Page 111 - COMMUNITY PHARMACY PRACTICE
P. 111
02/04/2024
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Stimulant laxatives……cont
Adverse effects & Imp Patient couseling
contraindications
• shouldn’t be used for
• Stimulant more than 1 week
habituation
• Senna may discolor
• (easily abused for the the urine with (pink to
daily bowel red or brown to black)
movement)
• All bisacodyl
• cathartic colon (if containing products
chronic use).. poorly shouldn't be taken
functioning colon like within an hour of
ulcerative colitis. ingesting antacid or
milk (enteric coated). It
226 should be avoided in
patients taking H2
blockers.
227
Stimulant laxatives
• Phenolphthalein (in Picolax® oral drops)
was removed from the market as suggested by
FDA due to the possible carcinogenicity.
• Cascara and aloe
were banned by the FDA in 2002 for over-the-
counter sales. Nassar???
227
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