August 27, 2014
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Apo-Bisacodyl

(bisacodyl)

DIN (Drug Identification Number)

00754595 APO-BISACODYL 10MG SUPPOSITORY
00545023 APO-BISACODYL 5MG TABLET

How does Apo-Bisacodyl work? What will it do for me?

Bisacodyl belongs to the class of medications called stimulant laxatives. It is used for the relief of occasional constipation. It can also be used for the preparation of certain medical tests (e.g., colonoscopy), before and after surgery, and in other situations where a bowel movement to required.

It works by stimulating the bowel muscles and also accumulates water in the intestines. This helps to soften the stool and produce a bowel movement more quickly. The tablets should be taken at bedtime to produce a bowel movement the next morning. The suppositories usually take about 15 minutes to 1 hour to work.

This medication may be available under multiple brand names and/or in several different forms. Any specific brand name of this medication may not be available in all of the forms or approved for all of the conditions discussed here. As well, some forms of this medication may not be used for all of the conditions discussed here.

Your doctor may have suggested this medication for conditions other than those listed in these drug information articles. If you have not discussed this with your doctor or are not sure why you are being given this medication, speak to your doctor. Do not stop using this medication without consulting your doctor.

Do not give this medication to anyone else, even if they have the same symptoms as you do. It can be harmful for people to use this medication if their doctor or pharmacist has not recommended it.

How should I use Apo-Bisacodyl?

For constipation, the usual dose for adults and children over 12 years of age is 1 to 2 tablets (5 mg to 10 mg) taken by mouth, or 1 adult suppository (10 mg) inserted rectally. For children 6 to 12 years of age, the usual dose is 1 tablet (5 mg) taken by mouth or 1 pediatric suppository (5 mg) inserted rectally.

Before a medical test or surgery, the usual dose for adults is 2 to 4 tablets (10 mg to 20 mg) by mouth the night before the procedure, followed by 1 suppository inserted rectally the morning of the procedure. For children 6 years of age and older, the usual dose is 1 tablet (5 mg) taken by mouth at bedtime and 1 pediatric suppository (5 mg) inserted rectally the following morning.

Take the tablets at night to produce a bowel movement the following morning. Do not take the tablets with milk or antacids as this may dissolve the coating on the tablet. Swallow the tablets whole with liquids. Do not crush or chew the tablets.

To use the suppositories, unwrap and insert high into the rectum with the pointed end first. Then, push the flat end of the suppository sideways so that part of it touches the wall of the rectum. Keep the suppository in the rectum for as long as possible. If inserting the suppository is difficult because you have had anal fissures or hemorrhoids, coat the end of the suppository with a lubricant such as petroleum jelly before inserting. The suppositories will start to work within 15 minutes to 1 hour.

Many things can affect the dose of a medication that a person needs, such as body weight, other medical conditions, and other medications. If your doctor has recommended a dose different from the ones listed here, do not change the way that you are using the medication without consulting your doctor.

Do not take this medication for longer than one week, unless directed by a health care professional. If you use this medication for one week and you do not produce a bowel movement, contact your doctor immediately.

It is important to take this medication exactly as prescribed by your doctor or recommended by your pharmacist. If you miss a dose, take it as soon as possible and continue with your regular schedule. If it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not administer a double dose to make up for a missed one. If you are not sure what to do after missing a dose, contact your doctor or pharmacist for advice.

Store this medication at room temperature and keep it out of the reach of children.

Do not dispose of medications in wastewater (e.g. down the sink or in the toilet) or in household garbage. Ask your pharmacist how to dispose of medications that are no longer needed or have expired.





What form(s) does Apo-Bisacodyl come in?

Tablet
Each tablet contains bisacodyl 5 mg. Nonmedicinal ingredients: carnauba wax, D&C Yellow No. 10, FD&C Yellow No. 6, guar gum, lactose, magnesium stearate, methacrylic acid copolymer dispersion, microcrystalline cellulose, talc, titanium dioxide, and triethyl citrate (citroflex 2).

Suppository
Each rectal suppository contains bisacodyl 10 mg. Nonmedicinal ingredients: hydrogenated vegetable oil.

Who should NOT take Apo-Bisacodyl?

Do not take this medication if you:

  • are allergic to bisacodyl or any ingredients of the medication
  • are severely dehydrated
  • have a rare inherited condition where you cannot take lactose or sucrose (e.g., galactosemia, fructose intolerance)
  • have intestinal blockage, appendicitis, acute inflammatory bowel disease (e.g., Crohn's disease, ulcerative colitits), or severe abdominal pain with nausea and vomiting

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