A Comprehensive Guide to Psyllium: Medication Profile, Uses, and Side Effects
Names of Medication
Psyllium is commonly available under the brand name Metamucil (Psyllium).
Pharmacologic Category
Psyllium belongs to the pharmacologic category of bulk-forming laxatives. Other medications in this category include Methylcellulose (Citrucel) and Polycarbophil (FiberCon).
Dosing
It’s important to remember to always follow your doctor’s instructions regarding dosage, as individual needs may vary. Psyllium is used in the treatment of:
Chronic Idiopathic Constipation (CIC):
The usual dose is one rounded teaspoon mixed with 8 ounces of liquid, taken 1-3 times daily.
Irritable Bowel Syndrome (IBS):
Dose ranges from 5-10 g taken with meals, or as directed by a healthcare provider.
Dietary Fiber Supplementation:
One rounded teaspoon mixed with 8 ounces of liquid, taken up to 3 times daily.
Diarrhea:
Psyllium can help solidify loose stools, consult with your healthcare provider for appropriate dosing.
Hemorrhoids:
As part of supportive treatment, psyllium can help alleviate constipation and reduce strain during bowel movements. Typical dose is 5-10 g taken with meals.
Diverticular disease:
As part of supportive treatment, typical dose is one rounded teaspoon mixed with 8 ounces of liquid, taken up to 3 times daily.
Postoperative bowel movement normalization:
Dosage should be directed by a healthcare provider.
Never adjust your dose or the frequency of administration without consulting your healthcare provider.
Dosage Forms and Strengths
Psyllium is available as:
Powder for oral suspension: 3.4 g/5.8 g per rounded teaspoon
Capsules: 0.52 g per capsule
Administration Instructions
Always take psyllium with a full glass (8 ounces) of water or other liquid. Swallow psyllium capsules one at a time and avoid inhaling the powder form to prevent choking.
Adverse Reactions and Side Effects
Side effects of psyllium may include:
Bloating and gas (common):
Psyllium increases the amount of fiber in the gut, which can cause bloating and gas, especially when you first start taking it.
Stomach cramps (less common):
The sudden addition of bulk in the intestines can occasionally lead to cramps.
Choking (rare):
If psyllium is taken without adequate fluids, it can swell in the throat and potentially cause choking.
Contraindications to Taking Psyllium
A contraindication is a condition or factor that serves as a reason to withhold a certain medical treatment. Contraindications for psyllium include:
Bowel obstruction or spasms:Bowel obstruction or spasms:
Psyllium increases the bulk of stool, which could worsen these conditions.
Difficulty swallowing:
Psyllium can expand and thicken, which may be hazardous for individuals who have trouble swallowing.
Allergy or sensitivity to psyllium:
Those who have had a past allergic reaction or sensitivity to psyllium should avoid it.
Drug to Drug Interactions
Psyllium can interact with the following medications:
Antidepressants, Tricyclic (e.g., Amitriptyline [Elavil]):
Psyllium can decrease the absorption of this type of medication.
Diabetes medication (e.g., Metformin [Glucophage]):
Psyllium can lower blood sugar levels, affecting diabetes control.
Digoxin (Lanoxin):
Psyllium can decrease the absorption of digoxin, potentially reducing its effectiveness.
Psyllium in Pregnancy
Psyllium is generally considered safe during pregnancy. However, pregnant women should always consult with their healthcare provider before starting any new medication or supplement.
Psyllium while Breastfeeding
Psyllium is also typically considered safe while breastfeeding. As with pregnancy, breastfeeding individuals should consult their healthcare provider before taking new medications or supplements.
Estimated Cost of Medication
The estimated cost for a 30-day supply of psyllium (Metamucil) is approximately $15-$25, assuming the individual does not have insurance and is utilizing a GoodRX coupon. Remember, these prices are only estimates and may vary depending on the pharmacy and location, and are subject to change based on negotiated agreements between pharmacies and pharmaceuticals.
Brief Legal Disclaimer
This article is for informational purposes only and not intended as medical advice. Always consult a healthcare professional for diagnosis and treatment. Reliance on the information provided here is at your own risk.
Brief Legal Disclaimer: This article is for informational purposes only and not intended as medical advice. Always consult a healthcare professional for diagnosis and treatment. Reliance on the information provided here is at your own risk.