For instructions for use. How to cleanse the intestines with a laxative Fortrans - instructions with reviews

Our gastronomic weaknesses, far from ideal ecology and the food industry make us think about the need. When choosing a suitable technique, it is important to take into account your desires regarding the nature of the impact, duration and method of application of the cleaning agent.

For people who are afraid of the word "enema", but want to get rid of constipation or improve the body through the most complete and quick cleansing of the intestines, Fortrans, a laxative drug, is suitable. With Fortrans, bowel cleansing is carried out in a forced, but high-quality manner. The powerful laxative activity of the active substance allows you to evacuate from gastrointestinal tract all toxic deposits accumulated from food and the external environment.

The French drug Fortrans is produced in dosage form a white, easily soluble powder in water, from which a solution for oral administration is already prepared at home or in a hospital. The powder is packaged in paper bags of 64 g each. Each package contains four sachets. The contents of one package is enough for one cleaning procedure for a person weighing 70-90 kg. Fortrans can be found on the counter of any pharmacy. The drug is not cheap, but if you believe the reviews, its price is fully consistent with the quality.

Indications and contraindications for the use of Fortrans

Doctors of official medicine prescribe the drug to patients on the eve of: colonoscopy, operations or diagnostic procedures that require the absence of any contents in the intestine. The direct indication for the use of Fortrans indicated in the instructions is the preparation of the intestine for surgical intervention, endoscopic and X-ray studies.

Meanwhile, alternative medicine experts suggest using this remedy for those who want to cleanse the intestines with all its folds and irregularities from harmful deposits. The drug is especially recommended before the start of therapeutic starvation or the transition to diet food.

Fortrans cleansing is categorically contraindicated in people with ulcerative lesions of the intestinal mucosa, abdominal pain of unknown origin, partial and complete intestinal obstruction, as well as children under 15 years of age.

Composition and mechanism of action of the drug

The active substance of Fortrans - macrogol 400 - has a pronounced laxative effect. Acting on the entire intestine, macrogol effectively cleanses both its upper and lower sections. Auxiliary substances (sodium and potassium chloride, bicarbonate, sodium sulfate and saccharinate) contribute to a more complete implementation of the declared function.

Fortrans produces a cleansing effect, actively removing the contents of the intestine, due to:

• increase in osmotic pressure in it;
• fluid retention and an increase in the mass of food gruel;
• stimulation of mechanical receptors of the intestine and, as a result, improvement of intestinal peristalsis.

The drug is not absorbed into the bloodstream, does not have a toxic effect and does not change the pH level in the intestine. Contrary to popular belief, if Fortrans is used once or twice, it practically does not disturb the balance of intestinal microflora.

The order of the cleaning procedure

To carry out a recreational event, it is necessary to allocate a whole day: 3-4 hours for the use of funds, 5-6 hours for going to the toilet, the rest of the time - for rest, because, according to reviews, cleansing with Fortrans is a rather exhausting procedure for the body:

1. The cleanser is prepared based on its own body weight. For every 15-20 kg of weight, one sachet of the drug is taken and diluted in one liter of boiled water. That is, a person weighing 60-70 kg needs to use a solution made from three bags of powder and three liters of water; people weighing more than 70 kg for high-quality cleaning need to drink four liters of water with four sachets of powder diluted in it.
2. The solution is consumed slowly, in small portions. The laxative effect occurs within a few hours after the start of administration. Over the next 6-7 hours, the toilet will have to be visited every 15-30 minutes. Repeated violent emptying can provoke a burning sensation in the anus. In this case, it would be useful to use Vaseline or baby cream on the affected area.

Be prepared that by choosing this method of cleaning at home, you will have to torment your body pretty much. This primarily concerns the fact that it is quite difficult to take 3-4 liters of solution, especially considering that the taste of Fortrans leaves much to be desired. The sweet-salty-soda taste (as people who took the drug characterize it) often causes a gag reflex, which prevents the use of the drug in full. To facilitate the intake of a portion, the medicine can be drunk in one gulp, seized with lemon or tangerine slices, washed down with apple, carrot, orange or lemon juice, pulled through a straw, etc.

Opinions of doctors and patients about cleansing with Fortrans

The main problem that is observed in most people engaged in cleansing of this kind is the difficulty in drinking the prepared liquid. Nausea, vomiting in the process of taking is observed in every second person. But, according to practitioners, such efforts are worth the result. After the cleansing event, there is a feeling of extraordinary lightness, vigor and purity of the body.

