Health problems are quite delicate. It is unlikely that anyone can confess that he suffers from constipation. However, you can’t get away from this ailment and you need to treat it, fortunately, today pharmacies have a large selection of medicines for this problem. They should be chosen carefully, paying attention to indications, contraindications and side effects, and this must be done on the recommendation of the attending physician.
To help you navigate this issue well, we decided to rank the best constipation remedies. We decided to include drugs that are popular among patients and that are most often recommended by specialists. However, before proceeding to the analysis of the composition of drugs and the principle of their action, let’s look at the main points that you should pay attention to when buying such drugs.
How to choose the right remedy for constipation?
Despite the fact that most drugs are characterized by a large number of positive reviews, each of them may have a certain negative effect, and may also be contraindicated in certain conditions of the body. This applies even to fairly soft means. It is necessary to have at least a general understanding of how these drugs work. Laxatives do not cope with the cause of constipation, and also do not provide a therapeutic effect. They only empty the bowels, in other words, provide temporary relief.
The first point associated with the treatment of constipation is a consultation with a specialist. It will allow you to find out the causes of this condition, provide the selection of means to combat it, help get rid of the symptoms and consequences. As a rule, constipation, especially chronic, begins to form as a result of various diseases of the gastrointestinal tract and the digestive system as a whole. In this regard, before prescribing a laxative, experts recommend undergoing a complete examination of this organ system and improving their condition.
There are situations when constipation can be dealt with solely with the help of a laxative. In general, all such drugs can be divided into four main groups – irritants, osmotic, prebiotics and fillers. The first type is the most powerful medicine – it acts as quickly and efficiently as possible. There are similar drugs in pharmacies in a fairly large volume, in most cases, they are not addictive to the body and begin to act within minutes, making it possible to alleviate a person’s condition. Unfortunately, they have quite a few contraindications and side effects, and it is also undesirable to use them regularly.
The safest drugs are prebiotics – they can be used even during pregnancy and breastfeeding. The basis of this remedy is carbohydrates that are digested in the large intestine, due to which the formation of beneficial intestinal flora occurs. In the future, this provides easy and painless relief from constipation. The action is rather slow, but the effectiveness remains for a long time. These drugs do not irritate the intestinal walls, do not disturb their tone. For the most part, they consist of natural ingredients that are not addictive and, as a rule, do not provoke various side effects, with the exception of, for example, mild flatulence.
When we chose the products to include in our review of the best constipation remedies, we tried to find medicines that would fit most of our readers in their composition. The ratio of price and quality of the drug, user reviews were taken into account. However, you should still remember that before taking any medication, you need to consult a specialist.
10+ Best Laxatives for Constipation
10. Duphalac syrup
It contains only one active substance – lactulose, which is diluted with specially purified water. It is sold as a syrup in bottles of 200, 500 or 1000 ml with a special screw cap that has child protection. The package also includes a measuring cup. On sale you can also find portioned packages designed for single use. These bags are made from aluminum foil. This medicine actively stimulates the activation of intestinal motility, accelerates the absorption of calcium and phosphate salts into the body. In addition, the effect of the drug has a positive effect on the exchange of nitrogenous compounds in the body. Ammonia from the blood passes into the intestines, has a relaxing effect, reduces the amount of nitrogen metabolism products that are toxic to humans. Lactuose, in turn, stimulates the active reproduction of lactobacilli in the intestinal environment. They lower the acidity in the lumen of the intestinal tube.
In the complex, it is possible to achieve a decrease in osmotic pressure and increase the volume of intestinal contents, which is clearly visible in the change in the nature of the stool. It is taken orally. All active compounds are not broken down by gastric juice and enter directly into the intestine itself. There are not too many contraindications, mainly they relate to individual intolerance to the active substance of the drug, it is also forbidden to take syrup in case of suspected acute attack of appendicitis and in diabetes mellitus. There are also side effects – these include electrolyte imbalance, which causes convulsions, arrhythmia, and fatigue may increase.
