Fortrans is an osmotic laxative. Instructions for use will show how to properly take the powder to prepare a solution for bowel cleansing and in preparation for diagnosis and surgery. What Fortrans helps with, read on bestabletki.ru, information on prices, analogues and patient reviews will also be presented in the article.
Pharmacological characteristics
The main active ingredient of Fortrans is polyethylene glycol (Macrogol 4000). This substance forms hydrogen bonds with water molecules, which allows water to be retained in the intestinal lumen. As a result of this, there is a significant increase in the volume of feces due to their dilution. This is what determines the development of the laxative effect.
According to reviews, Fortrans begins to act an hour and a half after taking the initial dose. The effect of the drug lasts for 2-5 hours. After taking the second dose of Fortrans in the morning, bowel movement occurs within half an hour.
The instructions for Fortrans note that this drug is not absorbed from the intestines and does not accumulate in the body. It is completely excreted unchanged in the feces.
How long does it take for Fortrans to work?
How quickly Fortrans begins to act and how long it will last - these are questions that concern many.
How long it takes for Fortrans to take effect depends on the individual characteristics of the body. As a rule, the effect of fortrans begins within 1-2 hours. But there are cases when the evacuation did not begin even after 3-4 hours. In this case, it is advisable to perform a gentle abdominal massage, using circular movements clockwise, and move more (within the apartment, of course).
When you take the drug again in the morning, the first bowel movement occurs 20-30 minutes after taking the cleansing solution.
Medical instructions for use
The instructions for use of Fortrans provide for the use of the medicine only for people over 15 years of age. Before using the medicine, the powder from one package must be completely dissolved in 1 liter of water. You should also consider how to take Fortrans correctly and calculate the dose of the medicine. The dosage is calculated as follows: 1 liter of ready-made solution per 15-20 kg of weight. That is, a person should take on average 3-4 liters of the prepared solution.
Instructions for colon cleansing
After the colon cleansing powder has been diluted in water, the required dose should be taken the evening before surgery or examination. How to take the drug correctly depends on when the procedure is scheduled. After all, it is important to consider how long it takes for the medicine to work. You can also split the dose by taking 2 liters in the evening and 2 liters in the morning. But you must finish taking the solution 3-4 hours before the start of the procedure.
You should ask the specialist who prescribes the study in more detail about how to take it before an x-ray or how to take Fortrans before a colonoscopy in more detail.
How to use Fortrans
Dosage
The dosage of Fortrans depends on body weight. It is recommended to consume 1 liter of Fortrans solution per 15-20 kg of body weight. This means that with a body weight of 60-80 kg you need to drink 3-4 liters of solution. To prepare a solution, dilute 1 sachet of Fortrans powder in 1 liter of drinking or boiled water.
The solution should be used 1 glass every 15-20 minutes. That is, approximately 1 liter of solution in 1 hour. Gradual intake of the solution is important so that the stool has time to soften and the cleaning process is complete and smooth and painless.
You should start using the drug Fortrans the day before the examination, but keep in mind that you should start drinking the Fortrans solution no later than 18 hours.
The drug Fortrans is prescribed once or in two doses (evening and morning). The solution is drunk in the evening if the planned operation or procedure on the intestines takes place tomorrow, in the first half of the day and in two doses if in the afternoon.
The last dose of Fortrans solution should be 3-4 hours before the intestinal examination procedure.
12:00 – last meal (food should not be heavy); 14:00 – 15:00 – take 1 liter. solution of the drug Fortrans* 15:00 – 16:00 – take 1 liter. solution of the drug Fortrans* 16:00 – 17:00 – 1 hour break; 17:00 – 18:00 – take 1 liter. solution of the drug Fortrans* 18:00 – 19:00 – take 1 liter. solution of the drug Fortrans*
*drink 1 glass of solution within 15 minutes
If this scheme is followed, bowel cleansing with Fortrans usually proceeds gently and ends by midnight.
Perhaps your doctor will prescribe a different regimen, but in any case, if in doubt, follow the instructions for using the drug Fortrans.