Doctors of traditional medicine characterize the drug mainly on the positive side. Although they consider the bowel cleansing procedure itself inappropriate without urgent need (colonoscopy, surgery, hardware diagnostics), Fortrans, as a means for the most complete release of the gastrointestinal tract from the contents, is considered by experts to be very effective. Bowel cleansing with Fortrans is a worthy alternative to enema cleansing.

How to take Fortrans

According to the instructions, bowel cleansing with Fortrans depends on the indication for use:

In the instructions, it is useful to study special instructions for use:

The rate and dosage can be adjusted by the doctor depending on the patient's condition.
In case of impaired renal function, the dose does not change.
The tool is not used in children under 18 years of age, with caution - in old age.
Between taking Fortrans and other oral medications, at least 2 hours must pass, otherwise the latter will be absorbed and do not affect the body.
The composition of the product includes polyethylene glycol, which can lead to the development of allergies, anaphylactic shock, rash, urticaria, angioedema.
In some patients, the medication caused disturbances in water and electrolyte balance, acute pulmonary edema due to its isotonic composition. At risk are patients with dehydration, electrolyte abnormalities, taking medications that contribute to the risk of developing hypokalemia or hyponatremia, with heart, kidney failure, using diuretics.

Fortrans may cause aspiration pneumonia in patients who are aspiration-prone and bedridden, with neurological disorders, motor disorders

The medicine is administered to them in a sitting position through a nasogastric tube.
The contents of one single sachet contain 1.967 g of sodium.
The drug is used with caution in pregnant women, breastfeeding mothers. It is not known if it affects fertility.
There is no evidence that taking the powder interferes with driving or using machines.
The tool is used only once, it should not be taken for a long time due to the risk of dehydration and loss of electrolytes, vitamins, proteins and fats important for health.
The medicine does not have the most pleasant taste, therefore, to prevent nausea and vomiting, you can drink it with a tablespoon of orange or lemon juice, seize slices of these citrus fruits.
A few days before taking Fortrans, you need to refuse food rich in fiber.

On the day of the drug use, light food, scrambled eggs, scrambled eggs, cereals are consumed, they refuse lunch. After taking the medicine, it is necessary to drink more water so that it flushes out possible remnants of the drug from the body.
It is very dangerous to use an effective medication at an affordable price for weight loss, because it is not fats that go away, but water and electrolytes. Long-term use of a laxative threatens to exhaust the body and immunodeficiency.
A single use of the drug does not have a detrimental effect on the intestinal microflora. Too frequent use of the remedy can result in the development of dysbacteriosis due to the washing out of beneficial bacteria along with toxins. To prevent this from happening, along with Fortrans, you need to start using prebiotics.

Action

Many luminaries of modern gastroenterology worked on its development, so the therapeutic effect of the drug distinguishes it from analogues. Despite 100% chemical composition, otherwise it may seem perfect:

• it is not absorbed into the blood, which means that it does not spread throughout the body, does not affect the functioning of other organs (except for the gastrointestinal tract) and does not accumulate in tissues;
• is a stable chemical compound that does not undergo biochemical metamorphoses, so that it does not split and does not leave behind decay products, but is completely excreted from the body in its original form with feces;
• removes the contents of all sections of the colon, including the upper one, which usually remains inaccessible when cleansed with an enema or other drugs;
• the main property of a macrogol is the attraction and retention of water that enters the intestine with it: due to it, it swells and presses on the walls;
• this stimulates peristalsis, and the intestine begins to contract intensively;
• as a result, the contents of the intestine moves to the exit;
• after fecal masses enter the rectum, a person feels an irresistible desire to get rid of them;
• the urge to defecate will be felt until the entire colon is completely empty;
• macrogol does not lead to dehydration, since it absorbs only the water that entered the intestines with it, which is why the powder is diluted in such large proportions;
• additional components in the composition form an isotonic electrolyte solution that maintains the normal water and electrolyte balance of the body.

That is, it is a combined medical preparation that completely frees the intestines from the contents while maintaining the water-salt balance and preventing dehydration. If you forget about its chemical composition, you get an almost perfect remedy.

Complete colon cleansing with Fortrans creates good conditions for various laboratory tests and operations. Therefore, the drug is used mainly in hospitals. At home, it is used to free the intestines from accumulated feces, and with frequent use - even for weight loss, since food does not have time to be absorbed and deposited in fats.

How laxative works

Unlike most drugs, Fortrans completely cleanses the digestive tract from food residues and feces at various stages of formation. Systemic laxatives and solutions used for enemas remove only formed fecal matter. At the same time, significant contamination remains in the upper intestine. This can distort the results of endoscopic, instrumental studies, complicate surgical operations.

Four powders of the laxative agent Fortrans are enough to completely cleanse the intestines of a person weighing about 80 kg.

