Page 100 - COMMUNITY PHARMACY PRACTICE
P. 100

02/04/2024

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     Marketed products

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     Bulk-forming laxatives……cont

   Adverse effects                Imp Patient
             &                     couseling

  contraindications               • given with a cup of water
                                    (to minimize the possible
  • Abdominal cramping              esophagus, small intestine
  • Flatulence (gas, bloating       and colon obstruction)

    due to interaction with       • Dose spacing with (oral
    intestinal bacteria..natural  anticoagulant, digitalis,
    fibers)                       salicylates,                                                                                     oral
  • Oesophogeal obstruction,      tetracycline with ca
    any bowel obstruction         polycarbophil)
  • Not taken in intestinal
    ulceration or adhesions       • Good in elderly & pregnant
  • Not for children <6 yrs
  • Not in chronic IBS ..

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