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Intestinal Rehabilitation 1

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Spinal Cord Injury Center<br />

6. Appendix<br />

Preparation Effect Effect Side effects<br />

Dosage after<br />

6.1. Oral Laxatives<br />

Duphalac® Syrup / Dry<br />

2 x 15 – 30 ml<br />

2 x 10 – 30 g<br />

Feigensirup® fig syrup<br />

2 x 15 – 30 ml<br />

Importal® Sachet<br />

1 x 1 – 2 Sachets<br />

Prontolax ® Dragée<br />

1 – 2 dragée / day<br />

Transipeg forte® Packet<br />

1 – 2 packets / day<br />

in 100 ml water<br />

Preparations in italics = not covered by health insurance<br />

Osmotic laxative – poorly soluble sugars are<br />

degraded to amino acids in the colon →<br />

increase in osmotic pressure, increased<br />

stool volume, improved peristalsis.<br />

Laxative effect in the large intestine through<br />

mucous substances, fruit sugar and fruit acid.<br />

Osmotic laxative – for effects, see above.<br />

Contact laxative. Increase in intestinal peristalsis.<br />

Iso-osmotic laxative effect<br />

Through binding of water, larger volume, intestinal<br />

walls are stretched, defecation stimulus is triggered.<br />

12 – 48 h<br />

over 24 h<br />

12 – 48 h<br />

10 – 12 h<br />

24 – 48 h<br />

© 2003 Paraplegikerzentrum Balgrist, Zürich by Jörg HENAUER MD / Jsabella FREI <strong>Intestinal</strong> <strong>Rehabilitation</strong> Page 9<br />

At onset: meteorism, diarrhoea.<br />

<strong>Intestinal</strong> irritation, meteorism.<br />

At onset: meteorism,<br />

abdominal cramps, possibly nausea.<br />

Abdominal cramps, meteorism,<br />

diarrhoea – loss of water and potassium, d<br />

to mucous membrane.<br />

Diarrhoea, vomiting, abdominal pain.

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