Pharmacodynamics

The active substance of Fortrans is macrogol 4000. The chemical compound has many useful properties:

• not absorbed by the walls of the gastrointestinal tract;
• does not enter the systemic circulation;
• does not provide negative impact to other internal organs.

From the stomach, a laxative solution freely penetrates into the intestinal cavity, where its therapeutic activity is manifested. Macrogol refers to high molecular polymer compounds and is polyethylene glycol in chemical structure.

The principle of action of Fortrans is to attract the active substance of the liquid that is in the intestine. Macrogol rapidly increases in size, swells, which causes an increase in the volume of feces. The load on the intestinal walls increases, which begin to contract in waves, pushing the feces towards the anus. Portion intake of Fortrans avoids too strong an effect on the intestines, so the evacuation of feces is not complicated by pain or damage to the mucous membranes.

Pharmacokinetics

Some patients have difficulty using the Fortrans solution. The fact is that according to the annotation, one powder is diluted in 1000 ml of water, and a person of average weight needs to drink 3-4 liters of liquid to completely cleanse the intestines. But this way of using it has its advantages. Macrogol attracts only water from the prepared solution, without adsorbing liquid molecules from the digestive tract. This avoids the development of dehydration and the loss of trace elements necessary for the functioning of the body.

• potassium;
• sodium;
• chlorides;
• sulfates.

They are necessary to prevent the development of water-electrolyte imbalance. Such substances provide a sour-sweet-salty taste to the solution. Macrogol is not metabolized during passage through the gastrointestinal tract. After swelling, it leaves the human body unchanged along with the feces.

To prepare a treatment solution Fortrans, dilute the powder in warm water.

If you still decide to use Fortrans for home bowel cleansing, you should understand a few nuances that will facilitate its use and achieve maximum effect.

Fortrans solution causes a gag reflex. To eliminate it, drink in small sips, but immediately, trying not to hold it in your mouth. For the same purpose, in between drinking the solution, it makes sense to put a lemon slice in your mouth. This will eliminate both the unpleasant aftertaste and nausea.

Do not eat anything while using the solution. You can only drink water and other liquids (such as juices).

You will feel the first urge in 1-2 hours (everyone's body reacts differently to the drug). If by this time it was not possible to drink the entire prepared solution, drink it in a glass between bowel movements. Expect that the defecation process can stretch for 4 hours.

Since the urges will be frequent, irritation of the anus will begin after a couple of hours. To alleviate the condition, give up toilet paper. After each time, wash with warm water without soap and other hygiene products.

On the day of cleansing, it is better not to take other medicines, because their effect will still be weakened by Fortrans. Contraceptives will require special attention: it is better for women to take care of additional methods of contraception.

Without following a diet, losing weight with the help of Fortrans will not work. If you lose 2-3 kg, you should know that this was not due to fat burning, but due to the elimination of intestinal contents. Nutritionists insist on cleansing the body before each diet, as this enhances its effectiveness.

Sometimes weakness after such cleansing lasts up to 2 days. Keep this in mind.

Consider the expiration date of the purchased drug. You need to store it in a dark and dry place, where the temperature will be within 25 ° C.

After such a procedure, it is necessary to take probiotics for a week to restore the disturbed intestinal flora:

• Acylac;
• Biosporin;
• Bifidin;
• Bifidumbacterin;
• Bifilakt;
• Bifiliz;
• Bifiform;
• Colibacterin;
• Lactobacterin;
• Linex;
• Probifor;
• Sporobacterin;
• Trilact;
• Florin forte;
• Enterol.

The day before the procedure, exclude fatty and fried foods from the diet. Ideal: oatmeal for breakfast, chicken soup with vegetables for lunch, fish for dinner, and fruit between meals.

Many people ask if it is possible to drink water on the day of purification. Here is a list of allowed liquids: water (regular and mineral, only without gas), juices (non-concentrated), compotes, tea (weakly brewed) with sugar and lemon. Coffee, alcohol, lactic acid drinks, soda, energy drinks are prohibited.

It is impossible to eat after cleansing the intestines with Fortrans. Although some experts believe that 5 hours after the last act of defecation, you can eat some oatmeal boiled in water, or a couple of green apples.

The next day after cleaning, we arrange unloading on rice. Pour a glass of cereal with 2 glasses of water, boil. Divide the resulting volume into 8 small portions to be eaten every 2 hours. Such a mini-diet eliminates intestinal stenosis and diarrhea.

Proper nutrition after cleansing the intestines will consolidate the effect. To do this, you need to remove harmful (fast food, sausages, semi-finished products) and fatty foods from the diet for at least a week. It is better not to resort to frying as a method of cooking.

