Undergoing a number of diagnostic procedures for hemorrhoids and gastrointestinal diseases requires a complete cleansing of the intestines on the eve of the study.
Targeted medications are becoming a convenient alternative to enemas, and the French remedy Fortrans is one of them.
The drug Fortrans
Having a powerful laxative effect , the drug easily removes feces, which, if retained in the body, complicate the doctor’s work during the study.
General characteristics
Fortrans is a French drug designed for quick and effective cleansing of the intestinal tract. Unlike an enema, this cleansing method allows you to eliminate harmful substances throughout the entire digestive tract, and not just in its lower sections. Fortrans does not cause pain or discomfort during use.
Most often, this drug is prescribed to patients before diagnostic procedures, such as colonoscopies, and surgical interventions that require the absence of any contents in the intestinal tract. This remedy can also be used at home, for example, when switching to a diet or before fasting. In this case, you should strictly adhere to the recommendations specified in the instructions. For complete cleansing you will need three to four sachets of Fotrans.
The product is available in powder form, from which a medicinal solution is prepared using plain water. One sachet of potent laxative medicine contains the following active ingredients:
- macrogol;
- magnesium sulfate;
- sodium bicarbonate;
- sodium chloride;
- potassium chloride
Macrogol is the main active ingredient. It has a pronounced laxative effect. Macrogol cleanses the upper and lower parts of the digestive tract. Fortrans has a wide spectrum of pharmacological action. The mechanism of the laxative effect is based on an increase in osmotic pressure, an increase in fecal volume, fluid retention, stimulation of mechanical receptors and improved peristalsis.
The active component is not absorbed into the systemic bloodstream, does not change the acidity of the intestinal tract and does not have a toxic effect on the body. Given a one-time use, the drug has virtually no effect on the balance of the natural intestinal microflora. However, this cleansing technique is not suitable for everyone.
The use of Fortrans is prohibited in the following cases:
- ulcerative lesions of the intestinal mucosa;
- abdominal pain of unknown cause;
- children under fifteen years of age;
- serious condition;
- intolerance to active ingredients;
- heart failure;
- exacerbation of gastrointestinal diseases;
- dehydration of the body;
- malignant neoplasms;
- intestinal obstruction, including partial.
Principles of application
The dosage of the drug is selected depending on the patient’s weight. It is recommended to take one liter of solution per 15–20 kg of weight. That is, a person who weighs around 60 kg needs to drink about three liters of Fortrans. One liter of water contains the contents of one sachet.
Every twenty minutes you should consume 250 ml of the product. It turns out that in one hour a person drinks a liter of liquid. You cannot drink the entire solution in one gulp. To make the cleaning process gentle and painless, Fortrans must be taken gradually. Only in this case will the fecal accumulations have time to soften, and the cleansing process will be complete.
If the drug was prescribed before diagnostic procedures, it should be consumed the day before the procedure, but you need to start drinking it no later than 18 hours. Most often, the drug is prescribed once or in two doses (morning and evening).
If the manipulation is scheduled for the morning, then it is better to take Fortrans once in the evening. If the procedure takes place in the afternoon, it is better to drink the solution in two doses. The last solution should be taken four hours before the expected time of the manipulation.
The speed of onset of the laxative effect largely depends on the characteristics of the body. There are cases when the urge to stool did not occur even after four hours. In this case, it is recommended to massage the anterior abdominal wall, as well as move more around the apartment.
You need to prepare for bowel cleansing with Fortrans. A day before starting to take the medicine, easily digestible foods should be introduced into the diet: porridge, omelet, fruit jelly. Foods containing raw fiber, such as vegetables and fruits, are excluded from the diet. On the day of the procedure, you can eat an omelet for breakfast. A heavy lunch will interfere with cleaning, so it is better to avoid it.
Juices, tea, and low-fat meat broth are allowed throughout the day. It is better not to eat any more food after breakfast. The next day after cleansing, it is recommended to eat boiled rice, as well as maintain physical and mental rest.
After finishing the cleansing, it is recommended to drink plenty of fluids to help compensate for the lack of fluid. The fact is that Fortrans increases the volume of feces due to fluid retention in the intestines. The solution has a rather unpleasant taste, so to avoid the gag reflex, you can chew a slice of lemon or orange.
Efficiency
Loosen up
flaxseed begins to act quite quickly - already 40-60 minutes after consuming the first portion of the substance. Complete cleansing takes 6-12 hours. The specific duration depends on the patient's weight and the pattern of use of the substance.
