How to take Fortrans correctly to completely cleanse the intestines

Published 03/14/2019 · Comments: · Reading time: 7 min · Views: Post Views: 244

With the modern rhythm of life, it is difficult to follow a rational principle of nutrition. Because of this, many people suffer from chronic constipation. Often, to determine the true causes of an unpleasant ailment, it is necessary to undergo an X-ray or instrumental examination of the intestines. Before the procedure, certain preparation will be required: following a diet for several days and actively cleansing the intestines. The most reliable and frequently prescribed drug for this is Fortrans.

How to take Fortrans

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

It is useful to study the special instructions for use in the instructions:

The rate and dosage can be adjusted by the doctor depending on the patient’s condition. If kidney function is impaired, the dose does not change. The product should not be used in children under 18 years of age, with caution in the elderly. At least 2 hours must pass between taking Fortrans and other oral medications, otherwise the latter will be absorbed and have no effect on the body. The product contains polyethylene glycol, which can lead to the development of allergies, anaphylactic shock, rash, urticaria, and angioedema. In some patients, taking the drug caused water-electrolyte imbalances and 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 failure, renal failure, and using diuretics.

Fortrans can cause aspiration pneumonia in patients prone to aspiration 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 sachet contain 1.967 g of sodium. The product should be used with caution in pregnant women and breastfeeding mothers. It is not known whether it affects fertility. There is no evidence that taking the powder interferes with the control of vehicles or machinery. The product is used only once, it cannot 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, so to prevent nausea and vomiting, you can wash it down with a tablespoon of orange or lemon juice, or eat slices of these citrus fruits. A few days before taking Fortrans you need to avoid foods rich in fiber.

On the day of using the drug, eat a light meal, scrambled eggs, scrambled eggs, porridge, and refuse lunch. After taking the medicine, you need to drink more water so that it flushes any remaining medication from the body. Using an effective medication at an affordable price for weight loss is very dangerous, because it is not fats that are lost, but water and electrolytes. Long-term use of laxatives threatens exhaustion of the body and immunodeficiency. A single use of the drug does not have a detrimental effect on the intestinal microflora. Taking the product too often can result in the development of dysbiosis due to the leaching of beneficial bacteria along with toxins. To prevent this from happening, you need to start using prebiotics at the same time as Fortrans.

Other drugs

Another group of drugs used for lavage before colonoscopy are drugs with the active substance lactulose (a synthetic disaccharide). The action of lactulose ensures a decrease in the pH level of the intestinal environment and a sharp increase in wave-like contractions of the esophagus, stomach and intestines (peristalsis). The advantage of these medications is their safe use by women during the perinatal period. In addition, the taste of lactulose is well accepted by children.

Duphalac

The drug is produced in the form of a syrup, which contains only two components: water and lactulose. The medicine is packaged in bottles of 200 ml and 500 ml.

• pharmacodynamics and pharmacokinetics: stimulates peristalsis activity, accelerates metabolism. A small percentage of the medicine is absorbed into the digestive system. Quickly reaches the large intestine, where it undergoes splitting;
• contraindications: diabetes mellitus, hereditary intolerance to the main active ingredient, suspected appendicitis;
• side effects: increased gas formation, vomiting, weakness, dizziness;
• Application: in each individual case, the dosage is prescribed by the doctor. While using Duphalac, you must drink plenty of fluids.

The syrup is produced by a Dutch pharmacological company, the average price of a bottle is 475 rubles

The medicine can be taken in concentrated or diluted form.

Dinolak

Refers to laxative medications. In addition to lactulose, it contains the active simethicone, a chemical compound that has a carminative effect.

• release form: produced in the form of a suspension of 100, 200, 500 ml in a bottle;
• pharmacoparameters: enhances peristalsis, activates metabolic processes, absorbs gases. The drug is not absorbed and easily leaves the body unchanged;
• contraindications: intestinal obstruction, allergic reactions to lactulose;
• side effects: cardiac dysfunction, increased fatigue, headache.