Contraindications for use
Taking Fortrans is contraindicated in the following cases:
- intestinal obstruction, complete or partial;
- patient age under 15 years (no information on clinical use);
- serious illnesses and conditions - severe heart failure, dehydration, etc.;
- a malignant tumor or other disease of the colon, in which extensive damage to the intestinal mucosa is noted;
- a high level of sensitivity to polyethylene glycol, since there is evidence of rare manifestations of allergic reactions to drugs that contain polyethylene glycol.
Contraindications
This drug is prescribed if a good cleansing of the intestines is necessary before carrying out certain surgical operations on the abdominal and pelvic organs, as well as their endoscopic or x-ray examination. According to reviews, Fortrans does not lead to electrolyte imbalances, because The drug contains sodium and potassium salts.
Taking Fortrans is contraindicated in the following cases:
- intestinal obstruction (complete or partial)
- malignant tumors
- serious condition of the patient
- children under 15 years of age
The drug is used in: - preparation for endoscopic or x-ray examination of the colon; - preparation for surgical interventions that require the absence of contents in the intestine.
Directions for use: The drug Fortrans can be used only in adult patients. The drug is intended for oral administration. Preparation of the drug solution: pour the contents of one sachet into 1 liter of water and stir well until completely dissolved.
The resulting solution should be transparent and colorless. In the same way, prepare the required amount of solution (3-4 l), using only whole (unbroken) bags. To obtain 4 liters of Fortrans solution, you need to dissolve the contents of 4 sachets in 4 liters of water. To improve the taste, it is better to take the solution chilled. The recommended dose is 1 sachet/1 liter of solution per 15-20 kg of patient’s body weight or, on average, 3 to 4 liters of the resulting solution. It is recommended to drink one full glass (250 ml) of the resulting drug solution every 15 minutes until the prepared volume of the solution is completely consumed. Typically, taking the drug takes 4-6 hours. The full dose can be divided into two doses (2 liters in the evening and 1 to 2 liters the next morning). It is usually recommended to complete the last dose of the drug no later than 3 hours before the examination or surgery. For a single dose of the full dose, 3-4 liters of solution is taken the evening before the scheduled procedure. When administering the drug through a gastric tube, the rate of administration should be 15-20 ml per minute. Fortrans is intended to cleanse the gastrointestinal tract and promotes the evacuation of intestinal contents as with diarrhea. The first loose stool should appear within 1-2 hours after the start of the procedure.
Side effects: From the digestive system: rarely - nausea, vomiting, flatulence; at the beginning of use - a feeling of heaviness and discomfort in the abdomen. Other: rarely - allergic reactions (skin rash, swelling).
Contraindications: Contraindications to the use of the drug Fortrans are: - hypersensitivity to the active substances or any other component of the drug; - severe general condition of the patient, such as dehydration or severe heart failure; - stomach ulcer; - common malignant tumor or other disease of the colon, accompanied by extensive damage to the intestinal mucosa;
- gastrointestinal obstruction; - obstruction of the gastrointestinal tract; - perforation or risk of perforation of the gastrointestinal tract; - gastric emptying disorders (including gastroparesis); - toxic colitis or toxic megacolon; - children under 18 years of age (efficacy and safety has not been established in this population).
With caution: in case of impaired renal function, heart failure, in patients with concomitant diuretic therapy; in patients prone to the development of water and electrolyte imbalance, including hyponatremia and hypokalemia; in patients with neurological disorders, in bedridden patients and/or in patients with impaired motor functions, in patients with a tendency to aspiration, and/or in a semi/unconscious state (see section “Special Instructions”).
Pregnancy: Experience with the use of Fortrans in pregnant women is limited. Data from preclinical reproductive toxicity studies are insufficient. The drug can be used during pregnancy only after a careful assessment of the risk to the fetus versus the benefit to the mother. Experience with the use of Fortrans during breastfeeding is limited.
Interaction with other drugs: Diarrhea caused by taking Fortrans may impair the absorption of other drugs taken at the same time.
Overdose: Data on overdose of the drug Fortrans are not provided.
Storage conditions: The drug Fortrans should be stored at a temperature not exceeding 30 ° C. Keep out of the reach of children.
Release form: Fortrans - powder for the preparation of solution for oral administration, 64 g. Packaging: 73.69 g - sachets (4) - cardboard packs.
