If throughout your pregnancy you have not encountered the problem of constipation, you can be considered very lucky. Because most expectant mothers suffer from the inability to go to the toilet. The condition is not only very uncomfortable, but also unsafe, because the same muscles are responsible for the contraction of the intestine and uterus. Therefore, it is better to proactively prevent constipation during pregnancy.
However, many women complain that no methods of normalizing stool help them. And, despite the efforts made, constipation still occurs.
The problem is that taking laxatives while pregnant is prohibited. But there is still a way out, and this is Duphalac, doctors say, an absolutely safe drug for constipation for pregnant women.
General characteristics of Duphalac
The composition of Duphalac is quite simple: the main active ingredient is lactulose, the auxiliary component is water. The drug is allowed to be used during pregnancy; it does not have a negative effect on the fetus.
Lactulose is a kind of synthetic component that is extracted from lactose. A similar enzyme does not exist in the human body. Lactulose is able to restore intestinal microflora and fight pathogenic microorganisms. In addition, the drug seems to “attract” a large amount of fluid into the intestines. It is thanks to this that the stool softens and problems with constipation disappear.
Duphalac performs the following functions:
- Softening of feces. The process of defecation becomes painless, and most importantly, regular;
- Purgation. The drug is able to remove toxins, waste, and stagnant harmful substances from the body. Thanks to Duphalac, intoxication (poisoning) of the body can be prevented;
- Restoration of microflora. In addition to eliminating the problem itself, the drug has a therapeutic effect. Thanks to it, lactobacilli begin to multiply in the intestines, which have a positive effect on intestinal motility.
It is also important that Duphalac, having an absorbent effect, does not “absorb” beneficial substances.
Pharmadynamics
Duphalac during pregnancy (reviews of the use of the drug characterize it as a universal laxative) exhibits the same pharmacodynamic properties as for the standard group of patients.
When absorbed, the main component of the drug undergoes splitting into organic acids, which further help reduce the activity of hydrogen ions. The action is due to an increase in osmotic pressure, leading to an increase in intestinal volume.
The process enhances the functioning of the intestines and helps to liquefy the stool. In this case, all signs of constipation are eliminated and the functional capacity of the large intestine is restored.
The action of the active components in the hepatic form of encephalopathy and hepatic coma is aimed at suppressing pathogenic microflora. The process is caused by a temporary increase in acidophilic bacteria.
The action of bacteria aimed at eliminating ammonia ions is enhanced due to their stimulation caused by a decrease in the concentration of toxic substances in the intestine. The drug suppresses the activity of salmonella in the intestines, causing its inhibition and reproduction.
Can Duphalac be used during pregnancy?
Duphalac is approved for use during pregnancy. Its components do not penetrate the woman’s blood, so access to the fetus is completely blocked. In addition, the uterus is not subject to a tonic effect, so the medication is allowed even for girls who are being preserved.
Indications for taking Duphalac are as follows:
- Constant constipation. As a rule, such problems arise already in the first trimester of pregnancy. Doctors warn that a pregnant woman should not push; this can lead to uterine tone and the threat of miscarriage;
- Dysbacteriosis. Feces have an uncharacteristic color and odor. The presence of pathogenic microorganisms can be indicated by the result of tank culture;
- Increased gas formation, flatulence. These processes can also cause uterine tone. Therefore, it is better to eliminate them at the first symptoms.
The dosage is prescribed individually by the doctor. The drug is available in several dosage forms: syrup and powder. Many patients note that the latter option is more convenient, since the sachet is designed for one dose and contains a minimum dose of the drug.
In what form is it produced?
The product is produced in the form of syrup. Sold in plastic bags of 0.2, 0.3 or 1 liter. Each bag is equipped with a screw cap. The product kit also includes a measuring cup.
The product is available in disposable polyethylene bottles of 15 ml. Each container contains 10 packets of product. The consistency is transparent, viscous, from light to light yellow.
Cost (based on nominal volume):
- 15 ml – 82-365 rub.
- 200 ml – 252-385 rub.
- 500 ml – 90-650 rub.
- 1000 ml – 790-1071 rub.
Prices may vary depending on the region and region of sales. Manufacturer – Netherlands.
How to use the drug correctly
Instructions for using Duphalac during pregnancy are as follows:
- For the best effect, it is better to use the product in the morning after breakfast. If a woman suffers from toxicosis, you can make an exception and drink Duphalac on an empty stomach;
- The dosage is prescribed by the doctor. The norm is from 15 to 45 ml per day;
- It is not advisable to use Duphalac with other medications. It is necessary to maintain a gap (at least 2 hours);
- The course of taking the drug should not exceed 21 days.
It is worth remembering that Duphalac has a local effect, without penetrating into the bloodstream. In this regard, you should not expect quick results. The effect will be noticeable after 48 hours. To consolidate the results, you need to take the drug daily. Pregnant women note that after completing the full course, problems with constipation disappear for a long time.