The dosage for the intestinal lavage procedure is prescribed by the doctor on an individual basis. Manufactured by the Russian pharmacological company ABVA-RUS. Pharmacy price is about 500 rubles. Lactulose-based laxatives act more slowly than osmotic drugs with macrogol.

To prepare the intestines for colonoscopy, they are recommended for use if there is an allergic reaction to macrogol, a tendency to diarrhea, and also for children.

Action

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

• is not absorbed into the blood, which means it is not distributed throughout the body, does not in any way affect the functioning of other organs (except the gastrointestinal tract) and does not accumulate in tissues;
• is a stable chemical compound that does not undergo biochemical metamorphosis, so it does not break down 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 parts of the colon, including the upper one, which usually remains inaccessible during cleansing with an enema or other medications;
• the main property of macrogol is the attraction and retention of water, which enters the intestines along with it: due to it, it swells and presses on the walls;
• this stimulates peristalsis, and the intestines begin to contract intensively;
• as a result, the intestinal contents move towards the exit;
• after feces 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 enters the intestines with it, which is why the powder is diluted in such large proportions;
• additional components in the composition form an isotonic solution of electrolytes that maintains the normal water-electrolyte balance of the body.

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

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

Contraindications and side effects

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

• state of dehydration due to intestinal, respiratory infections or developed for another reason;
• pathological expansion of the lumen of the colon;
• general serious condition of the patient caused by a chronic disease of one of the vital systems;
• malignant neoplasms of the large intestine;
• ulcerative damage to any part of the gastrointestinal tract;
• erosive lesions of the digestive organs;
• children under 15 years of age;
• violation of the integrity of the walls of the gastrointestinal tract;
• inability to move intestinal contents to the anus;
• congenital or acquired predisposition to 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 means consuming 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 intestines, the use of Fortrans by pregnant women is prohibited.

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

How does a laxative work?

Unlike most drugs, Fortrans completely cleanses the digestive tract of 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 and instrumental studies and complicate surgical operations.

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

Pharmacodynamics

The active ingredient of Fortrans is macrogol 4000. The chemical compound has a large number of useful properties:

• not absorbed by the walls of the gastrointestinal tract;
• does not enter the systemic circulation;
• does not have a negative effect on other internal organs.

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

The principle of action of Fortrans is that the active substance attracts fluid that is in the intestines. Macrogol rapidly increases in size and swells, which causes an increase in the volume of feces. The load on the intestinal walls increases, which begin to contract in waves, pushing feces towards the anus. Portion intake of Fortrans allows you to avoid 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 Fortrans solution. The fact is that, according to the instructions, 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 method of use also has its advantages. Macrogol attracts only water from the prepared solution, without adsorbing liquid molecules from the digestive tract. This allows you to avoid the development of dehydration and loss of microelements necessary for the functioning of the body.

Moreover, manufacturers have added mineral compounds to the dosage form containing:

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

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

To prepare Fortrans medicinal solution, dilute the powder in warm water

What is Fortrans?

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

The osmotic effect is 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 significant 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 disturbances in the body’s water-salt balance and neutralize the danger 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 reduces the possibility of side effects to a minimum.

Recommendations

If you decide to use Fortrans for home colon cleansing, you should understand several nuances that will make it easier to use and allow you to achieve maximum effect.

General Tips

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

You should not eat anything while using the solution. You can only drink water and other liquids (for example, juices).

You will feel the first urge after 1-2 hours (everyone’s body reacts differently to the drug). If by this time you have not been able to drink the entire prepared solution, drink a glass of it between bowel movements. Expect that the process of defecation can last for 4 hours.

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

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

Without following a diet, you will not be able to lose weight with Fortrans. If you lose 2-3 kg, you should know that this did not happen 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. It should be stored 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:

• Acylak;
• Biosporin;
• Bifidin;
• Bifidumbacterin;
• Bifilakt;
• Biphilis;
• Bifiform;
• Colibacterin;
• Lactobacterin;
• Linux;
• Probifor;
• Sporobacterin;
• Trilact;
• Florin forte;
• Enterol.

