15 best laxatives for constipation

* Review of the best according to the editors of ecdfburma.org. About the selection criteria. This material is subjective, is not an advertisement and does not serve as a guide to the purchase. Before buying, you need to consult with a specialist.

Unfortunately, constipation, as well as diarrhea, can often occur not only with bowel disease, but also in a healthy person, for example, leading a sedentary lifestyle. People often use various laxatives, and consider that their appointment does not require a doctor’s consultation. But this is not so. Any remedy has some contraindications that must be taken into account. Some drugs to treat constipation, or constipation, can be addictive. That is why modern medicine recommends the use of laxatives in short courses. This rating of drugs with a laxative effect on the intestine includes several categories of drugs for different groups of patients.

Rating of the best laxatives for constipation

Nomination a place Name of product price
Best herbal-based laxatives 1 Kafiol -
2Laminarid 148 ₽
3 Mucofalk 470 ₽
4 RectActive 405 ₽
5 Agiolax 1 700 ₽
The best laxatives for children 1 Dufalac 305 ₽
2 Forlax 290 ₽
3 Glycerol (glycerin) 49 ₽
4 Bisacodyl 52 ₽
Prebiotics as Laxatives 1 Prelax 315 ₽
2 Inulin 150 ₽
3 Exportal 229 ₽
Best laxatives for the elderly 1 Senade 524 ₽
2 Regulax 329 ₽
3 Magnesium Sulfate (Magnesia) -


The best laxatives based on herbal ingredients

Laxatives based on natural plant components are the most mildly active and sparing organs of the gastrointestinal tract, while their effectiveness is quite high. Laxatives from this group have been used for several centuries, and have not as many side effects and contraindications as synthetic drugs. But, nevertheless, it is advisable to consult a doctor before prescribing any means, including drugs of this group. Opens the rating tool Kafiol.

Kafiol

Rating: 4.9

Kafiol is a complex herbal remedy that contains senna leaves and fruits, liquid paraffin, sometimes called liquid paraffin, plum fruit pulp and fig fruit pulp. A laxative is prescribed for constipation of various origins in different patients. It acts on the intestines by irritating its chemical and mechanical receptors, which greatly facilitates the promotion of feces and their removal from the body. Even in the case of constant constipation, the use of Kafiol improves peristalsis, and doubles the passage of food residues through the intestines.

With uncomplicated constipation, Kafiol is prescribed one briquette in a dosage at night, and with prolonged constipation, 2-3 briquettes are recommended, but no more than 6 daily. The maximum course of taking the drug is 2 weeks, but such a long treatment can only be allowed by a doctor. A laxative is quite common in pharmacies, and the cost of one package of 6 briquettes of this laxative does not exceed 180 rubles.

Advantages and disadvantages

The positive effects of Kafiol include the gentle effect of the drug on the normal intestinal microflora. It does not irritate the mucous membrane of the gastrointestinal tract, and is well tolerated by patients. In case of overdose, if the patient immediately takes 6 briquettes, then he may develop abdominal pain and diarrhea. Do not take a laxative longer than the recommended maximum period, otherwise it can lead to a reflex decrease in the functional activity of the intestine. A laxative is contraindicated in cases of intestinal obstruction, severe inflammatory processes in the stomach and intestines, in women with metrorrhagia, or with uterine bleeding of various kinds, as well as with painful and heavy periods.

Laminarid

Rating: 4.8

Laminaride is the only laxative drug in the rating prepared on the basis of kelp. It is brown seaweed, or sea kale. Taminarizh is available in granules. Additionally, the composition includes salts of alginic acid, and a mixture of polysaccharides. A laxative is recommended already for chronic constipation, moreover with a hyperspastic component, when patients have instead of defecation pulling pains in the abdomen.

The mechanism of action of the drug is associated with swelling of the granules in the intestine, an increase in the volume of intestinal contents, and at the same time its softening. The medicine is packaged in 50 g vials. Take Laminaride after meals, 1 to 2 teaspoon, with a glass of water. Since the remedy is indicated for chronic constipation, the remedy is taken three times a day. A laxative is produced by Art Life, and it can be purchased at a price of 140 rubles. for 1 bottle.

Advantages and disadvantages

Despite the fact that this is a natural preparation, in case of an overdose or too frequent intake, an excess of iodine can accumulate in the body, which can manifest itself with a runny nose, cough, or symptoms of bronchitis. In case of an overdose, the patient may develop diarrhea. The drug is contraindicated in patients with a high sensitivity to iodine, during lactation, during pregnancy, with severe renal failure. The positive aspects of Laminarid include a mild effect on constipation, which is not accompanied by unpleasant phenomena of flatulence.

