Page 112 - COMMUNITY PHARMACY PRACTICE
P. 112

02/04/2024

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   Castor oil……

      Cathartic effects (excessive fluid and electrolyte loss) leading to
      dehydration. It is mainly used to evacuate the GIT contents prior to GIT
      operations.
      Warning
      It shouldn't be used in pregnants as it may cause premature labor.
      • It can erode intestinal villi or disorganize the microvillous surface of the

        intestinal lumen so long term use leads to nutrient malabsorption.
      • Dose :- adult: - 15-60 ml children (2-12 years) 5-15ml
      N.B
      • Castor oil can be misused to hasten delivery to induce premature

        uterine contractions;
      • however this is deadly since it can cause amniotic fluid embolism and

        impaired health of the infant

    •.

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                    Lubricant laxatives:

   Mechanism of      onset of action:      Examples &
        action                               marketed
                    • 6-8 hr orally.         products
• at the colon to   • 5-15 minutes
  increase water                       • (mineral oils) as
  retention in the    rectally.          liquid paraffin
  stool (coat)to
  soften it

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