Nutrition tips

The day before the procedure, eliminate fatty and fried foods from your 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 cleansing. Here is a list of permitted liquids: water (plain and mineral, only without gas), juices (not concentrated), compotes, tea (weakly brewed) with sugar and lemon. Coffee, alcohol, lactic acid drinks, soda, energy drinks are prohibited.

You cannot eat after cleansing the intestines with Fortrans. Although some experts believe that 5 hours after the last bowel movement you can eat some oatmeal cooked in water or a couple of green apples.

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

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

Recommended products for the week:

• Among juices, it is better to give preference to apple, tomato and citrus;
• boiled chicken breast;
• dairy products with a fat content of no more than 1.5%;
• vegetables;
• oatmeal cooked in water;
• boiled rabbit meat;
• fruits.

Use these simple recommendations and you can reduce the risks of side effects and complications.

The need for bowel cleansing before colonoscopy

In the intestines of a healthy person, there are constantly substances formed during the digestion of food, food debris, fiber, water, salts, trace elements, mucus, bile and pancreatic enzymes, and bacterial flora. Different foods eaten require different amounts of effort to digest. Fatty meat residues linger in the intestines for the longest time (12 hours or more). Therefore, eating meat before the procedure is prohibited.

Light foods made from carbohydrates and proteins are digested faster. Fiber in vegetables and fruits and incoming water create conditions for increased movement of feces through the large intestine and stimulate peristalsis. However, natural bowel movements are not sufficient for examination.

The walls and lumen of the intestine should be cleaned as much as possible to visually assess the condition of the tissues. The endoscopist identifies scars, erosions, ulcers, adhesions, small polyps, and neoplasms. For subsequent treatment, it is necessary to correctly determine the degree of inflammation or destruction and the localization of the process. In order for the study to produce reliable results, preparation is carried out. It includes:

• compliance with the regime (cessation of smoking, physical activity);
• a slag-free diet that allows maximum absorption of digested substances;
• the use of mechanical removal of contents by enemas;
• the use of special medications to cleanse the intestines before colonoscopy.

In practice, a combination of these methods is required. The doctor will tell you at the appointment what cleaning methods are suitable for a particular patient before a colonoscopy, and how to prepare.

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.

How does rapid weight loss occur when taking Fortrans?

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.

Description of the drug

Fortrans powders have a powerful laxative effect, which has a cleansing effect on the intestines. By combining one-time use with proper nutrition and exercise, you can lose weight and restore health. You can tell that the cleaning was effective by the number and appearance of bowel movements. According to reviews of people who used the solution, the result from Fortrans helped the body to invigorate and cleanse itself.

Components of the product

The main substance of the drug that has a laxative effect is macrogol 4000. The powder also contains:

• sodium chloride;
• sodium saccharinate;
• sodium bicarbonate;
• potassium chloride;
• anhydrous sodium sulfate.

Auxiliary components of Fortrans are used to regulate the salt and alkaline balance in the intestines, and also as a sweetener. The use of macrogol 4000 separately, along with a laxative effect, provokes an imbalance of microelements in the body. For this reason, only specialists prescribe Fortrans for use at home and in the hospital.

Fortrans is available in crumbly form, which is dissolved in water before use.

Release form

"Fortrans" is produced in the form of a white powder. The drug dissolves easily in water without forming sediment. Following the instructions on the packaging, you can prepare the drink at home, by yourself. The product is packaged in sachets, 64 grams each. One sachet is designed for a patient weighing up to 90 kg. Cardboard boxes contain 4 sachets of Fortrans.

Mechanism of action

"Fortrans" is a drug from the laxative group. The effect of its use is compared to the effect of an enema. The difference is that Fortrans not only cleanses the intestines, but also maintains the balance of salt and bile. The main effect is to retain water, which acts as a solvent. The powder, when combined with liquid, increases in volume and has a laxative effect. Simultaneously with the release of intestinal contents, the drug itself is eliminated from the body. "Fortrans" is not absorbed into the blood or into the intestinal walls, so you can drink it without fear. The effect occurs an hour and a half after taking the product and lasts up to 6 hours.