• from juices, it is better to give preference to apple, tomato and citrus fruits;
• boiled chicken breast;
• dairy products with a fat content of not more than 1.5%;
• vegetables;
• oatmeal boiled in water;
• boiled rabbit meat;
• fruits.

Fortrans for weight loss

It is not recommended to use drugs such as Fortrans for weight loss. Because it is impossible to lose weight while taking drugs like Fortrans. Yes, there will be a temporary loss of kilograms, but also a weakening of the immune system and dehydration of the body.

How does rapid weight loss occur when taking Fortrans

Weight loss after taking Fortrans is due to dehydration of the body and, in fact, the evacuation of intestinal contents.

Macrogol, the main active ingredient of Fortrans, binds and removes fluid from the intestines, in addition, it causes an osmotic effect, drawing water from the body through the walls of the intestine, which leads to the loss of fluid from the body.

Unfortunately, the lost kilograms will return when you switch to a normal diet and drinking regimen.

Characteristic features of the use of the drug

Fortrans is one of the few laxatives that, after taking, provide complete evacuation of feces from all parts of the intestine. The undoubted advantage of the drug is the ability to carry out a cleansing procedure on your own at home without using an enema or Esmarch's mug.

Receiving Fortrans allows you to empty the intestines without experiencing painful cramps in the lower abdomen.

Fortrans powder is not suitable for frequent use. Some alternative medicine experts recommend using this laxative for weight loss. Indeed, after such a high-quality bowel cleansing, body weight slightly decreases. But this comes exclusively from the excretion of feces. Frequent use of Fortrans will cause:

• reducing the body's resistance to viral and bacterial infections;
• violations of the absorption of nutrients and biologically active substances;
• development of water-electrolyte imbalance.

The French manufacturer produces Fortrans in the form of a white powder, easily soluble in water, packaged in bags weighing 64 g. The secondary packaging of the laxative is a cardboard box, inside which there are 4 bags and instructions for use. The drug should be stored at room temperature, protected from direct sunlight.

Admission schemes

The instructions for use attached to Fortrans indicate how to take the drug: dosages for preparing the solution and its subsequent use. On the one hand, everything that is stated in it must be carried out, since jokes with medicines are bad, and self-medication has not yet brought anyone to good. On the other hand, the figures given in it are not suitable for home use, as they require the procedure to be carried out in a hospital, under the supervision of doctors.

According to instructions

Mode of application

Dissolve the powder from 1 sachet in 1 liter of water. Prepare a solution according to this recipe, based on the weight of the patient: 1 package - 20 kg. The total volume is usually obtained in 3-4 liters.

Dosage

Scheme 1. Drink the entire volume of the solution in the evening (if an operation or examination is scheduled for the next day). The speed of admission is about a liter per hour, in small dosages.

Scheme 2. Drink 1/2 of the prepared solution in the evening, and the other half in the morning, if there are 4 more hours before the scheduled procedure.

For home cleaning

The method of application remains the same. Dosages and scheme can be as follows:

1. Start the cleansing procedure 2 hours after breakfast.
2. The most controversial point is how much you need to drink the solution. For home cleansing, one liter will be enough, and not 3-4, as indicated in the instructions.
3. Drink in small portions (a glass) every quarter of an hour, i.e. in time it will stretch for 1 hour.
4. The course of purification is single, i.e. only 1 day.
5. It will be possible to repeat only after 4-6 months.

It is recommended to take it on the morning of the weekend so that the urge to defecate does not spoil the night or make you spend the whole working day in the toilet. In addition, after such a cleansing, a person usually experiences weakness, he tends to sleep, within a day or two.

Fortrans belongs to the group of laxatives designed for effective and rapid bowel cleansing in the shortest possible time. Such pharmachologic effect the drug is especially in demand before colonoscopy or surgical procedures. You can find out how to take Fortrans correctly in the detailed annotation attached to the package. But the expediency of using the drug is determined only by the doctor, since the laxative has a significant number of contraindications and exhibits side effects.

With the help of the French drug Fortrans, you can quickly and effectively cleanse the intestines

Characteristic features of the use of the drug

Fortrans is one of the few laxatives that, after taking, provide complete evacuation of feces from all parts of the intestine. The undoubted advantage of the drug is the ability to carry out a cleansing procedure on your own at home without using an enema or Esmarch's mug.

Receiving Fortrans allows you to empty the intestines without experiencing painful cramps in the lower abdomen.

Recommendation: “Fortrans solution has a specific taste that most patients find unpleasant. Even the passionflower extract included in the preparation is not able to improve the situation. To eliminate nausea and vomiting, you should drink the medicine with a small amount of juice prepared from any citrus fruits (lemon, grapefruit, orange).

