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Bulk-forming Laxative·Gastrointestinal - Laxatives
Constipation, maintenance of normal bowel function in hemorrhoids/fissures
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Max Dose
4 Sachets/day
Caution: Onset
2-3 Days
Caution: Water Req.
MANDATORY
Caution: Bloating
COMMON
Avoid / Cautions
Fecal impaction, mechanical bowel obstruction, difficulty swallowing (dysphagia). Pregnancy Category A.
Overview
A specific form of psyllium seed husk. Functionally identical to generic Psyllium (Metamucil). Absorbs water to create a bulky, soft stool.
Clinical Focus
Must be consumed with a full glass of water to prevent bowel obstruction/choking.
Bottom Line
Ispaghula husk is a bulk-forming laxative similar to psyllium for constipation and cholesterol lowering, but must be taken with sufficient fluid and can cause bloating initially.
Brand Names
Fybogel, Agiofibe
Oral Routes
Effervescent granules in sachets (often orange or lemon flavoured).
Prescribing & PBS
Over The Counter (OTC).
Primary
Constipation, maintenance of normal bowel function in hemorrhoids/fissures.
Clinical Place
Identical to Psyllium. Patient choice usually dictates use based on flavor/texture preferences.
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