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Introduction About TRULAX TABLET
TRULAX TABLET contains Sodium picosulfate which belongs to the group of medicines called Laxatives. It is used for short term relief of functional constipation. Constipation is defined as fewer than three bowel movements a week, stools that are hard, dry, lumpy, difficult or painful to pass.
Your doctor might advise to take rich fibre diet, more fluid intake, and do regular exercise. TRULAX TABLET is not recommended for use in patients with acute liver failure, severe dehydration, ileus, gastrointestinal obstruction, gastrointestinal ulceration or perforation.
It is also not recommended if you have appendicitis, acute inflammatory bowel diseases, severe abdominal pain associated with nausea and vomiting, sudden/severe abdominal pain just before intake, undiagnosed rectal bleeding.
TRULAX TABLET should be used with caution in patients with kidney, heart disease, recent gastro-intestinal surgery, inflammatory bowel disease. Contact your doctor before taking. TRULAX TABLET is generally not recommended for use in pregnancy and breastfeeding women unless it is clearly necessary.
TRULAX TABLET is not recommended for use in children under 10 years of age. TRULAX TABLET should be used with caution in elderly patients. The most common side effects of taking TRULAX TABLET are diarrhoea, abdominal pain, cramps, or discomfort. Do consult your physician if any of the side effects worsen.
Uses Of TRULAX TABLET
- Used to manage short-term relief of functional constipation
How TRULAX TABLET Works
TRULAX TABLET works by increasing the mucosa of the large intestine and rectum. Which in turn increases its motility (movement), accumulation of water, hence softening the stool and stimulating defecation (emptying of bowel).
How to use TRULAX TABLET
Take TRULAX TABLET as advised by your doctor. Swallow the whole medicine with glass of water. Do not crush or chew the medicine. Your doctor will decide the correct dose and duration of medicine depending upon your age, body weight and disease condition.
Side Effects Of TRULAX TABLET
Common
- diarrhoea
- abdominal pain, cramps or discomfort
Uncommon
- nausea
- vomiting
Rare
- hypersensitivity (such as angioneurotic oedema and skin reactions)
Stop taking TRULAX TABLET and contact your doctor immediately if you experience any of the following side effects:
- severe allergic reaction (symptoms include rash, swelling of skin, mouth, face leading to swallowing or breathing difficulties)
How To Manage Side Effects
Stomach pain:
Try to rest and relax. Eat small meals but take frequently. Keep a heat pad on your stomach. Contact your doctor if the stomach pain doesn’t improve.
Diarrhoea:
Drink plenty of water or fruit juices to keep yourself hydrated. Don’t take any medicine on your own for managing diarrhoea. Contact your doctor if diarrhoea worsen.
Warning & Precautions
Pregnancy
TRULAX TABLET is generally not recommended for use in pregnancy or women planning to have a baby unless it is considered clearly necessary by the doctor. Contact your doctor before taking it.
Breastfeeding
TRULAX TABLET is generally not recommended for use in breastfeeding women unless it is considered clearly necessary by the doctor. Contact your doctor before taking TRULAX TABLET.
Driving and Using Machines
TRULAX TABLET has no or negligible influence on ability to drive and use machines.
Kidney
TRULAX TABLET should be used with caution in patients with kidney disease. Contact your doctor before taking TRULAX TABLET.
Liver
TRULAX TABLET is not recommended for use in patients with and acute liver failure. Contact your doctor before taking.
Allergy
Do not take TRULAX TABLET if you are allergic to Sodium picosulfate or any other ingredients of this medicine.
Heart Disease
TRULAX TABLET should be used with caution in patients with heart disease. Contact your doctor before taking.
Others
TRULAX TABLET is not recommended for use if you have:
- severe dehydration
- ileus (bowel condition causing blockage in the intestine)
- gastrointestinal obstruction, ulceration or perforation
- acute abdominal surgical conditions including appendicitis
- acute inflammatory bowel diseases
- severe abdominal pain associated with nausea and vomiting
- sudden, severe abdominal pain just before intake
- undiagnosed rectal bleeding
Before taking TRULAX TABLET tell your doctor if you have:
- recent gastro-intestinal surgery
- inflammatory bowel disease
Use in Paediatrics:
TRULAX TABLET is not recommended for use in children under 10 years of age. Contact your doctor before taking.
Use in Geriatrics:
TRULAX TABLET should be used with caution in elderly patients aged due to increased susceptibility to the effects of dehydration. Contact your doctor before taking.