Fortrans powder is not suitable for frequent use. Some alternative medicine experts recommend using this laxative for weight loss. Indeed, after such a high-quality bowel cleansing, body weight slightly decreases. But this comes exclusively from the excretion of feces. Frequent use of Fortrans will cause:

• reducing the body's resistance to viral and bacterial infections;
• violations of the absorption of nutrients and biologically active substances;
• development of water-electrolyte imbalance.

The French manufacturer produces Fortrans in the form of a white powder, easily soluble in water, packaged in bags weighing 64 g. The secondary packaging of the laxative is a cardboard box, inside which there are 4 bags and instructions for use. The drug should be stored at room temperature, protected from direct sunlight.

How laxative works

Unlike most drugs, Fortrans completely cleanses the digestive tract from food residues and feces at various stages of formation. Systemic laxatives and solutions used for enemas remove only formed fecal matter. At the same time, significant contamination remains in the upper intestine. This can distort the results of endoscopic, instrumental studies, complicate surgical operations.

Four powders of the laxative agent Fortrans are enough to completely cleanse the intestines of a person weighing about 80 kg.

Pharmacodynamics

The active substance of Fortrans is macrogol 4000. The chemical compound has many useful properties:

• not absorbed by the walls of the gastrointestinal tract;
• does not enter the systemic circulation;
• does not adversely affect other internal organs.

From the stomach, a laxative solution freely penetrates into the intestinal cavity, where its therapeutic activity is manifested. refers to high-molecular polymer compounds and is polyethylene glycol in chemical structure.

The principle of action of Fortrans is to attract the active substance of the liquid that is in the intestine. Macrogol rapidly increases in size, swells, which causes an increase in the volume of feces. The load on the intestinal walls increases, which begin to contract in waves, pushing the feces towards the anus. Portion intake of Fortrans avoids too strong an effect on the intestines, so the evacuation of feces is not complicated by pain or damage to the mucous membranes.

Pharmacokinetics

Some patients have difficulty using the Fortrans solution. The fact is that according to the annotation, one powder is diluted in 1000 ml of water, and a person of average weight needs to drink 3-4 liters of liquid to completely cleanse the intestines. But this way of using it has its advantages. Macrogol attracts only water from the prepared solution, without adsorbing liquid molecules from the digestive tract. This avoids the development of dehydration and the loss of trace elements necessary for the functioning of the body.

• potassium;
• sodium;
• chlorides;
• sulfates.

They are necessary to prevent the development of water-electrolyte imbalance. Such substances provide a sour-sweet-salty taste to the solution. Macrogol is not metabolized during passage through the gastrointestinal tract. After swelling, it leaves the human body unchanged along with the feces.

To prepare a treatment solution Fortrans, dilute the powder in warm water.

How long does it take for the drug to take effect?

It is impossible to predict exactly how long Fortrans begins to act. The therapeutic activity of the laxative is manifested within 1-3 hours. It all depends on the quantity and quality of food in the human stomach, its weight and age. If the Fortrans solution is taken on an empty stomach, then bowel movement will begin in about an hour.

When you take the drug again, the urge to defecate occurs after 30 minutes. Gastroenterologists recommend that patients release most of the day during the cleansing procedure. For one person, a complete bowel movement takes about two hours, while for another it stretches for 4-5.

Tip: “In the absence of a bowel movement for a long time, you should not take an additional dose of Fortrans. You can help the body without provoking unnecessary stress on the intestinal walls. To do this, you need to gently massage the stomach with smooth circular movements and move more without leaving the room.

Indications for use

In the annotation to the drug, manufacturers indicate that the use of Fortrans powder is possible only in preparation for an examination or surgical manipulation. The laxative is not intended for the treatment of acute or chronic constipation. Such use is not only inappropriate, but also dangerous. Fortrans has such a powerful effect that its use for the treatment of constipation will cause a decrease in the functional activity of the entire gastrointestinal tract. When to take the drug:

• before carrying out endoscopic or radiological manipulations, which include colonoscopy, rectoscopy;
• at the stage of preparation for various surgical operations.

A single application of Fortrans cleanses the intestines much faster and more effectively than using several enemas with saline solutions or warm water.

Warning: “During the cleansing procedure, beneficial microbes leave the body along with feces, which can cause the development of dysbacteriosis, indigestion, flatulence. Doctors recommend a course of treatment with eubiotics containing lacto- and bifidobacteria a few days after bowel lavage.”

Difficult ecological situation, sedentary lifestyle, irregular and unbalanced diet cause slagging of the gastrointestinal tract and deterioration of human well-being. Fortrans can be used to carry out regular cleansing procedures to get rid of accumulated toxic compounds. But such therapeutic manipulations can not be carried out more than three times a year.

