Purgatives and Laxatives

PURGATIVES AND LAXATIVES

  • Purgatives are drugs which cause marked intensification of intestinal activity and results in the expulsion of intestinal content from the colon and rectum.
  • The terms aperient and cathartic are also applied to describe the purgatives. A distinction is made according to the intensity of action.
  • Laxative or aperient: are milder in action, elimination of soft but formed stools
  • Purgatives or cathartic: are stronger action resulting in more fluid evacuation.
  • Laxative and cathartics are used for:
    • Relief of acute non dietary constipation
    • Removal poisons from the gastrointestinal tract
    • Prevention of tenesmus in advanced pregnancy or prolapse
    • Evacuation of the bowel prior to surgery or radiography
  • Many drugs in low doses act as laxative and in larger doses as purgatives.
  • Type of stools and latency of action of purgatives employed in usually recommended doses

Soft formed feces
(take 1-3 days)

Semi fluid stools
(take 6-8 hours)

Watery evacuation
(within 1-3 hours)

Bulk forming

Docusates

Liquid paraffin

Lactulose

Phenolphthalein

Bisacodyl

Senna

Saline purgatives

Castor oil

Last modified: Wednesday, 25 April 2012, 10:06 AM