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polycarbophil (FiberCon, Fiber Lax, Equalactin, FiberNorm, Mitrolan)

 

Classes: Laxatives, Bulk-Producing

Dosing and uses of FiberCon, Fiber Lax (polycarbophil)

 

Adult dosage forms and strengths

tablet

  • 625mg

tablet, chewable

  • 625mg

 

Constipation

1250 mg with 8 oz of water PO qday to q6hr; not to exceed 6 g/day

 

Pediatric dosage forms and strengths

tablet

  • 625mg

tablet, chewable

  • 625mg

 

Constipation

<6 years:  Administer under physician supervision; 625 mg with 8 oz of water PO qDay or q12hr; not to exceed 1.25 g/day

>6-12 years: Swallow 1 tab qDay or q6hr

>12 years: 1250 mg with 8 oz of water PO q6hr; not to exceed 6 g/day

 

Geriatric dosage forms and strengths

 

Constipation

1250 mg with 8 oz of water PO qday to q6hr; not to exceed 6 g/day

 

FiberCon, Fiber Lax (polycarbophil) adverse (side) effects

Frequency not defined

Abdominal fullness

Flatulence

Vomiting

Stomach cramps

 

Warnings

Contraindications

Hypersensitivity

Bowel obstruction, appendicitis, dysphagia, fecal impaction, rectal bleeding

 

Cautions

Should be taken with enough fluid

If tetracycline is concurrently administered, take tetracycline 1 hr after or 2 hr before polycarbophiL

Use in children <6 years

 

Pregnancy and lactation

Pregnancy category: NA; not absorbed; safe to be administered in pregnancy

Lactation: No data in nursing women; not absorbed and should be safe to use in nursing women

 

Pregnancy categories

A: Generally acceptable. Controlled studies in pregnant women show no evidence of fetal risk.

B: May be acceptable. Either animal studies show no risk but human studies not available or animal studies showed minor risks and human studies done and showed no risk.

C: Use with caution if benefits outweigh risks. Animal studies show risk and human studies not available or neither animal nor human studies done.

D: Use in LIFE-THREATENING emergencies when no safer drug available. Positive evidence of human fetal risk.

X: Do not use in pregnancy. Risks involved outweigh potential benefits. Safer alternatives exist.

NA: Information not available.

 

Pharmacology of FiberCon, Fiber Lax (polycarbophil)

Mechanism of action

Bulk producing laxative that restores normal moisture leveL

 

Pharmacokinetics

Absorption: Minimal systemic absorption

Onset: 12-72 hr

Metabolism: Metabolically inert

Excretion: Feces