Composition: 1 (g/sachet) Fortrans contains active substances: macrogol 4000 64.0. Excipients: Sodium chloride 1.46, Potassium chloride 0.75, Sodium bicarbonate 1.68, Sodium sulfate anhydrous 5.70, Sodium saccharinate 0 ,10.
Use during pregnancy and lactation
Throughout pregnancy, it is highly not recommended to use the drug to cleanse the gastrointestinal tract due to the weak evidence base on the safety of the drug for fetal development.
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During the lactation period, the use of a product to achieve intestinal lavage before diagnostic procedures and surgery is completely safe.
Instructions
1 sachet of Fortrans should be diluted in one liter of warm boiled water. According to the instructions, Fortrans should be taken at the rate of one liter of drug solution for every 15-20 kg of the patient’s body weight. Thus, a person weighing about 80 kg should drink 4 liters of the prepared solution. The first glass of solution is drunk within 10 minutes.
The use of Fortrans is unacceptable in pediatric practice.
The peculiarity of taking Fortrans is that it can only be used orally, that is, drunk. Thanks to this, the most complete cleansing of the gastrointestinal tract is achieved.
When using enemas or laxative tablets, this is very difficult to achieve, since the former act exclusively in the lower intestine, and the latter in the middle section.
The remaining parts of the digestive tract may remain filled with chyme, which makes it impossible to carry out some diagnostic or therapeutic procedures.
special instructions
For elderly patients with various concomitant diseases, the drug is recommended to be used under medical supervision.
The patient should be warned about the need to inform the doctor about all concomitantly used drugs.
In folk medicine it is used as a means for weight loss, however, the drug has its own indications and contraindications, as well as side effects, so it is recommended to consult a specialist before using untested regimens for using this drug.
Effective analogues of Fortrans
Because of the taste of the product, some are interested in finding a more pleasant analogue that has an equally strong effect. Such products as Lavacol, the famous Duphalac and other pharmaceutical products are good substitutes for Fortrans.
Many patients often stand at the pharmacy wondering what to buy - Fortrans or Forlax. These drugs have different effects, despite the similarity of the names. The first remedy can have a noticeable laxative effect, while the second can only have a superficial effect of cleansing the intestines, for example, to effectively get rid of constipation.
An ordinary enema can also be distinguished as a similar tool for home colon cleansing. But in terms of efficiency, it is inferior to Fortrans. Unlike a household enema, it is able to cleanse the intestines completely. It is much easier to dilute the powder and drink it than to administer an enema yourself.
However, you should not get carried away with this potent remedy and use it for every constipation; it should be used only in exceptional cases. And if constipation occurs, it is better to turn to a milder remedy.
What do the reviews say?
You can find the most conflicting reviews about the drug Fortrans. Many patients indicate its unpleasant taste. Some people write that with its help it was possible not only to cleanse the intestines, but also to get rid of several extra pounds. However, it is not the fat deposits that will go away. Therefore, experts insist that it should be taken only when indicated.
People who have used the drug to cleanse the intestines before a colonoscopy indicate its high effectiveness. Side effects include flatulence and intestinal cramps. Doctors call Fortrans an effective means for cleansing the digestive organs.
Use during pregnancy
The drug can be used during pregnancy and lactation only if the expected benefit from it is significantly greater than the potential risk to the child (fetus).
The drug Fortrans is not recommended to be taken during pregnancy, since there is no information about the effect of the drug on the embryo developing in the womb of a woman. The medication is allowed to be used while breastfeeding a baby naturally, since its components do not pass into breast milk.
Losing weight with laxatives
To lose weight, it is better not to use laxatives. Laxatives cannot help you lose weight; you need to diet when taking the medicine. After taking the substance, weight is reduced by 3-4 kg, not fat is removed, but simply excess intestinal contents. This medication is not a fat burner.
Nutritionists recommend Fortrans solution before starting a diet, thus improving the circulation of substances and increasing the effectiveness of the diet. Flushing the intestinal tract should be done up to three times a year, otherwise there is a possibility of disturbing the balance of microflora.
When preparing for weight loss using this method, you must comply with the following conditions:
- 1 liter of water per 1 package of the drug.