Characteristic features of the drug use

Fortrans is one of the few laxatives that, after administration, ensure complete evacuation of feces from all parts of the intestines. The undoubted advantage of the drug is the ability to carry out the cleansing procedure yourself at home without the use of an enema or an Esmarch mug.

Taking Fortrans allows you to empty your bowels without experiencing painful cramps in the lower abdomen.

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

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

The French manufacturer produces Fortrans in the form of a white, easily water-soluble powder, 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, away from direct sunlight.

Indications for use

In the annotation for the drug, manufacturers indicate that the use of Fortrans powder is possible only in preparation for an examination or surgical procedure. The laxative is not intended to treat 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 is the drug needed:

• before performing endoscopic or x-ray procedures, which include colonoscopy, rectoscopy;
• at the stage of preparation for various surgical operations.

A single use 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 dysbiosis, indigestion, and flatulence. Doctors recommend a few days after intestinal lavage to undergo a course of treatment with eubiotics containing lacto- and bifidobacteria.”

Difficult environmental conditions, a sedentary lifestyle, irregular and unbalanced nutrition cause slagging in the gastrointestinal tract and deterioration in human well-being. Fortrans can be used for regular cleansing procedures to get rid of accumulated toxic compounds. But such therapeutic manipulations cannot be performed more than three times a year.

Reception regimens

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 medications are bad, and self-medication has never brought anyone any good. On the other hand, the figures given in it are not suitable for home use, since they assume the procedure is carried out in a hospital setting, 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 patient’s weight: 1 packet - per 20 kg. The total volume is usually 3-4 liters.

Dosage

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

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

For home cleansing

The method of application remains the same. Dosages and regimen may be as follows:

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

It is recommended to take it on a weekend morning so that the urge to defecate does not ruin the night or force you to spend the entire working day in the toilet. In addition, after such cleansing, a person usually feels weak and sleepy for a day or two.

Popular medicines

Colon cleansing medications must have laxative properties. But not every medication is suitable for preparing for a colonoscopy. In the arsenal of doctors to stimulate intestinal peristalsis, there are medications of different effects in tablets, drops, chewing pads, and oily solutions. Among them:

• activating nerve endings located in the muscles of the intestinal wall;
• adding enzymes and fiber to feces;
• irritating the mucous membrane.

Before the study, these medications are not suitable for high-quality cleaning. Their use changes the appearance of the inner lining of the colon, making diagnosis difficult. An example is the well-known castor oil or “Castor oil”. It is indicated for atonic constipation and gives a strong effect if used at night diluted with kefir.

Therefore, you cannot include medications in the cleaning regimen at your own discretion. The list of necessary drugs for bowel cleansing before colonoscopy includes drugs that cause minimal impact on the mucous membrane. Their laxative properties include increasing weight and diluting stool by retaining water.

Important! If a person takes any medications orally, their absorption stops due to the action of the cleansing drugs. It is necessary to foresee the impact in advance and consult a doctor.

For detailed study, before using at home, you should carefully read the instructions. In addition to the cleansing effect, all drugs can cause negative reactions. You can use a solution prepared from powder if the correct ratio is used and the concentration does not exceed the permissible dosage. Here is a description of the most popular drugs.

Analogs

Currently, a sufficient number of drugs have been released on the pharmaceutical market, the active ingredient of which is macrogol. They also have a laxative effect and are used for total bowel cleansing.

In addition, products are produced that contain another active ingredient, but have a similar laxative effect.

The most popular of them are shown in the table:

Fortrans - reviews

Reviews about the drug Fortrans are very varied and very emotional. The high degree of emotional content of reviews about Fortrans is due to two main factors that cause discomfort to a person: 1.

