• Treatment of constipation or diarrhea that may be associated with diverticulosis or irritable bowel syndrome.

Contraindicated in:

• Hypersensitivity
• Abdominal pain
• Nausea or vomiting (especially when associated with fever or other signs of acute abdomen)
• Serious intra-abdominal adhesions
• Dysphagia.

Use Cautiously in:

• Pregnancy or lactation (has been used safely).

GI: abdominal fullness.

Drug-Drug:

• May decrease the absorption of concurrently administered tetracycline.

(Generic available)

• Tablets: 500 mg^OTC;
• Chewable tablets (Equalactin — citrus flavor; Mitrolan — citrus-vanilla flavor): 500 mg^OTC; 1000 mgOTC;

• PO (Adults): 1 g 1–4 times daily or as needed (not to exceed 6 g/24 hr); for severe diarrhea, may repeat q 30 min.
• PO (Children 6–12 yr): 500 mg 1–3 times daily or as needed (not to exceed 3 g/24 hr); for severe diarrhea, may repeat q 30 min.
• PO (Children 2–6 yr): 500 mg 1–2 times daily or as needed (not to exceed 1.5 g/24 hr); for severe diarrhea, may repeat q 30 min.

Bulk Forming Fiber Laxative, Equalactin, FiberCon, Fiber-Lax, Konsyl Fiber, Mitrolan

• Acts as a bulk laxative by keeping water within the bowel lumen.
• Acts as an antidiarrheal by taking on water within the bowel lumen to create a formed stool.

• Normalization of bowel water content while adding bulk, treating both diarrhea and constipation.

Therapeutic Classification: antidiarrheals, laxatives

Pharmacologic Classification: bulk forming agents

Absorption: Minimal systemic absorption.

Distribution: Unknown.

Metabolism/Excretion: Complex plus absorbed water are excreted in the feces.

Half-life: Unknown.

(effect on bowel function)

†May take as long as 72 hr.

• Encourage patients with constipation to use other forms of bowel regulation, such as increasing bulk in diet, fluid intake, and mobility. Normal bowel habits are individualized and may vary from 3 times/day to 3 times/wk.
• Instruct patients with sudden onset of constipation to notify health care professional; medical evaluation may be necessary.
• Instruct patients with diarrhea to notify health care professional if fever or bloody stools occur or if diarrhea persists or worsens. Discuss need for fluids and diet modifications during episodes of diarrhea.

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