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A healthy gut is the key to a person’s well-being. The modern rhythm of life and malnutrition leads to the fact that toxins and decay products accumulate in it. Even our ancestors guessed that the intestines needed to be cleaned, but they did it with the help of enemas. This procedure from the point of view of modern medicine cannot be considered effective and safe. For deep cleaning use a strong laxative “Fortrans”. Every person who is to undergo an examination of the intestine or an operation on this organ should know how to take this drug.
Description of the preparation
The main substance of the drug Fortrans is macrogol 4000. It is it that provides a laxative effect.
The composition of the powder includes:
Sodium chloride.
sodium saccharin.
sodium bicarbonate.
Potassium chloride.
Sodium sulfate anhydrous.
The auxiliary components that make up the laxative are necessary to maintain a normal salt and alkaline balance in the body, and are also responsible for the sweetish taste of the drug. If you take a separate remedy called Macrogol 4000, then this can lead to the development of dehydration. However, the use of Fortrans is also possible only with the permission of a doctor.
The drug is produced in the form of a powder. From it it is necessary to prepare a solution that is taken orally. The powder is white in color and easily soluble in water. It is packaged in paper bags. There are 4 of them in each package.
Recommendation:
“Fortrans has a specific taste that many people find unpleasant. Even the passionflower extract, which is part of the powder, is unable to drastically change it. In order not to provoke vomiting, you need to drink the drug with juice squeezed from citrus fruits (orange, grapefruit or lemon).
The mechanism of action of Fortrans
The powder quickly dissolves in water, does not cause electrolyte imbalance, so its intake does not lead to dehydration. The drug acts in the small and large intestine, does not have a toxic effect on the body.
Fortrans has a laxative effect, increasing the osmotic pressure in the intestines and retaining water in it. This contributes to the dissolution of food masses, the swelling of the contents of the intestine and the strengthening of its peristalsis. As a result, emptying occurs.
A distinctive feature of the drug is that it cleanses not only the large, but also the small intestines of a person. At the same time, excess fluid is not removed from the body and dehydration does not develop. Fortrans does not penetrate into the systemic circulation, is not absorbed in the intestines, and is excreted from the body unchanged.
The effect occurs 1-1,5 hours after administration. It lasts for 2-5 hours.
If after 3 hours there is no bowel movement, then you need to massage the stomach, or increase physical activity.
Fortrans is forbidden to take often, it is used for a one-time bowel cleansing and is not prescribed for the treatment of constipation.
Acts of defecation occur several times, which allows you to achieve a portion of the drug. Cleaning is gentle and safe for the body. As a rule, the restoration of normal defecation, after refusing to use Fortrans, occurs in the patient quite quickly.
Indications and contraindications
The drug can be prescribed for the following indications:
Planned endoscopy and fluoroscopy of the digestive system or upcoming colonoscopy.
Upcoming bowel surgery.
Upcoming anoscopy, fibrocolonoscopy, sigmoidoscopy, irrigoscopy, enteroscopy.
Sometimes the drug is prescribed before ultrasonography.
In some cases, people take Fortrans on their own to cleanse the intestines before therapeutic fasting or diet.
Contraindications to taking the drug Fortrans:
Hypersensitivity of the body to sulfate, bicarbonate and sodium chloride, as well as to polyethylene glycol.
Various lesions of the intestinal walls.
Dehydration of the body.
Violation of the heart.
Gastric ulcer with perforation.
Abdominal pain of unknown etiology.
Gastroparesis and other disorders in the work of the muscles of the stomach.
Intestinal obstruction, or suspicion of it.
Intoxication of the body with inflammation of the digestive system.
You should also pay attention to the following recommendations:
The drug is not prescribed to children under 15 years of age.
Fortrans must be taken 2 hours before or 2 hours after taking other medicines.
People with serious illnesses, as well as elderly patients, should be under medical supervision while taking Fortrans.
The drug does not cause an imbalance of electrolytes in the body, but may aggravate the course of other metabolic disorders, such as hypoglycemia.
Fortrans should be used with caution in patients with heart and kidney failure.
You can not combine the reception of Fortrans with diuretics.
Patients with aspiration and diseases of the nervous system should only take the drug in a hospital setting. The same applies to bedridden patients.
If a limited salt intake is indicated for a person, then he should take into account that each sachet of the drug contains 2 g of sodium chloride.
How to take Fortrans?
Each package of the drug contains detailed instructions for use and 4 bags of powder. One such bag must be dissolved in a liter of water.
Application rules:
The solution should be taken 12 hours before the upcoming operation or examination.