Contraindications and side effects

Fortrans should not be used in patients with individual sensitivity to macrogol and laxative excipients. In such people, taking the drug will provoke the development of allergic reactions like urticaria - skin itching, rashes and swelling. Also absolute contraindications to the use of Fortrans include:

• a state of dehydration against the background of intestinal, respiratory infections or developed for another reason;
• pathological expansion of the lumen of the colon;
• the general serious condition of the patient, caused by chronic disease one of their vital systems;
• malignant neoplasms of the large intestine;
• ulcerative lesions of any part of the gastrointestinal tract;
• erosive lesions of the digestive organs;
• children's age up to 15 years;
• violation of the integrity of the walls of the gastrointestinal tract;
• the inability to move the contents of the intestine to the anus;
• congenital or acquired predisposition to the occurrence of intestinal obstruction;
• stenosis of the pylorus of the stomach and duodenum.

Fortrans is not used to cleanse the intestines of patients with serious pathologies of the urinary organs. The use of a laxative involves the use of a significant amount of liquid, and this will negatively affect the condition of a person whose kidneys cannot cope with the functions of filtering, concentrating and excreting urine. Despite the absence of painful spasms and absorption of macrogol in the intestine, the use of Fortrans by pregnant women is prohibited.

Often, taking a laxative provokes the development of dyspeptic disorders. A person has nausea, rumbling and seething in the stomach, a feeling of fullness. As a rule, these negative symptoms of excessive gas formation disappear immediately after the act of defecation.

How to take medicine correctly

Before you drink Fortrans to cleanse the intestines, you should carefully read the attached instructions. If the doctor has not prescribed individual single dosages, then they are determined in accordance with the weight of the person. One powder, diluted in a liter of warm water, is designed for 20 kg of body weight. Usually, a package of a laxative is enough to completely cleanse the intestines of a person weighing about 80 kg. The procedure can be carried out in two ways:

• Immediately prepare the entire treatment solution. Breeding should be drunk within an hour, using a glass of liquid with short breaks;
• Divide the solution into two parts. Diagnostic manipulations are carried out in the morning or lunchtime, so half the dilution must be drunk in the evening. The remaining amount of laxative should be consumed 3-4 hours before the examination or operation.

The second method is preferable to the first, since even a strong, large man has difficulty using 3-5 liters of a laxative solution.

With the modern rhythm of life, it is difficult to follow a rational principle of nutrition. Because of this, many people suffer from the problem of constipation chronically. Often, to determine the true causes of an unpleasant ailment, one has to undergo an examination of the intestine. Before the procedure, some preparation will be required: observance for several days and active bowel cleansing. The most reliable and frequently prescribed drug for this is Fortrans.

Situations when the use of "Fortrans" is required

• on the eve of endoscopy, sigmoidoscopy;

• in front of the large intestine;

• to prepare for surgical interventions that require the absence of feces in the intestines - most operations on the abdominal cavity, interventions directly on the intestines, including the rectum, etc.

Why is cleaning necessary before the procedure?

The process of digestion is continuous. A person consumes food several times a day, often excessively. At the same time, most adults have bowel movements no more than once a day. Few suspect that up to 12 kg of feces, including mucus and indigestible food residues, can constantly be in the human intestine.

For this reason, it is imperative to comply with the recommended before and active cleansing of the intestinal lumen. Insufficient cleaning may hinder the examination, make some areas "invisible" to the doctor's equipment. This entails the risk of re-appointment of unpleasant manipulations.

During surgical interventions, the presence of fecal matter in the intestine directly threatens health. In case of unexpected contamination of the abdominal cavity with waste products, peritonitis and blood poisoning may develop.

For highly effective and safe excretion of intestinal contents, Fortrans is used - a new generation osmotic laxative.

What is "Fortrans"?

The drug belongs to the class of saline osmotic laxatives. These are modern tools with a high security profile. As part of "Fortrans" substance macrogol 4000 (polyethylene glycol) and a combination of several salts of sodium and potassium.

The osmotic effect lies in the fact that the active components of the drug are able to attract and retain a large number of water molecules. This leads to the accumulation of a solid volume of free water in the intestinal lumen and its active emptying.

At the same time, the salts included in the composition prevent the development of a violation of the water-salt balance of the body and level the risk of dehydration.

Absorption of macrogol in the intestine does not occur, which is confirmed by numerous clinical studies of the drug. This completely eliminates the overall effect on the body and minimizes the possibility of side effects.

"Fortrans" - instructions for use

The drug is allowed only for adults (from 15 years old), since studies on the use in children have not been conducted.