Mucofalk

Rating: 4.8

Mucofalk is a popular and effective laxative that contains plantain seeds. Seeds in the human body are not digested, and create a sorption effect, they absorb liquid from the intestinal lumen and exert pronounced pressure on its walls from the inside. As a result, the intestines begin to contract reflexively, and its contents move on.

The drug is not indicated for the treatment of severe and chronic constipation, but can be successfully used with a usual stool delay of more than two to three days. Mucofalk is available in the form of granules that have an orange flavor, a suspension is prepared from these granules. Like all vegetable laxatives, Mukofalk needs to be washed down with a significant amount of water to swell the seeds in the intestines. The laxative is produced by the German company Dr. Falk, and you can purchase a package containing 20 packets for 470 rubles. In the event that one can is purchased weighing 300 g, it will cost no less than 1150 rubles.

Advantages and disadvantages

The advantages of a laxative include the ability to use it for a long time, it has earned a place in the ranking, since it can be taken by nursing mothers, it does not develop addiction, it can be combined with other medicines. The disadvantages of the drug include not too fast action, insufficient evidence base for children and the need to drink plenty of fluids during treatment. In case of an overdose, the patient may experience discomfort in the abdomen, rumbling, and flatulence.

RectActive

Rating: 4.7

A drug such as RectActive also contains seed extract, but already horse chestnut. The tool is available in the form of rectal suppositories, or suppositories, which are light brown in color. There are two dosages, in 50 and 100 mg, the drug acts, stimulating peristalsis of the rectum. Usually, after 15 minutes, normal bowel movements occur, and after bowel movement, urges cease. RectActive is indicated for various types of constipation, for bedridden patients, for psychogenic constipation. The domestic company Altfarm produces a laxative, and you can buy 10 suppositories in a maximum dosage of 100 mg for 390 rubles.

Advantages and disadvantages

The advantage of the tool is its quick action, the rare development of adverse reactions, which boil down to a short burning sensation in the rectum, the possibility of long-term use (about a month). The negative aspects include the need to introduce a suppository into the anus, which can not always be done comfortably, a ban on taking the drug during pregnancy and lactation, in the presence of inflammatory pathology of the rectum, with proctitis, cracks, exacerbation of hemorrhoids and with severe spastic constipation.

Agiolax

Rating: 4.7

Laxative Agiolax is a combined herbal preparation that contains raw oval plantain, husk of its seeds, as well as senna. Agiolax is produced by the German company "Meda Pharma", in the form of granules for oral administration. Usually one teaspoon is taken. As in the case of other drugs from plantain seeds, the husk of the seeds swells, increases the intestinal contents, the motility increases, and the senna is able to irritate the intestinal wall receptors chemically, which softens the stool and facilitates their excretion. You can buy a laxative in a container weighing 100 g at a rather high price, starting from 1700 rubles, this is equal to taking it within 20 days. The drug is prescribed in the evening, before bedtime, the effect occurs in the morning.

Advantages and disadvantages

The advantages of the drug, which allowed to be included in the rating, include the treatment of atonic and hypotonic constipation, including in elderly bedridden patients, in the period after surgery, and the ability to use the drug for anorectal pathology, for hemorrhoids, proctitis, and anal fissures. Unpleasant moments include colic in the abdomen and flatulence with an overdose, a number of contraindications, such as spastic constipation, cystitis, the presence of chronic gastrointestinal and uterine bleeding. Since only a doctor can distinguish spastic constipation from the opposite in character atonic, then only a doctor should prescribe a remedy.

The best laxatives for children

In children, the intestines are not yet fully ripe, and its nervous and humoral regulation is imperfect. Therefore, in children, constipation occurs quite often, in addition, in the child, the normal intestinal microflora has not yet formed. The process of establishing normal intestinal digestion in a child takes more than one year, and parents should not worry, constipation in children is a recoverable phenomenon. The laxatives that come to the aid of children will be described below. The rating opens a very popular and effective drug for constipation - Dufalac.

Dufalac

Rating: 4.9

Dufalac, or lactulose, has a hyperosmolar effect, which leads to secretion of fluid into the intestinal lumen, and increases peristalsis. For a pronounced laxative effect, the help of the normal microflora of the colon, which break down this carbohydrate into low molecular weight acids, is necessary. Duphalac is used in the form of a syrup for the treatment of a wide variety of constipation, for the correction of dysbiosis. A laxative is indispensable in chronic liver failure and in encephalopathy.