Subjectively unpleasant taste of the solution, which makes it very difficult to drink;
2.
The need to drink a large volume of liquid in a short period of time, which is difficult for many people.

In their emotional reviews, people evaluate the drug as “muck”, “sickening dirty trick”, “impossible to drink” and other similar synonyms. The torment associated with the need to drink 3–4 liters of a very unpleasant and nauseating drink is also described in detail. However, despite such seemingly unflattering characteristics given to the drug Fortrans, its overall rating in the review is positive. Positive reviews about Fortrans are due to the fact that the drug copes well with its immediate function - cleansing the intestines before upcoming diagnostic or surgical interventions. Therefore, people describe all the unpleasant sensations associated with its use, but conclude that they can be easily tolerated, since Fortrans cleanses the intestines perfectly.

However, there are also negative reviews about Fortrans left by people who were never able to drink the solution. According to them, it turned out to be very disgusting for them, so much so that they could not overcome the nausea and vomiting. Another reason for negative reviews of Fortrans is its ability to provoke bloating and flatulence, which are subjectively very poorly tolerated by some people. Thus, negative reviews about the drug are due to a negative emotional connotation, which had a decisive influence on the creation of an opinion about Fortrans.

Fortrans - reviews from doctors

Doctors evaluate Fortrans using criteria that are very different from the parameters that matter to people who take this drug. Therefore, the doctor’s opinion that the medicine is “excellent” may completely differ from the patient’s impressions.

So, from a doctor’s point of view, the criterion for the effectiveness of Fortrans is its ability to remove all contents from the intestine, so that the result is simply a hollow intestinal tube, which can be calmly examined during diagnostic or therapeutic manipulation, without paying attention to the “stains” of food masses. From this position, Fortrans copes with its task perfectly, cleansing the intestines well and creating ideal conditions for the subsequent work of the doctor. That is why the vast majority of doctors speak positively about Fortrans and recommend it to their patients.

Dosage

In order to perform a complete cleaning, 3-4 bags will be enough. The most accurate dose is determined based on your weight.

It is recommended to drink a liter of solution made from fortrans for fifteen to twenty kilograms. Based on this calculation, with a body weight of sixty to eighty kilograms, you need to consume 3 - 4 liters of this solution. To properly prepare the solution it is necessary: ​​one packet of powder must be dissolved in 1 liter of water. To activate the cleansing process, you need to consume a glass of dissolved medicine for fifteen to twenty minutes. One liter of solution is consumed on average per hour.

When using forstrain, it is necessary to be gradual. Thanks to this, the liquefaction of stool is stabilized. By fulfilling this condition, the cleaning will be complete, but the process will be quite gentle.

• More articles on the topic: preparations for cleansing the intestines and the whole body.

We draw your attention to the fact that if you have been prescribed a drug for agnostic procedures, then it must be consumed one day before they begin. But no later than eighteen hours before the start. The last dose of the solution must be taken three to four hours before the procedure.

Composition, dosage and release form of Fortrans

The drug Fortrans is available in a single dosage form - powder for the preparation of a solution for oral administration.

. Fortrans is produced by the French pharmaceutical corporation Beaufour Ipsen Industrie (Ipsen Pharma). The drug is sold in cardboard packages of 4 sachets each. One sachet contains 73.69 grams of powder.

As an active substance, Fortrans contains a synthetic polymer - macrogol 4000

in a volume of 64 g. As excipients, the medicinal product contains the following salts:

• Sodium chloride (table salt);
• Potassium chloride;
• Sodium bicarbonate;
• Sodium sulfate anhydrous;
• Sodium saccharinate.

Fortrans powder is finely dispersed, white in color and highly soluble in water.

Fortrans – preparation for colonoscopy or irrigoscopy

Before the procedure of colonoscopy or irrigoscopy, it is important to carry out a complete cleansing of the intestines. Incompletely excreted stool can distort the results of the study.

Proctologists say that it is more rational to cleanse the intestines on the day of the procedure, and not the day before.