Interactions
A. Drug-Drug Interactions:
Before taking TRULAX TABLET, inform your doctor if you are taking any of the following medicine:
- diuretics (medicines used to increase urine output) Ex. amiloride
- corticosteroids (medicines used to manage inflammatory conditions) Ex. cortisone
- lithium (used to manage mental illness)
- cardiac glycosides (used to manage heart disorders) Ex. digoxin
- anti-epileptics (medicines used to manage fits) Ex. carbamazepine
- contraceptives (medicines used to manage pregnancy) Ex. progestin
- anti-diabetics (medicines used to manage diabetes) Ex. metformin, glipizide
- NSAIDs (medicines used to manage pain) Ex. diclofenac, ibuprofen
- tricyclic antidepressants (Ex. amoxapine), selective serotonin re-uptake inhibitors (medicines used to manage depression, anxiety and panic disorders) Ex. fluoxetine
- antipsychotic drugs (medicines used to manage psychoses) Ex. clozapine, haloperidol
- carbamazepine (to manage epilepsy)
- antibiotics (used to manage infections) Ex. amoxicillin
Overdosage:
If you or anyone else accidentally take too much of TRULAX TABLET, consult your doctor immediately or visit the nearby hospital. Symptoms of overdose are diarrhoea, abdominal cramps and a clinically significant loss of potassium and other electrolytes.
Synopsis
| Drug | : | Sodium Picosulfate |
| Pharmacological Category | : | Laxatives |
| Therapeutic Indication | : | Constipation |
| Dosage Forms | : | Tablet, Solution, Syrup, Oral solution, Oral suspension |
More Information
- Keep TRULAX TABLET out of sight and reach of children
- Store TRULAX TABLET at room temperature
FAQs About TRULAX TABLET
Q: What is TRULAX TABLET used for?
A: TRULAX TABLET is used for short term relief of functional constipation in adults and children above 10 years of age. Contact your doctor for more information before taking it.
Q: Does TRULAX TABLET help with weight loss?
A: Stimulant laxatives, including TRULAX TABLET do not help with weight loss. These medicines do not reduce the absorption of calories or nutrients. They may cause watery stools (diarrhoea), abdominal cramps and dehydration. Dehydration may seem like weight loss.
Q: What does constipation mean and why does it happen?
A: Constipation is a bowel disorder that occurs due to slowing down of the muscle actions in the large intestine. It may be caused due to a sudden change of diet, a less fibrous diet, loss of muscle tone in elderly people, pregnancy, certain medicines (morphine or codeine), prolonged bedtime and lack of exercise. The symptoms of constipation include bloating, discomfort or sometimes headache.
Q: What are the natural ways to manage constipation?
A: Constipation may be relieved by certain lifestyle and diet modifications such as: Eat a balanced diet including fresh fruit and vegetables, drink enough water so that you do not become dehydrated and exercise to stay fit.
Q: How does TRULAX TABLET help in relieving constipation?
A: TRULAX TABLET works by increasing the mucosa of the large intestine and rectum. Which in turn increases its motility (movement), accumulation of water, hence softening the stool and stimulating defecation (emptying of bowel).
References
1. K.D. Tripathi. Drugs for Constipation and Diarrhoea. Essentials of Medical Pharmacology. 6th Edition. 2013. Page- 674.
2. Hyun Gun Kim, Kyu Chan Huh, Hoon Sup Koo, Seong-Eun Kim, Jin-Oh Kim, Tae Il Kim, Hyun-Soo Kim, Seung-Jae Myung, Dong Il Park, Jeong Eun Shin, Dong-Hoon Yang, Suck-Ho Lee, Ji Sung Lee, Chang Kyun Lee, Dong Kyung Chang, Young-Eun Joo, Jae Myung Cha, Sung Pil Hong, and Hyo Jong Kim. Sodium Picosulfate with Magnesium Citrate (SPMC) Plus Laxative Is a Good Alternative to Conventional Large Volume Polyethylene Glycol in Bowel Preparation: A Multicenter Randomized Single-Blinded Trial. NIH. National Library of Medicine, National Centre for Biotechnology Information. Pubmed Central. July 2015. [Accessed on 17th August 2022] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4477993/
3. Sung Sil Park, Sung Chan Park, Dong-Eun Lee, Dong Woon Lee, Kiho Yu, Hyoung-Chul Park, Chang Won Hong, Dae Kyung Sohn, Kyung Su Han, Bun Kim, Byung Chang Kim, and Jae Hwan Oh. The risk of surgical site infection of oral sulfate tablet versus sodium picosulfate for bowel preparation in colorectal cancer surgery: a randomized clinical trial. NIH. National Library of Medicine, National Centre for Biotechnology Information. Pubmed Central. August 2022. [Accessed on 17th August 2022] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9365640/
4. Ferring Ireland Ltd. Health Products Regulatory Authority (HPRA). [Revised in September 2012] [Accessed on 17th August 2022] http://www.hpra.ie/img/uploaded/swedocuments/LicenseSPC_PA1009-024-002_24052013132038.pdf
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