One package contains 4 bags of Fortrans powder. For use, 1 powder is diluted in 1 liter of water. It is preferable to use boiled or filtered water at room temperature.

It is imperative to stir the powder until completely dissolved - the resulting solution should look completely transparent and colorless. To obtain 4 liters of solution, 4 bags are required, that is, a complete package of the product.

The amount of solution to be consumed is calculated by body weight. 1 powder (= 1 liter of solution) goes to 15 - 20 kg of mass. On average, a person will need 3 - 4 bags.

It should be noted that obese people with a weight of, for example, 100 kg or more will have to use additional packages, since one pack of funds for such a weight will not be enough. This is not a problem, since in pharmacies you can often buy sachets by the piece: one full package of Fortrans and two more powders additionally from another package.

To improve the taste characteristics, you can additionally cool the solution by putting it in the refrigerator for half an hour - an hour.

The procedure for using the solution

Of course, you do not need to drink 4 liters of solution in one gulp. It is recommended to act gradually:

1. Crush the dose, using in portions - 1 glass (250 ml).

• Evenly distribute the reception over time. The best option is to drink a glass of the product every 15 minutes.

• Do not rush to drink a larger volume of solution, even if the body reacts normally. The entire period of consumption should take about 4 - 6 hours.

• It is allowed to divide the reception into two days. In this case, 2 - 3 liters are drunk on the evening before the procedure, and the remaining 1 - 2 liters - in the morning on the day of the procedure.

This scheme can be used if the examination or operation is scheduled for the afternoon. The last reception of Fortrans must be completed at least 3 hours before the procedure. If the examination is planned in the morning, there is a risk of not being able to complete the solution in time. In this situation, it is better to use the entire prescribed volume the day before, without putting it off until the morning.

• Prepare for the results of the application. In the process of taking the solution, active evacuation of intestinal contents begins, as with diarrhea. The chair will be frequent, liquid and repeated. Therefore, the day when the use of "Fortrans" is required, it is better to free it completely to comply with the home regimen.

When does Fortrans start operating?

The effect of the drug comes fairly quickly. The first liquid stool is usually observed within 1 - 2 hours from the moment the solution is taken.

It should be taken into account that the unexpected intake of an unusual volume of liquid and the active evacuation of intestinal contents may be accompanied by a number of uncomfortable sensations:

1. At the beginning of the application, nausea and even vomiting may occur. This is due to the unusual amount of fluid consumed. During the reception, the body adapts to what is happening, and the unwanted reaction passes.

• Intensive emptying of the intestine is inevitably accompanied by active peristalsis (natural contractile movements of the intestine). This may present with bloating and/or abdominal pain.

The less stool remains in the intestines, the less pronounced the discomfort associated with evacuation becomes.

• In extremely rare cases of increased individual sensitivity to the components of the drug, allergic reactions of varying severity are possible (from skin rashes to anaphylaxis).

"Fortrans" during pregnancy

The laxative is produced by the French company Bofur Ipsen using raw materials from Germany and the USA. In Europe, the production of medicines is regulated by much more stringent standards than in Russia. Therefore, the quality of European pharmaceuticals is trustworthy.

"Fortrans" was registered in the Russian Federation in 2007, and in their homeland much earlier. However, clinical studies of the drug among women and mothers have not yet been conducted. The penetration of the agent into breast milk.

The proven lack of absorption of macrogol from the intestines suggests the safety of use in these categories. However, since there were no clinical studies, the manufacturer does not have the right to allow the use in the instructions.

Taking "Fortrans" and is allowed only after a thorough assessment of the intended benefits for the mother and the possible risk to the child. In this situation, the decisive word for the doctor.

Are there analogues for Fortrans?

The drug is in the middle price segment - the cost per pack "floats" around 500 rubles. "Fortrans" is included in the list of vital medicines for which the state regulates prices. This is due to approximately the same cost of funds in different pharmacies.

Fortrans does not have a 100% identical analogue. There are several laxatives based on macrogol, both domestic and imported, on the Russian market.

The principle of their action is the same, but there are differences in the composition of auxiliary components. Various forms of release. There is a choice, but you need to take it carefully so as not to make a mistake.

For example, there is a drug from the same manufacturer "Bofur Ipsen" under the consonant name "Forlax". The main substance is also macrogol, but in the list of auxiliary substances, instead of the composition of mineral salts, we see sodium saccharinate and orange flavor.

The drug is intended for the course treatment of constipation in children and has a scheme of application different from Fortrans. Release form - single sachets of 4 g, 20 pieces per pack.

There are other analogues: Osmogol (India), (Russia), Microlax Plus (Russia), Realaxan (India), Tranzipeg (Switzerland).