After removing the remaining substances from the intestines, there is a risk of fatigue, weakness in muscle tissue, and dizziness. Patients often complain of headaches. Immediately after cleansing the body, eating large amounts of food is prohibited, as this can cause diarrhea.
Summarizing
Fortrans belongs to the group of drugs with an osmotic laxative effect and is used for complete and deep cleansing. The product ensures complete elimination of contents from the upper and lower sections of the large intestine. The product is available in powder form for preparing a solution. With the help of Fortrans, you can cleanse the intestinal tract before a diagnostic procedure or operation.
The active component is macrogol, a substance that improves peristalsis, softens feces and improves their excretion. Fortrans is suitable for single use. Its uncontrolled use is addictive. The drug should not be used by children under fifteen years of age, pregnant women, or patients with exacerbation of chronic diseases.
Undergoing a number of diagnostic procedures for hemorrhoids and gastrointestinal diseases requires a complete cleansing of the intestines on the eve of the study.
Having a powerful laxative effect , the drug easily removes feces, which, if retained in the body, complicate the doctor’s work during the study.
Video:
Instructions for pregnant women
There is no data confirming the harmful effects of the drug during pregnancy and breastfeeding. However, it is recommended to take it only as a last resort, when the positive effect outweighs the possible risks. When breastfeeding, there is a possibility that particles of the active substance may enter the baby's body.
Constipation in pregnant women occurs for various reasons, including hormonal imbalances, stress and much more. But such violations cannot be treated with Fortrans. This medicine is not suitable for long-term use.
How to take it correctly?
The package with the powder contains instructions for use for cleansing the intestines and 4 sachets necessary for the procedure.
The contents of 1 sachet are poured into a container with a liter of water.
How to use:
- The use of the solution begins 12 hours before the procedure.
- The reception takes place within 3–6 hours.
- The liquid is absorbed in small sips.
Using it at night will not allow for deep cleaning, especially if the procedure is carried out in the morning.
Weight limit
1 liter of product is designed for 20 kilograms, so for a weight of 75–85 kg, 4 sachets of powder are enough.
In other cases, you need to drink Fortrans with a decrease or increase in dosage:
- with a weight of 60 kg - 3 sachets,
- 100 kg and above - 5 or more sachets.
Taking powder and food
If the procedure is scheduled for the morning, then you should correctly take the colon cleanser according to the following scheme:
- Breakfast is available without restrictions,
- Lunch - no later than 2–3 pm.
- The rest of the time is allocated to cleanse the intestines before colonoscopy using Fortrans in a natural way.
Doctors note the impossibility of eating after the liquid solution enters the body, if a colonoscopy has not yet been performed.
The solution must be consumed after a certain period of time - 1.5–2 hours after the last meal.
What to replace: analogues
Almost 600 rubles - this price for Fortrans can put off a prudent patient, so some patients, after a colonoscopy, are looking for an affordable analogue.
Fortrans analogues:
- Forlax. 10-gram bags (20 pieces), like Fortrans , are made in France, but cost from 310 to 340 rubles .
- Duphalac. Syrup (15 ml) in 10 sachets from a German manufacturer costs 310–335 rubles .
- Lavacol. Domestic laxative includes 15 sachets of powder and costs between 180–230 rubles .
- Magnesium sulfate. An economical option - its price will be from 40 to 60 rubles per 25-gram sachet.
These products can be used to replace Fortrans for colon cleansing with great savings for your personal budget.
Reviews
Tatyana, 40 years old: “I had pain in the lower abdomen of unknown origin, so after a huge number of tests I was prescribed a colonoscopy. The doctor immediately warned me that I needed to take Fortrans. The effect turned out to be excellent: everything unnecessary came out quickly, and I didn’t even have to use an enema. Now I know the reason for the discomfort.”
Victor, 59 years old: “Lately I have been tormented by constipation, and other remedies did not help. Fortrans weakens effectively, and there is no diarrhea after the course. I didn’t even consider various analogues of Fortrans, because I am completely satisfied with the product.”
Marina, 24 years old: “I bought Fortrans after an unsuccessful colonoscopy, during which excess masses remained in the intestines. The doctor sent me back because the visibility of the camera was impaired. I don’t use enemas anymore, I only buy Fortrans. With him, I’m sure I won’t waste my time in vain.”