Of the indications, one can especially note the irregular rhythm of defecation, hemorrhoids, since Dufalac softens stools, as well as dysbiosis. A laxative can be used for putrefactive dyspepsia in young children after food poisoning. Duphalac is used once in the morning with meals, the children's dosage is on average 5 - 10 ml per appointment, children under three years of age are prescribed a dose of 5 ml. The popularity of this drug is very high, and it is available under various trade names. In addition to Dufalac itself, you can find in the pharmacies Goodluck, Lactusan, Normase, Portalac and Romfalac. Lactulose is available in powder, in syrup, and in tablets. Duphalac itself can be purchased for 735 rubles., In the amount of 1 liter of syrup.

Advantages and disadvantages

The advantages of the remedy include the mild laxative effect that children need so much, the inhibition of the growth of pathogenic microbes, and the practical absence of contraindications and side effects. Perhaps lactulose takes the first place in the ranking according to the safety profile. The disadvantages include the rather high price of syrup.

Forlax

Rating: 4.8

Forlax for children is a white powder with the smell of orange or grapefruit, the active substance is macrogol, or polyethylene glycol. The powder consists of long linear molecules, and in combination with water, a macrogol holds it through unstable hydrogen bonds. After taking the powder, the amount of contents in the intestine increases significantly, which causes a laxative effect. Forlax does not act immediately, after a single dose, the laxative effect occurs in a day or two.

A laxative is indicated for the treatment of constipation of various etiologies in children, ranging in age from 6 months to 8 years. Babies are prescribed one sachet per day, children from one to three years old can be assigned two sachets, and children of eight years of age can receive four sachets per day. Reception mode - in the morning and in the evening, having dissolved the necessary dose in 50 ml of water. Continue treatment with Forlax without consulting a doctor for no more than 3 months. The company produces the French company Bofur Ipsen, and 20 bags can be purchased for 250 rubles.

Advantages and disadvantages

The advantages of Forlax include its mild effect and lack of addiction, the ability to use it in children from the age of six months, the possibility of long-term use in the absence of side symptoms. The disadvantages of the drug include the onset of a laxative effect in a day or two, as well as just an orange or grapefruit aroma, which not all kids may like.

Glycerol (glycerin)

Rating: 4.7

Glycerol and glycerin are one and the same substance, which is recommended for constipation associated with a lack of intestinal motility in children, that is, with hypotension and atony. Colorless transparent syrup of sweet taste, which in all proportions is mixed with water. Glycerol is used in children in short courses, or simply once. A laxative is effective only for rectal administration, and therefore glycerin suppositories, or suppositories with glycerin, are available. After rectal administration, glycerin has a slight irritating effect, the intestines begin to contract, feces soften and easily leave the body. In children, the laxative effect occurs, on average, after 20 minutes. Candles should be used once a day, preferably after breakfast. For children, a special dosage of 0.75 g is produced. For a package of 12 candles, you need to give at least 145 rubles. The Romanian pharmaceutical company "Antibiotic" produces candles with glycerin.

Advantages and disadvantages

The positive aspects include a mild effect, the possibility of a single use. The negative side is a rare feeling of discomfort and irritation in the rectum, with very frequent use there are symptoms of catarrhal proctitis. An absolute advantage is the availability and low cost of the drug.

Bisacodyl

Rating: 4.6

This laxative is included in the popularity rating as an affordable and reliable, inexpensive tool for children. Bisacodyl not only irritates the mucous membrane, but also increases the production of mucus in the intestines, which facilitates bowel movements.If the drug is taken orally in the evening, the laxative effect will come in 12 hours, and if the drug is administered rectally, then in an hour. In children, Bisacodyl is used for atonic constipation, it is produced in the form of suppositories by the domestic manufacturer Nizhpharm, and for 10 suppositories you need to give only 38 rubles, at a dosage of 0.01 g. As for tablets, produced in enteric form, then 30 tablets should be given only 13 rubles., produced by JSC Biocom. Perhaps this is one of the most inexpensive and affordable laxatives for children. Laxative has synonyms such as Laxatin, Dulcolax.

Advantages and disadvantages

The advantages of Bisacodyl include cheapness, the rapid onset of bowel movement, and it can be used in children from 2 years. Already one tablet causes a laxative effect, and do not increase the dosage. The disadvantages of Bisacodyl include the development of addiction, with prolonged use, the drug loses its activity. In the event that you immediately take two or three enteric tablets, then the child may develop diarrhea.