- Very effective means of long action;
- Safe for pregnant, lactating women, as well as for young children – can be used literally from birth;
- Available in a variety of formats;
- The composition contains only one active substance, which does not break down in the stomach.
- Quite expensive;
- At one time you have to drink a decent amount.
9. Slabilen tablets
This is a drug of synthetic nature, belonging to the group of laxative drugs. It is used in gastroenterology and proctology in order to quickly cope with difficult, delayed or insufficient defecation of a very different nature. Available in the form of tablets or drops. Taking the medicine can significantly improve the motility of the colon, due to which the effect of a laxative occurs. The key substance here is sodium picosulfate, there are also a number of additional components – hydrochloric acid, sodium salt of methyl paraben, sorbitol and distilled water (if you plan to use drops).
Film-coated tablets are rounded for ease of swallowing. The package may contain 10 or 20 pieces. The process of decomposition of the drug begins directly in the intestinal microflora. It cannot be said that the medicine acts very quickly – the effect occurs in about 10-12 hours. The tool allows you to accelerate the contraction of the walls of the colon, which also contributes to the rapid removal of waste from the body. There are few contraindications, but they are – cystitis, bleeding in the gastrointestinal tract, peritonitis, and so on. Children can take drops from the age of 4, they start to give tablets from the age of 10. During pregnancy, it is allowed for an early period – up to 12 weeks, during feeding, you can not take the drug. Side effects are minor – a slight decrease in pressure, the occurrence of weakness and mild nausea.
- Has a neutral taste;
- Acceptable cost;
- The laxative effect lasts for a long time.
- It should not be taken by late pregnant women and small children;
- In the presence of abdominal pain, take with caution and under the supervision of a physician.
8. Phytolax tablets
By and large, this is not so much a drug as a dietary supplement, due to which you can quickly normalize bowel function. The drug quickly normalizes the intestinal microflora, which usually causes constipation. Experts recommend it in order to get rid of even chronic problems with defecation – it is allowed to take such a remedy for a long time. The drug is available in the form of chewable tablets with different flavors. It is made exclusively from natural raw materials, so there are not too many side effects, but you still have to consult a specialist before taking it.
The following agents act as active components here – hay leaf extract. With their help, it is possible to start peristaltic contractions of the intestine, which contributes to the speedy cleansing of the body of waste. There is also an extract of plantain, which has an analgesic effect. Prunes soften the intestinal walls, restore microflora. Dill stabilizes the work of the gastrointestinal tract as a whole. Apricot extract contains many vitamins, minerals and trace elements, which also has a positive effect on digestion. Begins to act in 8-10 hours.
- Includes only natural substances;
- It not only normalizes the work of the intestines and alleviates the patient’s condition, but also cleanses the body as a whole;
- It works quite gently, the pain effect is completely absent.
- More expensive than other laxatives;
- Not everyone likes the taste of such tablets.
7. Bisacodyl tablets
The drug is able to cope even with constipation, which has already passed into the most acute stage. In addition, it will become a good helper in the fight against intestinal weakness, if a person violated his bed rest or began to eat improperly. Often it is used in medicine to empty the intestines, if required before surgery. On sale it is found not only in the form of tablets, but also in the format of suppositories and dragees. The optimal form is selected depending on the age of the patient, the presence of additional diseases and the necessary time for the onset of a beneficial effect. The function of the main active ingredient here is performed by bisacodyl. A positive result is achieved due to an increase in the amount of mucus produced by the intestinal walls, as well as an increase in its peristalsis.
The substance stimulates nerve endings, by and large, is a prodrug, since the therapeutic effect does not begin after absorption, but as a result of hydrolysis of the active substance during metabolism. It should not be used with certain foods and medicines. This group includes dairy products, fixing drugs, antacids, and so on. Some unpleasant moments may still occur – these include colic, diarrhea or stomach pain (appear in case of an overdose), addiction is possible. Do not use the remedy for intestinal obstruction, hypersensitivity, various diseases of the abdominal cavity and hemorrhoids.