Indications for use for expectant mothers
Doctors prescribe Duphalac to pregnant women for the following conditions:
- acute and chronic constipation;
- softening of stool for hemorrhoids, anal fissures, etc.;
- hepatic encephalopathy - treatment and prevention of hepatic coma and precoma;
- intestinal dysbiosis;
- enteritis caused by salmonella, shigella.
In most cases, lactulose syrup is prescribed to pregnant women for acute and chronic constipation.
Causes of constipation in pregnant women
More than 50% of women suffer from constipation during pregnancy. Even those who, before conception, never experienced difficulties with bowel movements face the problem. As a rule, expectant mothers with a history of acute or chronic constipation experience a worsening of the condition during pregnancy. The main cause of intestinal dysfunction is the habit of eating poorly both before and during pregnancy.
The factor that provokes stool retention during pregnancy is the hormone progesterone, which is responsible for preserving the fetus. Progesterone relaxes the smooth muscles of the uterus to prevent miscarriage. This effect also extends to the walls of the gastrointestinal tract, which slows down their motor activity. Food takes longer to digest and travel.
After the 20th week of pregnancy, when the uterus begins to actively grow, it puts pressure on neighboring organs, including the intestines. This situation increases constipation. In addition, in the later stages, the woman’s physical activity noticeably decreases, which significantly aggravates the condition. In addition, existing or detected during pregnancy, endocrine diseases and the use of certain medications (for example, iron, antacids, etc.) can significantly reduce intestinal motility.
Dietary recommendations during and after treatment
A long-term habit of eating improperly can not only cause acute constipation, but also become chronic. During this period, it is very important to follow an appropriate diet. Taking laxatives is a last resort. First, you need to adjust your diet and lifestyle. If non-drug methods do not bring the desired results, the doctor prescribes a suitable drug. It is important to combine the use of medications with proper nutrition. An integrated approach to solving the problem will help get rid of the disease.
Pregnant women should not lie in bed, but move as much as possible, so that the baby can receive as much oxygen as possible, and so that there is no stagnation of venous blood in the pelvis and lower extremities, and so that the intestines work well.
Obstetrician-gynecologist E.P. Berezovskaya
https://lib.komarovskiy.net/zapory-u-beremennyx-zhenshhin-i-kormyashhix-materej.html
When adjusting your diet and lifestyle, you need to follow some important rules:
- Drink enough clean water. If there is no tendency to edema, then fluid intake until mid-pregnancy should be up to 2–2.5 liters. In the second half of gestation, the amount of water is reduced to 1.5–1.3 liters. It should be taken into account that the body receives about 1 liter of fluid from food. Of course, the figures given are approximate. The general condition of the woman, the time of year and, of course, desire are taken into account. When the body does not require fluid, there is no need to force it. You need to drink as needed.
- Strong physical activity. In the absence of contraindications, the optimal sports for pregnant women are walking, swimming, yoga, and aerobics.
- Eat food 5-6 times a day in small portions, without drinking liquids. It is recommended to drink water, tea, and juices 20–30 minutes after the main meal, so as not to create a large load on the gastrointestinal tract.
- The temperature of the food should not be hot, but warm. Cold food intensely stimulates peristalsis.
- Be sure to consume fiber daily, which is found in bran, vegetables, and fruits. The daily requirement for fiber is 25 grams.
- Whenever possible, consume fruits and vegetables fresh. When preparing dishes, reduce the cooking time. Overcooked, pureed foods (for example, mashed potatoes, slimy soups, pureed cereals) cause constipation.
If there are difficulties with bowel movements, it is necessary to follow a diet throughout the entire period of pregnancy.
Knowledge of foods that strengthen and weaken the intestines is necessary for the correct preparation of the diet of a pregnant woman
Side effects
When taking Duphalac, it is important that the dosage is observed. Otherwise, side effects may occur. They are as follows:
- Severe nausea and vomiting. In this case, the drug should be discontinued so as not to cause dehydration in the pregnant woman;
- Dizziness, loss of consciousness;
- Painful urge to defecate;
- Headache;
- Rapid breathing;
- Increased blood pressure;
- Convulsions;
- Diarrhea.
If these symptoms occur, you should immediately consult a doctor. Most likely, another drug will be selected.
Use of the drug in children (including infants) for constipation
Duphalac is allowed to be given to children from birth. The medicine can be offered to infants undiluted or with breast milk or baby food. The drug is given in the morning immediately after sleep or feeding. The daily dose for newborns is 5 ml.
It is not recommended to give syrup to children under one year of age for longer than 3 weeks. The effectiveness of the drug increases if newborns undergo special exercises and tummy massage.
When prescribing Duphalac to infants, a reduced dosage is used to prevent dysbiosis: from 1.5 ml to 3 ml. The baby is very sensitive to the medicine.
With age, the dosage increases:
- Children from 1 to 6 years old can be given up to 10 ml of syrup per day. If necessary, it is mixed with juices or diluted with water.