Prebiotics as Laxatives

Prebiotics are those substances that are not absorbed or digested by our body in any way, but are excreted in a completely different form, different from the substance received in the body. Prebiotics make up the nutrition components for the normal microflora of the gastrointestinal tract, and stimulate its vital activity and reproduction. Therefore, these drugs have a laxative effect, working through intermediaries - enterococci, Escherichia coli, and other representatives of normal microflora.

Prelax

Rating: 4.9

The laxative is combined, it includes lactulose, lactose and galactose. Strictly speaking, Prelax is not a medicine, because it is not absorbed by our body, but is a kind of biologically active supplement. But it is completely absorbed by bifidobacteria, and its decomposition products - acids such as propionic, acetic, lactic and butyric - contribute to an increase in osmotic pressure in the intestinal lumen. Along the way, Prelax weakens various pathogenic bacteria that enter the intestines, normalizes stool, and facilitates the elimination of toxins from the body. A laxative is prescribed for children over 3 years old by a half-teaspoon of syrup daily, with meals. The drug is taken for a long time, at least 2 weeks. It is possible to increase the dosage by 2 or 3 times, but only as directed by the doctor. Laxative is available in 220 ml bottles, manufactured by the French company Felicata. The cost of one bottle starts from 190 rubles.

Advantages and disadvantages

The advantage is the soft recovery of the stool, the associated restoration of microflora, and almost no side effects. The disadvantages include the occurrence of diarrhea in children with increasing doses and not too fast action.

Inulin

Rating: 4.8

Inulin in its effect belongs to probiotics, and in its composition it could well belong to the category of laxatives of plant origin. Therefore, in the ranking it occupies two groups at once. Inulin is a unique oligosaccharide that is obtained from chicory rhizomes and Jerusalem artichoke tubers. It comes in the form of a powder, it has a sweet taste. Inulin has a sorbing effect, absorbs various toxins, salts of heavy metals, and even radionuclides. It restores the normal intestinal microflora, as it is absorbed by beneficial microorganisms, mainly bifidobacteria.

Inulin normalizes stool, intestinal motility, secretion, its absorption capacity. In children, Inulin is indicated not only for constipation, but also for diarrhea, irritable bowel syndrome, as well as during antibiotic treatment and after antibiotic therapy. Inulin is prescribed to children and adults, 1 teaspoon 4 times a day with meals, and the average course of administration lasts about 1 month. Inulin is available in the form of a powder or tablets. The powder should be dissolved in a liquid, for example in water, juice or kefir. The cost of one package of 100 tablets is 303 rubles.

Advantages and disadvantages

The advantages of the drug include mild action, strengthening immunity, the absence of side effects, the effect on the normal microflora, the ability to normalize the lipid spectrum of the blood, and a positive effect on diabetes. The negative aspects include rare individual hypersensitivity and the need to cancel with congenital fructose intolerance.

Exportal

Rating: 4.7

Exportal is a laxative that is made from lactilol, a derivative of milk sugar, or lactose. The chemical structure of lactilol is a hydrocarbon alcohol, but is used to treat constipation in children, in the elderly and adults. In addition to constipation of various origins, the drug is used for dysbiosis and liver failure. In the intestine, it is broken down by normal microflora, which also leads to an increase in osmotic pressure. As a result, feces increase in volume, soften and defecation is facilitated. The effect after the first dose develops in a day. In chronic constipation, especially associated with a decrease in tone and intestinal motility, the first laxative effect can occur on the second or third day.

Export is used once, with meals, when mixed with various drinks. The entire daily dose is taken immediately at one time, with adults being prescribed 4 teaspoons of powder, and children from one to 6 years old are given one teaspoon.

Export is available in bags or in powder form in plastic containers. The manufacturer is the domestic pharmaceutical company Farmvilar, and 20 sachets per pack of 10 grams can be purchased for 430 rubles.

Advantages and disadvantages

The positive aspects include the ability to use the drug in patients with diabetes and the elderly, and the negative point is the need for increased fluid intake throughout the course of treatment, which can be up to 5 months. In case of an overdose of the drug in adults and children, diarrhea may occur, in very rare cases, vomiting was noted

Best laxatives for the elderly

In old age, intestinal function changes. Its muscles weaken, physiological tone decreases, and the passage of contents through the intestines slows down. Older people often take various medications that also affect stool regulation. Finally, in old age, motor activity decreases, and the frequency of constipation increases. Elderly people often neglect fiber and drink little water. All this leads to chronic constipation. The rating presents several popular effective drugs that are used in gerontological practice.

