should be taken very carefully, it is best to start with a single pill, because otherwise you may develop severe diarrhea.

However, among the positive reviews of Bisacodil there are also negative ones. A negative opinion about the drug is expressed by people in whom the drug has caused severe flatulence, cramps or painful contractions of the intestine. At the same time, bowel emptying did occur, but the person felt discomfort, which was subjectively perceived as strong or intolerable. This is what causes the negative feedback on Bisacodyl tablets.


Structural analogues of the active substance:

  • Bisacodil Acre;
  • Bisacodil Altpharm;
  • Bisacodil Nizhpharm;
  • Bisacodyl FPO;
  • Bisacodil Hemofarm;
  • Dulcolax;
  • Laxatin;
  • Laxbene.

Before using analogues consult your doctor.

Terms and conditions of storage

At a temperature not higher than 25 ° C, in the reach of children. Shelf life - 5 years.

Watch the video: Episode 4 - Constipation Treatment (November 2019).

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