Psyllium (Metamucil, Konsyl, Hydrocil, Fiberall, various)

Category:

• Bulk laxative

Description:

• Bulk fiber; psyllium colloid

Indications:

• Constipation, irritable bowel syndrome

• Diverticular disease

• Spastic colon

• Hemorrhoids

• Hypercholesterolemia (not FDA approved)

Contraindications:

• Intestinal obstruction

• Fecal impaction

Precautions:

• Pregnancy category C

• Phenylketonurics (sugar-free preparations may contain aspartame)

• Abdominal pain, nausea, or vomiting

Adverse Reactions (Side Effects):

• GI: anorexia, bloating, constipation, esophageal or bowel obstruction, flatulence, nausea, vomiting

Dosage:

Administered orally

• Adult:   PO 1-2 rounded teaspoonfuls or 1-2 packets in 8 ounces of liquid 1-4 times daily; 1-2 wagers with 8 ounces of liquid 1-4 times daily

• Child 6-11 years:  PO ½ to 1 teaspoonful in 4 ounces of liquid 1-3 times daily