Movicol
Macrogol 3350, sachet containing 13.125 g powder, 30, Movicol; sachet containing 6.563 g powder, 30, Movicol-Half
Purpose of Application
To seek the following:
a. an extension to the current listing to include the treatment of faecal impaction in adults, where conventional therapies have failed, and the alternative treatments may require hospitalisation; and
b. a similar listing for a lower strength product that can be used in adults and children for the treatment of faecal impaction, where conventional therapies have failed, and the alternative treatments may require hospitalisation.
Background
At the June 2002 PBAC meeting, Macrogol 3350 (13.125 g, sachet) was recommended for a restricted benefit listing for the treatment of constipation in patients with malignant neoplasia, on the basis of acceptable cost-effectiveness compared to lactulose. PBS listing was implemented on 1 November 2002.
Registration Status
Movicol is TGA approved for the following indications:
• treatment of constipation.
• faecal impaction, defined as refractory constipation with faecal loading
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Posted by: Gastroenterologist in
Best Laxatives on November 29th, 2010
Senna is an anthraquinone stimulant laxative that is used to treat constipation and for bowel evacuation before investigational procedures or surgery.
Preparations
UK: Ex-Lax; Nylax with Senna; Senokot; Sure-Lax
US: Black-Draught; Dosaflex; Dr Edwards Olive; Evac-U-Gen; Ex-Lax; Fletchers Castoria; Lax Pills; Little Tummys Laxative; Maximum Relief Ex-Lax; Senexon; Senna Smooth; Senna-Gen; Senokot; Senokotxtra; X-Prep
Drug Nomenclature
Synonyms: Alexandriai szenna termés (senna pods, Alexandrian); Plod kasie úzkolisté (senna pods, Tinnevelly); Plod kasie ostrolisté (senna pods, Alexandrian); Sen; Senų lapai (senna leaf); Senų vaisiai (senna pods, Alexandrian); Sennabalja, Tinnevelley- (senna pods, Tinnevelley); Sennabalja, alexandrinsk (senna pods, Alexandrian); Sennanpalko, Aleksandrian (senna pods, Alexandrian); Sennanpalko, Tinnevelleyn (senna pods, Tinnevelley); Sennový list (senna leaf); Siauralapių senų vaisiai (senna pods, Tinnevelly); Szennalevél (senna leaf); Tinevelly szenna termés (senna pods, Tinnevelly)
CAS: 8013-11-4
ATC code: A06AB06
Read code: y01Rq
Description.
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Posted by: Gastroenterologist in
Best Laxatives on September 11th, 2010
Magnesium hydroxide is also given as an osmotic laxative in oral doses of about 2 to 5 g.
Preparations
United Kingdom: Milk of Magnesia; United States: Dulcolax; Milk of Magnesia; Phillips' Chewable; Phillips' Milk of Magnesia
Drug Nomenclature
Synonyms: E528; Hydroxid hořečnatý; Magnézium-hidroxid; Magnesii Hydroxidum; Magnesio, hidróxido de; Magnesium Hydrate; Magnesiumhydroksidi; Magnesiumhydroxid; Magnio hidroksidas
Molecular formula: Mg(OH)2 =58.32
CAS: 1309-42-8
ATC code: A02AA04; G04BX01
Read code: y01SB [Laxative]; y03Lp
Note. Compounded preparations of magnesium hydroxide may be represented by the following names:
• Co-magaldrox x/y (BAN) — where x and_y are the strengths in milligrams of magnesium hydroxide and aluminium hydroxide respectively.
Pharmacopoeias. In Europe, International, US.
European Pharmacopoeia, 6th ed. (Magnesium Hydroxide). A fine white or almost white amorphous powder. Practically insoluble in water dissolves in dilute acids. A solution in water is alkaline to phenol-phthalein.
The United States Pharmacopeia 31, 2008 (Magnesium
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Bisacodyl is a diphenylmethane stimulant laxative used for the treatment of constipation and for bowel evacuation before investiga-tional procedures or surgery.
Preparations
UK: Biolax; Dulcolax; Entrolax
US: Alophen; Bisa-Lax; Correctol; Doxidan; Dulcolax; Evac-Q-Tabs; Ex-Lax Ultra; Feen-A-Mint; Fleet Bisacodyl; Fleet Laxative; Gentlax; Modane
Drug Approvals
(British Approved Name, rINN)
International Nonproprietary Names (INNs) in main languages (French, Latin, and Spanish): Bisacodilo; Bisacodylum; Bisakodil; Bisakodilis; Bisakodyl; Bisakodyyli; Biszakodil.
BAN: Bisacodyl
INN: Bisacodyl [rINN (en)]
INN: Bisacodilo [rINN (es)]
INN: Bisacodyl [rINN (fr)]
INN: Bisacodylum [rINN (la)]
INN: Бисакодил [rINN (ru)]
Chemical name: 4,4´-(2-Pyridylmethylene)di(phenyl acetate)
Molecular formula: C22H19NO4 =361.4
CAS: 603-50-9 (bisacodyl); 1336-29-4 (bisacodyl tannex)
ATC code: A06AB02; A06AG02
Read code: y01RZ
Pharmacopoeias. In China, Europe, Japan, and US.
European Pharmacopoeia, 6th ed. (Bisacodyl). A white or almost white crystalline powder. Practically insoluble
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Lactulose is a synthetic disaccharide osmotic laxative used in the treatment of constipation and in hepatic encephalopathy.
Preparations
UK: Duphalac; Lactugal; Lemlax; Regulose
US: Cephulac; Cholac; Chronulac; Constilac; Constulose; Duphalac; Enulose; Kristalose
Drug Approvals
(British Approved Name, US Adopted Name, rINN)
Synonyms: Lactulosa; Lactulosum; Laktulóz; Laktuliozė; Laktuloosi; Laktulos; Laktulosa
BAN: Lactulose
USAN: Lactulose
INN: Lactulose [rINN (en)]
INN: Lactulosa [rINN (es)]
INN: Lactulose [rINN (fr)]
INN: Lactulosum [rINN (la)]
INN: Лактулоза [rINN (ru)]
Chemical name: 4-O-β-d-Galactopyranosyl-d-fructose
Molecular formula: C12H22O11 =342.3
CAS: 4618-18-2
ATC code: A06AD11
Pharmacopoeias. In Europe and Japan. China only contains specifications for a solution. US only contains specifications for a solution and a concentrated liquid.
European Pharmacopoeia, 6th ed. (Lactulose). A white or almost white, crystalline powder. Freely soluble in water sparingly soluble in methyl alcohol practically insoluble in toluene.
European Pharmacopoeia, 6th
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