Senade

Rating: 4.9

Perhaps Senade, or Senna extract, is one of the most popular and well-known drugs for the treatment of constipation in general. In the elderly, a laxative has gained popularity due to its availability, and a wide range of indications, including chronic constipation, proctitis, anal fissures and hemorrhoids, intestinal atony. The active substance is sennosides, which irritate the intestinal wall. Senade is produced in 13.5 mg tablets. Take the drug inside usually once a day, before bedtime. It is recommended to drink the tablet with one glass of water, and in the absence of morning stool, the dose can be increased to 2 or 3 tablets. You can buy the product of the domestic manufacturer FC "Health" in the amount of 20 tablets, respectively, for 20 rubles.

Advantages and disadvantages

The advantage of a laxative is a favorable price, and a rare development of side effects. It should be said that while taking senna preparations, a reddish or brown urine staining occurs, this is due to the formation of metabolites and their excretion from the body by the kidneys. You should not be afraid of this, this is not a sign of kidney disease and disappears after discontinuation of the drug. The negative side of the reception can be attributed a fairly wide range of contraindications, for example, spastic constipation, therefore, a senna extract should be prescribed by a doctor who distinguishes between a spastic and atonic state. Also, contraindications are various inflammatory bowel diseases, peptic ulcer of the stomach and duodenum, pain in the abdomen with no established reason.

Regulax

Rating: 4.8

Another popular drug for the treatment of constipation in the elderly, included in the rating - Regulax, in which the active ingredient is sodium picosulfate. It is indicated for atonic and hypotonic constipation, which is most often found in people of advanced age. The medicine is sold as a colorless, clear solution, one milliliter of which contains 7.5 mg of sodium picosulfate. In the intestine, the active substance undergoes hydrolysis, which is caused by representatives of normal microflora. As a result of this, an accelerated movement of feces occurs, and the absorption of water decreases along the way, due to which the feces also soften. According to the mechanism, the drug can be attributed to prebiotics, and according to the indications - to drugs recommended in old age. The laxative effect occurs, on average, 12 hours after administration, and Regulax is prescribed, respectively, before bedtime. Initially, 12 drops are required, and with severe atonic constipation, the dose is doubled. The average course of treatment is 7 days. A laxative can be purchased in a 20 ml bottle for 230 rubles. Produces Regulax German company "Crevel Moiselbach".

Advantages and disadvantages

The advantages of a laxative include: good regulation of the stool with atonic constipation in the elderly, and the rare development of side effects. The negative side includes a wide range of contraindications, which include cystitis, dehydration, inflammatory diseases of the gastrointestinal tract and the development of hypersensitivity. It should be borne in mind that with the use of broad-spectrum antibiotics, the effect of taking the drug will decrease.

Magnesium Sulfate (Magnesia)

Rating: 4.7

Ordinary magnesium sulfate, or magnesia, has a good laxative effect, irritating the intestinal receptors, and increasing the osmotic pressure in the gastrointestinal tract. This contributes to the release of water into the intestinal lumen, peristalsis increases, and within 4 to 6 hours after the application of magnesia, the urge to defecate occurs. Application involves dissolving magnesia powder in an amount of 25 grams in half a glass of water. It is recommended to use this mixture before bedtime. To enhance the laxative effect, you must then drink 2-3 glasses of warm water. Magnesium sulfate is sold in almost any pharmacy, and is inexpensive, a single dose of 25 g will cost you only 25 rubles. A variety of domestic pharmaceutical manufacturers produce magnesia.

Advantages and disadvantages

The advantages of magnesia include widespread accessibility, which allowed it to take a place in the ranking, a rather active action, and the bitter - salty taste of the ready-made solution, which is unpleasant for everyone, belongs to the negative sides. In addition, a laxative cannot be prescribed to elderly patients with inflammatory diseases of the gastrointestinal tract, with various rhythm disturbances in the form of intracardiac blockade, with myocarditis, and the elderly with chronic renal failure. Side effects such as nausea, vomiting, or diarrhea sometimes occur with an overdose of magnesium sulfate.

Above were listed popular and affordable laxatives in Russia. In conclusion, we must add that in order to avoid constipation, you need to drink at least three glasses of pure water per day, not counting the liquid received from food. It is necessary to add fiber, cabbage, prunes and beets to the diet. The use of raw fruits and vegetables allows you to avoid constipation, and if you also observe an active lifestyle and moderate physical activity, then constipation will not be a problem for you. But still, the most important thing for any constipation is to find the cause, and be sure to consult a doctor.



Attention! This rating is subjective, is not an advertisement and does not serve as a guide to the purchase. Before buying, you need to consult with a specialist.

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