- 2 hours after food – take the drug.
- Drink a glass every 15 minutes.
During treatment, you should not eat; you should only drink water.
On the second day, it is recommended to replace heavy foods with boiled rice. It will saturate the body and is a good prevention of diarrhea. Over the next ten days, you need to take probiotics with bifidobacteria - they will help return beneficial microelements to the intestinal tract.
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Fortrans for weight loss
It is not recommended to use drugs like Fortrans for weight loss. Because It is impossible to lose weight by taking drugs like Fortrans. Yes, there will be a temporary loss of kilograms, but also weakening of the immune system and dehydration of the body.
Weight loss after taking Fortrans occurs due to dehydration of the body and, in fact, evacuation of intestinal contents.
Macrogol, the main active ingredient of Fortrans, binds and removes fluid from the intestines, in addition, causes an osmotic effect, drawing water from the body through the intestinal walls, which leads to the loss of fluid by the body.
Unfortunately, the lost kilograms will return when you switch to a normal diet and drinking regimen.
Recommended dosage of the drug
It is necessary to drink Fortrans, according to the instructions for its use, at the rate of powder to body weight. One sachet of powder per 20 kg. This is the optimal dose, which does not need to be increased for greater effectiveness.
An example of how to drink Fortrans correctly: if you weigh 80 kg, you will need 4 sachets, which are contained in the package, and, accordingly, four liters of water.
IMPORTANT: You should know that Fortrans should not be taken together with other medications. It will weaken the effect of drugs, removing them along with toxins and organic waste from the body.
Diseases for which it is not recommended to take Fortrans for cleaning
Contraindications for using a laxative for cleansing are some diseases and the general condition of the human body:
- Oncological diseases
- Chronic kidney disease
- Intestinal obstruction
- Children's age (up to 16 years)
- Ulcerative diseases of the gastrointestinal tract
- Heart failure
- Colds and viral diseases
- Rehabilitation period after operations
- Narrowing of the stomach lumen (stenosis)
- A state of lack of fluid in the body.
You should not use Fortrans frequently, or take it differently from the instructions.
Cleaning procedures can be carried out twice a year. Otherwise, the medicine may be harmful to health:
- Accustoming to forced defecation. Without additional stimulation, this process becomes difficult or impossible due to intestinal habituation.
- Deterioration in the health of hair and nails. Fortrans washes out not only contaminants, but also a lot of useful microelements
- Violation of the speed of metabolic processes
- Difficulties in the gastrointestinal tract
- Increased gas formation
- Uncomfortable psychological state
- Weakening of the immune system.
Colon cleansing at home without an enema
How to know if your intestines are clogged
Have you been struggling with GASTRITIS and ULCERS for many years without success?
Head of the Institute: “You will be amazed at how easy it is to cure gastritis and ulcers simply by taking it every day.
Signs that it's time to cleanse your colon:
- regularly recurring stool retention, constipation, flatulence;
- diarrhea for no apparent reason;
- regular belching and heartburn;
- feeling of discomfort in the stomach;
- smell from the mouth;
- prostration;
- sleep disturbance;
- signs of depression;
- rapid increase in body weight;
- lack of appetite;
- deterioration of immunity, leading to frequent illnesses, including colds.
Ways to get rid of toxins at home
Our readers successfully use Monastic Tea to treat gastritis and ulcers. Seeing how popular this product is, we decided to bring it to your attention. Read more here...
If it is necessary to cleanse the intestines, many people try to avoid using an enema, including due to the discomfort associated with this procedure. Colon cleansing without an enema is possible. There are medicinal and non-medicinal methods for this. Regardless of the chosen method, for colon cleansing to be successful, you need to prepare for it. The preparatory stage includes following a special diet and performing a set of exercises. The diet requires compliance with the following rules:
- do not overeat;
- give up salty, smoked and fatty foods;
- increase the share of plant-based products in the diet;
- exclude the consumption of foods that cause fermentation and gas formation (cabbage, legumes, fresh bread, carbonated drinks, etc.);
- drink more than 1.5 liters of plain clean water per day.
In parallel with adjusting the diet and nutritional regimen, it is recommended to exercise daily, paying special attention to working on the abdominal muscles.