- If the dosage is observed, an excellent result is provided;
- Long shelf life of the drug;
- Acts very quickly;
- Acceptable cost.
- Enough contraindications and side effects.
6. Fortrans powder
Designed exclusively for adult patients. The laxative effect is pronounced, it manifests itself very quickly, so it should be used only on the recommendation of a doctor with strict adherence to the requirements specified in the annotation to the drug. If you take it incorrectly or break the dose, then problems with constipation can only get worse. The powder dissolves in water – the exact dosage is also given in the annotation, after dissolving it should be drunk whole. It is worth noting that the medicine is not able to cope with the cause of constipation, but it is quite capable of alleviating the condition of a sick person. The mechanism of action of the drug is relatively simple – it enters the digestive tract, where it attracts fluid and begins to hold it. In the process of being in the stomach, the product swells, absorbing more and more moisture.
When it enters the intestines, the composition begins to impregnate the waste with the collected moisture, loosens the excrement, covers the intestinal walls with a layer of moisture and stimulates them to subsequent contractions. The process of getting rid of waste occurs quite quickly and does not cause pain. It is worth noting that the tool is quite aggressive, so it is not suitable for regular use, so it is prescribed exclusively for one-time use. If you use the powder often, then the so-called lazy bowel syndrome may occur, due to the fact that the composition inhibits fluid, its regular use can lead to dehydration.
- Cleans the intestines quickly and very effectively;
- Can be used on the eve of endoscopy or other surgical interventions;
- The original way to influence constipation.
- A very unpleasant taste;
- It is strictly forbidden to use regularly;
- May cause vomiting.
5. Phytomucil norms powder
Another dietary supplement that can be used not only for the treatment of constipation, but also for the general normalization of the stool. The composition is considered one of the safest on the market – it can be used not only by adults, but also by children over the age of three. The composition here is exclusively natural, the body does not get used to it. Moreover, such a laxative is allowed to be used during pregnancy and breastfeeding, it is also suitable for the elderly. The supplement comes in the form of a powder that must be diluted in a liquid. The basis here is the husk of psyllium seeds, as well as an extract from dried plum fruits.
The first substance contains lignin, cellulose and hemicellulose. There is still soluble fiber, which can absorb a large amount of moisture into itself, while increasing in volume. Plum includes pectins, a set of organic acids that help normalize metabolism, remove toxins from the body, and excess fluid. Due to the use of such a drug, it is possible to increase intestinal motility, ensuring its natural emptying, and it occurs without bloating. With proper use of the powder, there are no side effects, there are no contraindications either. The only requirement of the manufacturer is not to take the medicine together with other drugs – it is better to wait one and a half to two hours.
- Excellent quality of the drug, providing a quick and lasting effect;
- It is allowed to use for children, pregnant and lactating women;
- There are modifications for patients with lipid metabolism disorders.
- High price.
Phytomucil norms powder
4. Exportal powder
This is a fairly laxative of the latest generation, developed by domestic pharmacologists and is highly effective. It is absolutely safe to use. Lactitol, a compound derived from milk sugar, is used here as the main component. It is made in the form of a powder that can be diluted in almost any liquid – milk, water, tea, juice. There are several forms of release – there are bags of 10 g (for adults) and 5 g (for children), a laxative is also packaged in plastic jars of 200 or 500 g. The latter options will be very convenient for people who have long suffered from chronic constipation. The product is easy to use – two sachets are dissolved in liquid and taken with meals.
The medicine, as mentioned earlier, is absolutely safe, not addictive, so it can be used for a long time – for up to 5 months. It is also used if it is necessary to completely clear the intestines before surgery or radiographic examination. Lactitol affects the acid-base environment of the intestine, which can adversely affect the use of other drugs, so it is advisable to separate the intake of laxatives and other drugs with an interval of at least two hours.
- Good efficiency;
- There is no habituation;
- Promotes the active development of beneficial microflora;
- Does not increase blood glucose levels;
- Does not cause irritation of the gastrointestinal tract.