Fortrans belongs to the group of laxatives designed to effectively and quickly cleanse the intestines in the shortest possible time. This pharmacological effect of the drug is especially in demand before colonoscopy or surgical procedures. You can find out how to take Fortrans correctly in the detailed instructions attached to the package. But the advisability of using the drug is determined only by a doctor, since the laxative has a significant number of contraindications and exhibits side effects.
Possible side effects
Side effects from the use of Fortrans are an increase in the manifestations of the gag reflex. In this case, you should not stop drinking the drug. Gradually, the body will get used to the unpleasant taste, and the nausea will stop.
In rare cases, allergic reactions to the drug are possible.
The process of defecation may drag on for a couple of days, but with less intensity. There is no need to take fixing medications. The body must cope on its own. After cleansing with the drug, it is necessary to undergo a course of restoration of intestinal microflora. To do this, you need to take medications with active bifidobacteria and lactobacilli. Within a week of use, the flora will return to its optimal state.
In the case of a single dose of Fortrans, to relieve constipation or before an examination, there is no need for such therapy.
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.
Recommendation: “Fortrans solution has a specific taste, which most patients find unpleasant. Even the passionflower extract included in the drug is not able to improve the situation. To eliminate nausea and vomiting, you should take the medicine with a small amount of juice made from any citrus fruit (lemon, grapefruit, orange).”
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.
Possible consequences
Nutritionists do not recommend using Fortrans to prepare for a diet. Experts say that laxatives cause severe stress. Immediately after cleansing, the body is not ready for a serious change in diet.
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In addition, fortrans is able to remove beneficial substances from the body that protect the body from harmful factors.
In addition to getting rid of excess weight, the drug will provoke dysbiosis and cause symptoms of dehydration.
After consuming the substance, there is a risk of the following consequences:
- Slowdown of metabolic processes;
- Atony – decreased tone of muscle tissue;
- Increased fragility of nails and hair;
- Flatulence after eating;
- Mechanical lesions of the rectum.
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.
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:
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.
Fortrans for weight loss
It is not recommended to use drugs like Fortrans for weight loss. Because It is impossible to lose weight by taking drugs like Fortrans. Yes, there will be a temporary loss of kilograms, but also weakening of the immune system and dehydration of the body.
Weight loss after taking Fortrans occurs due to dehydration of the body and, in fact, evacuation of intestinal contents.
Macrogol, the main active ingredient of Fortrans, binds and removes fluid from the intestines, in addition, causes an osmotic effect, drawing water from the body through the intestinal walls, which leads to the loss of fluid by the body.
Unfortunately, the lost kilograms will return when you switch to a normal diet and drinking regimen.
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.
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.
special instructions
For elderly patients with various concomitant diseases, the drug is recommended to be used under medical supervision.
The patient should be warned about the need to inform the doctor about all concomitantly used drugs.
In folk medicine it is used as a means for weight loss, however, the drug has its own indications and contraindications, as well as side effects, so it is recommended to consult a specialist before using untested regimens for using this drug.
How to take medicine correctly
Before drinking Fortrans to cleanse the intestines, you should carefully read the attached instructions. If the doctor has not prescribed individual single dosages, they are determined according to the person’s weight. One powder, diluted in a liter of warm water, is designed for 20 kg of body weight. Typically, a package of laxative is enough to completely cleanse the intestines of a person weighing about 80 kg. The procedure can be carried out in two ways:
- Prepare the entire medicinal solution immediately. The dilution should be drunk within an hour, drinking a glass of liquid with short breaks;
- Divide the solution into two parts. Diagnostic procedures are carried out in the morning or lunchtime, so half of the dilution must be drunk in the evening. The remaining amount of laxative should be consumed 3-4 hours before the examination or surgery.
The second method is preferable to the first, since even a strong, large man has difficulty drinking 3-5 liters of laxative solution.
No special preparation is required before using Fortrans colon cleansing powder. You just need to exclude fried, salty, and spice-rich foods from your diet. They will provoke fluid retention in the body, reduce the therapeutic activity of the solution, and contribute to the development of dehydration. But during the procedure, you should completely stop eating food due to the possible too frequent urge to defecate.
Patients with chronic diseases should take into account that taking various pharmacological drugs will not be effective. You need to consult with your doctor about the current situation. He will adjust single and daily dosages or replace Fortrans with a more gentle laxative.
