Complete Guide to Bisacodyl: Usage, Side Effects, and More

Names of Medication

The medication you may know as Dulcolax is the brand name for the generic medication Bisacodyl.

Pharmacologic category

Bisacodyl belongs to a class of medications known as stimulant laxatives. Other medications in this category include senna (Senokot), cascara, and castor oil.

Dosing

Bisacodyl is used in the management of several conditions. These include:
Chronic Constipation: Typically, the dosage is 5-15 mg daily before bedtime.
Occasional Constipation: A dose of 5-15 mg per day is usually sufficient.
Bowel Preparation before Medical Procedures like Colonoscopy: Often, 15-30 mg is administered the night before the procedure.
Neurogenic Bowel Dysfunction (as part of management): The dose varies based on the individual’s needs and response to treatment.
Remember, your doctor will determine the most appropriate dosage for your specific situation. Always consult your healthcare provider before making any changes to your medication regimen.

Dosage Forms and strengths

Bisacodyl is available in tablet form (5 mg) and as a suppository (10 mg).

Administration Instructions

Oral bisacodyl should be taken with a full glass of water. Do not take it within 1 hour of consuming dairy products or antacids as these can cause the coating of the tablet to break down too quickly. If using the suppository, it should be inserted rectally.

Adverse Reactions and Side Effects

Bisacodyl, like any medication, has potential side effects. These may include:
Abdominal Cramping (Common): This is caused by increased movement in the intestines as the medication stimulates the bowels.
Diarrhea (Common): This occurs because bisacodyl increases intestinal activity, speeding up the movement of stools, which can result in loose, watery bowel movements.
Nausea (Less Common): This may be related to the increased gastrointestinal activity caused by the drug.
Rectal Irritation (With suppository use): This is often a result of the physical presence of the suppository, as well as increased local activity in the rectum.

Contraindications to taking Bisacodyl

Contraindications refer to specific situations in which a drug should not be used because it may be harmful to the patient. Bisacodyl is contraindicated in the following situations:
Bowel Obstruction: Bisacodyl stimulates bowel movements, which could be dangerous and painful in the case of a bowel obstruction.
Severe Dehydration: As a laxative, bisacodyl can cause fluid loss. In someone who is already severely dehydrated, this could worsen their condition.
Severe abdominal pain: This could be a sign of a serious condition that could be worsened by inducing bowel movements, such as appendicitis or an inflamed bowel.

Drug to Drug Interactions

Certain medications may interact with bisacodyl, including:
Antacids (such as Tums): These medications can disrupt the protective coating of bisacodyl tablets, leading to stomach upset.
Proton pump inhibitors (such as omeprazole): Like antacids, these medications can interfere with the bisacodyl tablet coating, potentially leading to stomach irritation.

Bisacodyl in Pregnancy

While bisacodyl is not expected to harm an unborn baby, pregnant women should always consult their healthcare provider before starting any new medication. Your doctor will be able to weigh the potential benefits and risks.

Bisacodyl while Breastfeeding

Bisacodyl is considered generally safe to use while breastfeeding. However, as with all medications, breastfeeding individuals should discuss with their healthcare provider before use.

Estimated Cost of Medication

The cost of bisacodyl varies, but a 30-day supply of bisacodyl tablets can typically be purchased for around $10-$15 using a GoodRx coupon. Please remember that these prices are only estimates, and actual costs may vary depending on pharmacy and location. Prices are also subject to change based on negotiated agreements between pharmacies and pharmaceutical companies.

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.