- During the first few days, mild flatulence may occur.
3. Guttalax tablets
Another newest tool, but it was already being developed by German pharmacologists. It can be purchased without a doctor’s prescription, and it also belongs to the average price range. Guttalax belongs to the group of stimulant laxatives. The active compound here is sodium picosulfate, which actively affects the mucous membranes and walls of the colon. On sale you can find not only tablets, but also drops for oral administration. The latter are allowed to be used by children over the age of four. It is more convenient for adult patients to take pills, but the drops are quite suitable for them – 20 drops for a mature person will be enough. The drug is well suited for people who suffer from chronic constipation.
The time of onset of a positive effect is from 6 to 12 hours, depending on the metabolic rate of the body. During pregnancy, it is quite acceptable to use such a tool, but this should be done under the close supervision of a specialist. During feeding, the drug is absolutely safe for the baby, as it does not pass into breast milk. The drug allows you to cope with situational constipation, which is associated with a violation of the diet, a small amount of water consumed or the use of other drugs, where constipation acts as a side effect. It is allowed to use such a composition even with diseases of the gallbladder. The remedy itself has practically no side effects – increased gas formation, mild cramps and nausea may occur.
- Has a fairly mild effect;
- It interacts well with other drugs;
- Drops are placed in an easy-to-use plastic bottle.
- The price is somewhat high.
2. Lavacol powder
Here is one of the leaders in our review of the best remedies for constipation – this is also a Russian-made drug, characterized by a mild and very pleasant taste. The action is not too strong, but quite long. It is worth noting that you can buy this laxative only by prescription of a specialist, so you won’t be able to do without his consultation. Take the drug exclusively on an empty stomach, after dissolving it in a glass of clean water at room temperature. The effect should be expected approximately 10-12 hours after consumption. In principle, sweet syrups or jams can be added to the suspension, making its taste even more pleasant.
The following compounds act as active substances here: macrogol, polyethylene glycol, sodium bicarbonate, anhydrous sodium sulfate, potassium and sodium chlorides. Macrogol performs the function of the most active component – it is with its help that a pronounced laxative effect can be achieved. In addition, this substance does not allow the absorption of water in the intestines, which facilitates its purification from all contents. It was not possible to do without some contraindications – worsened intestinal patency, impaired kidney function, various inflammatory processes in the gastrointestinal tract.
- Reasonably priced;
- There is no unpleasant taste;
- Good and lasting effect;
- There are no unpleasant and painful sensations.
- It was not possible to do without contraindications;
- It doesn’t start working right away.
1. Microlax microclyster
A tool that has a very fast action – from 5 minutes to half an hour. No other drug in our review has a more active effect on the intestines. Another undeniable positive point associated with this microclyster is the ability to use it even for newborns. The products are packaged in small enemas made on the basis of soft silicone. They are disposable, which ensures hygiene, increase the speed of action, and are quite convenient to use. Each of them contains the required dose of laxative. Microclyster does not require preliminary antiseptic treatment, it is ready for introduction into the body immediately after being removed from the package. It quickly softens the waste and facilitates their excretion, therefore, when emptying the intestines, there is no unpleasant or even painful sensation.
It is allowed to use this medicine even during pregnancy and breastfeeding. The drug does not pass into the gastrointestinal tract beyond the resulting congestion. The composition contains sodium citrate, sodium lauryl sulfoacetate and an aqueous solution of sorbitol. Their active action is aimed at providing a good laxative effect and a mild fight against constipation.
- High efficiency and good speed of action on constipation;
- There is no discomfort during the application;
- The tool does not require prior preparation;
- Can be used by pregnant and lactating women, as well as children from birth.
- Very high cost;
- Not recommended for permanent use.
In conclusion, a useful video
For each remedy, we have tried to collect all the available information so that you can objectively assess which one is best for your body. Feel free to write to us in the comments if some points are not clear to you – we will try to clarify them as soon as possible.