Most of them are available in the form of single sachets and are intended to a greater extent for the course treatment of constipation, although some are used to cleanse the intestines. For example, the most well-known analogue of Russian-made "Lavacol" is used both to cleanse the intestines and to treat constipation - according to different schemes.

"Lavakol" has a much lower cost - within 200 rubles. However, endoscopists note a better result after bowel cleansing with Fortrans than with Lavacol.

Regarding the replacement of the prescribed drug with an analogue, it is advisable to consult a doctor, or ask the pharmacist in detail at the pharmacy, describing the purpose of the application.

"Fortrans" - contraindications

In itself, the procedure of active bowel cleansing is a significant stress for the body. Most of the contraindications to the use of "Fortrans" are associated rather with this than with the composition of the drug:

• the general condition of the patient is severe (for example, a severe degree of dehydration or heart failure);

• widespread colon cancer;

• stomach ulcer;

• intestinal obstruction;

• violation of the process of evacuation of contents from the stomach;

• toxic colitis;

• obstruction (blockage) in any part of the digestive tract;

• age younger than 18 years - due to the lack of clinical studies in this group.

"Fortrans" is dispensed from pharmacies without a prescription, but this is not the means of choice for self-medication. The drug has specific indications and is by no means suitable for single use in situational constipation.

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In this article, you can read the instructions for use medicinal product Fortrans. Reviews of site visitors - consumers of this medicine, as well as opinions of doctors of specialists on the use of Fortrans in their practice are presented. We kindly ask you to actively add your reviews about the drug: the medicine helped or did not help get rid of the disease, what complications and side effects were observed, perhaps not declared by the manufacturer in the annotation. Analogues of Fortrans in the presence of existing structural analogues. The use of a laxative for bowel cleansing (preparation for surgery and diagnosis) and weight loss in adults, children, as well as during pregnancy and lactation.

Fortrans- a laxative. The action of the drug is based on the combination of a high molecular weight polymer with an isotonic electrolyte solution.

Macrogol 4000 (active ingredient of the drug Fortrans) prevents the absorption of water from the stomach and intestines and promotes accelerated evacuation of intestinal contents (through frequent bowel movements).

Electrolytes, which are part of the drug, prevent the violation of the water-electrolyte balance of the body.

Indications

• preparation for endoscopic or X-ray examination of the colon;
• preparation for surgical interventions requiring the absence of contents in the intestine.

Release form

Powder for solution for oral administration.

Instructions for use and method of use

The drug is administered orally to adults and adolescents over 15 years of age. Before use, the contents of 1 sachet are completely dissolved in 1 liter of water.

The dose of the drug is set at the rate of 1 liter of the prepared solution per 15-20 kg of body weight (an average of 3-4 liters of solution).

The required dose of the drug is taken in parts of 200 ml every 20 minutes on the evening before the examination. It is possible to take it in equal parts on the evening before and in the morning on the day of the examination, while the last dose of the drug should be 3-4 hours before the necessary procedure.

Side effect

• nausea, vomiting;
• flatulence;
• feeling of heaviness and discomfort in the abdomen;
• allergic reactions (skin rash, swelling).

Contraindications

• severe patient condition, such as dehydration or severe heart failure;
• the presence of a malignant tumor or other disease of the colon, accompanied by extensive damage to the intestinal mucosa;
• complete or partial intestinal obstruction;
• age up to 15 years (due to the lack of data on clinical use);
• hypersensitivity to polyethylene glycol, since there are reports of very rare allergic reactions (rash, swelling, in rare cases - anaphylactic shock) to taking drugs containing polyethylene glycol.

Use during pregnancy and lactation

Currently, there are insufficient data to evaluate the effect of macrogol 4000 on fetal malformation when using the drug in pregnant women. Therefore, Fortrans can be used during pregnancy only if necessary.

Since macrogol 4000 is not absorbed from the gastrointestinal tract, Fortrans can be used during lactation ( breastfeeding) according to indications.

special instructions

Elderly patients with various concomitant diseases are recommended to use the drug under medical supervision.

The patient should be warned about the need to inform the doctor about all concomitantly used drugs.

IN folk medicine 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 unverified schemes for using this drug.

drug interaction

Diarrhea caused by the use of Fortrans can lead to impaired absorption of other concomitantly taken drugs.

Analogues of the drug Fortrans

Structural analogues for the active substance:

• Lavacol;
• Osmogol;
• Realaxan;
• Transipeg;
• Forlax;
• Forteza Rompharm.

In the absence of analogues of the drug for the active substance, you can follow the links below to the diseases that the corresponding drug helps with and see the available analogues for the therapeutic effect.