Take it for 3-6 hours.
Drink the solution in small sips.
If you take the drug at night, then it will not be possible to achieve high-quality bowel cleansing.
One liter of the drug is designed for 20 kg of weight, so if a person weighs 70-85 kg, 4 sachets will be enough for him. When the patient’s weight is 60 kg, he needs to take 3 sachets. With a weight of 100 kg or more, 5 sachets of the drug will be required.
It is forbidden to exceed the recommended dose, as this will provoke poisoning with the development of side effects.
If the examination or operation is planned in the morning, then the drug should be taken as follows:
You need to have breakfast as usual.
Lunch should take place no later than 2-3 pm.
The rest of the time is devoted to cleansing the intestines with the intake of Fortrans.
From the moment the cleaning begins and before the procedure, food must be abandoned. Drink the solution every 2 hours, after the last meal.
It is not recommended to use Fortrans to remove toxins from the intestines more than 2-3 times a year. It is able to cause dysbacteriosis with the reproduction of pathogenic flora in the intestine. This increases the likelihood of developing colitis, enteritis and chronic constipation. In addition, frequent use of laxatives can lead to leaching of vitamins and minerals from the body.
Advantages and disadvantages
Advantages of using Fortrans:
With its help, it is possible to cleanse not only the large, but also the small intestine.
The drug can be used at home.
The dose is calculated easily, it is enough to know your body weight. For every 20 kg of weight, you need to drink a liter of solution. To prepare this volume, you need 1 sachet of the drug.
The drug is easy to take. It is drunk in the evening for 4-5 hours.
Four sachets are enough for a complete cleaning.
As for the disadvantages of the drug, they include the unpleasant taste of the finished solution and the need to take large volumes of liquid.
Side effects that may develop after taking Fortrans:
Nausea and vomiting. After completing the course, these phenomena disappear on their own.
Bloating.
Allergic reactions: skin rash, edema. Isolated cases of anaphylactic shock have also been reported.
How to eat after colon cleansing?
After a deep cleansing of the intestines, its restoration will be required. The drug washes out of the body not only toxins, but also beneficial substances.
To restore the microflora, tools such as Linex and Bifidumbacterin help.
The next morning after cleansing, you need to eat boiled rice without salt and spices. It can be eaten throughout the day. It is necessary to refuse carbonated drinks and coarse food.
Be sure to drink as much water as possible. Portions should be small, you can not overeat.
Analogues
Fortrans has many advantages, but it is quite expensive (500 rubles per pack), so many patients are interested in the availability of analogues of this drug. Moreover, it has an unpleasant taste and should not be used in childhood.
Macrogol is found in drugs such as:
Eight goals.
Lavacol. This is a domestic product. The package contains 15 sachets. The cost of the drug is 180-230 rubles. According to reviews, Lavacol is much more palatable than Fortrans. However, doctors point out that Fortrans cleanses the intestines better than Lavacol.
Forlax. For 20 bags of 10 g, you will need to pay 310-340 rubles. Forlax, as well as Fortrans, are produced in France.
Transipeg.
Fortress Romfarm.
Relaxed.
Endofalk contains macrogol 3350. This drug works in the same way as Fortrans. Its cost is 480 rubles.
Fleet Phospho-Soda. The basis of this drug is a substance called sodium hydrogen phosphate dodecahydrate. However, the drug works as well as Fortrans. The taste of Fleet Phospho-Soda is not very pleasant, but this does not affect the effectiveness of the drug. Its cost is 560 rubles.
These drugs have the same indications and contraindications.
If a person has an individual intolerance to macrogol, then you can use drugs such as:
Duphalac. Produced in the form of syrup (15 ml), the package contains 10 sachets. The drug is produced in Germany and costs 310-335 rubles.
Bioflorax.
Lactuvit.
Analogues are also Goodluck medicines in syrup, magnesium sulfate powder (a bag of 25 g costs 40-60 rubles), Normaze syrup, Transulose gel, suppositories and Bisacodyl tablets. All of these drugs can be used in childhood as an alternative to enemas.
Reviews about Fortrans
You can meet the most controversial reviews about the drug Fortrans. Many patients point to its unpleasant taste. Some people write that with its help it was possible not only to clean the intestines, but also to get rid of a few extra pounds. However, fat deposits will not go away. Therefore, experts insist that it should be taken only according to indications.
People who have used the drug for bowel cleansing before a colonoscopy indicate its high effectiveness. Of the side effects, they note flatulence and spasms in the intestines. Doctors call Fortrans an effective tool for cleaning the digestive system.
Video: preparing for a colonoscopy: