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Dulcolax (bisacodyl)

THERAPEUTIC CLASS

Stimulant laxative

DEA CLASS

OTC

INDICATIONS

Temporary relief of occasional constipation and irregularity. Produces bowel movement in 15 min-1 hr (Sup) and 6-12 hrs (Tab).

ADULT DOSAGE

Constipation

Tab:
1-3 tabs qd

Sup:
1 sup rectally qd; retain for 15-20 min

PEDIATRIC DOSAGE

Constipation

6-12 Years:
Tab: 1 tab qd
Sup: 1/2 sup qd

≥12 Years:
Tab: 1-3 tabs qd
Sup: 1 sup qd; retain for 15-20 min

ADMINISTRATION

Oral/rectal route

Tab
Do not crush or chew; take w/ water

Sup
Insert sup well into rectum, w/ pointed end first

HOW SUPPLIED

Sup: 10mg; Tab: 5mg

WARNINGS/PRECAUTIONS

(Sup) For rectal use only. May cause rectal burning. (Tab) Do not chew or crush. (Sup/Tab) May cause stomach discomfort, faintness, and cramping. D/C with rectal bleeding, no bowel movement after use, or the need to use a laxative for >1 week.

ADVERSE REACTIONS

Stomach discomfort, faintness, cramps. (Sup) rectal burning.

DRUG INTERACTIONS

(Tab) Avoid within 1 hr after taking antacids or milk.

PREGNANCY AND LACTATION

Safety in pregnancy and nursing not known.

MECHANISM OF ACTION

Stimulant laxative.

ASSESSMENT

Assess for allergy to the drug, stomach pain, N/V, sudden change in bowel habits lasting >2 weeks, pregnancy/nursing status, and possible drug interaction. (Tab) Assess for ability to swallow.

MONITORING

Monitor for rectal bleeding, for no bowel movement, stomach discomfort, faintness, and cramping. (Sup) Monitor for rectal burning.

PATIENT COUNSELING

Advise to ask physician before use if patient has stomach pain, N/V, and a sudden change in bowel habits that last >2 weeks. Advise to d/c therapy and ask physician if patient has rectal bleeding or no bowel movement after using product, and the need to use a laxative for >1 week. Advise to ask a physician before use if pregnant or breastfeeding.

STORAGE

Tab: 20-25°C (68-77°F). Protect from excessive humidity. Sup: ≤30°C (86°F).

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