However, for this you will have to plan to get up early so that the medicine has time to act in full.

On the day of the procedure, approximately 6-8 hours before it begins, you should start taking Fortrex solution according to the instructions (1 glass every 15 minutes).

4 hours after the last glass is drunk, the patient can be sent for examination.

If a colonoscopy or irrigoscopy is scheduled for early morning, it is better to take Fortrex in the evening. It is optimal to start drinking the solution around 6 pm so that you can sleep peacefully at night.

Read: Duphalac: method of use and features of the drug

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Directions for use and dosage

The use of Fortrans should be carried out only after consulting a doctor, who will select the optimal dose depending on the patient’s condition.

There are general recommendations from the manufacturer:

• 1 sachet is designed for 20 kg of body weight. But it is better to start with a smaller dose, namely 1 sachet per 15 kg of body weight.
• After selecting the optimal number of sachets, we proceed to preparing clean boiled water, calculating 1 liter per 1 sachet.
• Dissolve the powder in water until a homogeneous consistency is obtained.
• You need to take all the prepared liquid at one time.
• Of course, it is difficult to drink everything at once, so it is recommended to drink one glass in small sips every 15 minutes. You need to drink one liter of the drug in about an hour.
• The drug has an unpleasant taste. If you feel nauseous, you can eat lemon. The main thing is to drink quickly, without holding the liquid in your mouth.
• It should be remembered that after taking Fortrans, bowel movements can continue for three hours, so you should calculate the time. It is better to carry out the procedure on weekends.
• If an examination of the digestive system organs is planned in the morning, the drug should be taken in the evening.
• How long does it take for Fortrans to work? Mostly within an hour you can see the first positive result. The main thing is to drink the entire prepared solution to completely cleanse the digestive system of waste and toxins. After taking the drug, a diet is recommended that will restore normal functioning of the gastrointestinal tract.

Side effects

Fortrans may cause the following side effects:

• Diarrhea. Mostly occurs when the recommended dose is exceeded.
• Allergic reactions to individual components of the drug in the form of swelling and rashes on the skin. When the first negative symptoms appear, it is imperative to stop treatment.
• Increased gas production due to increased intestinal contents.
• Deterioration in general health in the form of weakness.
• Nausea and vomiting occurs due to individual intolerance to the components of the drug.

Analogues of the drug

A person can choose another remedy. In pharmacies there are many similar medicines to Fortrans, substitute drugs.

Medicines with the same active substance:

1. Forlax. Powder analogue for diluting the solution. Available in dosages of 4 and 10 grams of the main component. Suitable for the treatment of intestinal congestion in adults and children from 6 months.
2. Lavacol is a Russian powder for oral administration for constipation. The amount of active ingredient in the medicine package is 12 grams. Starts to work quickly.
3. Osmogol is a powder product. Prescribed for the purpose of deep cleansing of the intestines before diagnostic studies and surgery. A strong effective remedy for constipation.
4. Realaxan is a powder for diluting liquids. Available in aluminum sachets of 6, 10, 20 pieces per package.
5. Transipeg is a French solution for diluting solutions. The medicine contains macrogol 3350. It has a pronounced lemon smell.
6. Forteza Rompharm is a finely crystalline substance for diluting solutions with a rich orange aroma. Recommended for adults and children over 12 years old.

Drugs whose action is not associated with the presence of macrogol:

To get an effective result, consult your doctor before purchasing the drug at the pharmacy. Additional research may be needed to exclude pathological processes in the body.

Application of Fortrans

It is necessary to take the drug for a comprehensive cleansing of the intestines so that feces do not interfere with surgical intervention. But a laxative can also be taken to cleanse the intestines at home for constipation, intoxication and poisoning, for bloating and difficulties with bowel movements. According to the instructions, you need to take a laxative for:

• endoscopy and x-ray of the intestines;
• surgical interventions;
• eliminate constipation.

"Fortrans" should be used for constipation

The drug can be taken by adults and children over 15 years of age. The product must be taken according to the instructions.