- A child aged 7 to 14 years is given up to 15 ml of Duphalac per day.
- After 14 years of age, they switch to the adult dosage.
A doctor should prescribe Duphalac for children. Otherwise, there is a high risk of choosing the wrong dosage and complications: the development of diarrhea, dysbacteriosis.
Contraindications
Duphalac is a new generation drug. The composition of the product is selected in such a way that it does not allow the components to be absorbed into the blood. Therefore, during pregnancy, you should not worry that the fetus will have a negative effect. But still, when taking Duphalac you need to be aware of the contraindications:
- Lactulose intolerance (extremely rare). The main symptom is skin rashes;
- Intestinal obstruction. In this case, Duphalac will not have the desired effect;
- Diabetes. The presence of this disease is not a direct contraindication. Duphalac should be used with extreme caution, monitoring blood sugar levels;
- Rectal bleeding.
As you can see, there are not many contraindications, but they still exist. That is why the attending physician must decide on the advisability of taking Duphalac. There are individual cases when the drug is contraindicated, for example, pregnancy is difficult, severe toxicosis is present.
In the article we looked at how to take Duphalac during pregnancy. It is very important to do this according to the instructions. The maximum daily amount of the product should not exceed 45 ml, otherwise side effects may occur. Despite the fact that Duphalac does not cause harm to the fetus, it can only be taken after consultation with a doctor.
Drug interactions
Duphalac during pregnancy (reviews characterize the drug as safe during this period) should be prescribed taking into account the medications taken. The simultaneous use of the drug and broad-spectrum antibiotics may reduce the effectiveness of the drug.
Co-administration of syrup and enteric drugs may lead to impaired release of active components. The process is associated with a decrease in the activity of hydrogen ions in the large intestine. Such medications include 5-aminosalicylic acid.
Additional instructions
Duphalac does not reduce concentration, ability to drive vehicles or complex mechanisms, so it can be taken by drivers, technicians and mechanics.
The drug is poorly compatible with alcohol, so you should avoid drinking alcohol during the treatment period.
The drug does not affect the reproductive function of patients.
Can I buy the drug without a prescription?
Duphalac is available without a doctor's prescription. To purchase, just tell the pharmacist the name of the medicine and the required volume.
Reviews from women
I drank it, after it it was like clockwork, but it didn’t work from the first day! I ate as usual. Persimmon also makes me weak, try it, maybe it will suit you too.
MarusYa
https://deti.mail.ru/forum/v_ozhidanii_chuda/beremennost/devochki_kto_pil_dufalak/
I had sooooo big problems with THIS case, and Duphalac just saved me! I drank half a measuring cup 3 times a day, the dose was large, but after a week everything got better) As a result, I drank a large bottle during the entire course and had no more problems.
Vera Kozashvili
https://www.baby.ru/blogs/post/179976860–89349568/
<…> I went with this intimate problem (constipation - editor's note) to my local therapist. She couldn’t offer me anything other than Duphalac and apples. She told me to eat a kilogram of apples a day and take 40 ml of this “wonderful” syrup in the morning and evening. The syrup turned out to be not cheap... Not cheap at all! I’m not a fan of apples, so I could cram no more than two into myself a day. And why should I eat kilograms of them if I drink such a “praise potion” as Duphalac)))... Girls, Duphalac was like a poultice for me!!! But I desperately drank and drank it every morning and every evening, drank in a larger dosage than the doctor prescribed, hoping that tomorrow or the day after tomorrow it would be easier to go to the toilet. But it never got easier.<…>
_ STAR IN THE SKY _
https://irecommend.ru/content/chasto-slyshu-chto-mnogie-beremennye-devushki-ispytyvayut-nekie-slozhnosti-v-takom-nelegkom
I'm 5 months pregnant. I’ve been drinking Duphalac for the sixth day (I’m done, and it costs 290 rubles), the gases are terrible, my stomach is bloated, I go to the toilet every day, but I still have to push, but with my terrible constipation this is at least some progress. The gynecologist also prescribed Forlax.
nata
https://www.woman.ru/health/medley7/thread/3836288/
<…> I “met” Duphalac, like many women, during pregnancy. You cannot use chemical-based medications. I can’t tolerate senna and buckthorn very well, and these herbs are not recommended during pregnancy, despite their naturalness. Duphalac was recommended by a doctor. He helped me out a lot. This is a lactulose-based drug. It is lactulose that makes our intestines work, providing not only a direct laxative effect, but also a healing one.
Antika
https://otzovik.com/reviews/slabitelnoe_dyufalak_duphalac/
Analogs
Analogues of the drug "Duphalak" are: "Normaze", "Lactulose", "Portalak", "Guttalaks", "Goodlak", "Laktulak", "Medulak", "Mukofalk", "Tranzilan", microenemas "Normacol" and "Nogalax" "
In addition, doctors may prescribe petroleum jelly, which is a good stool softener, glycerin suppositories, or herbal teas.
All of the above components have the same active ingredient. They differ only in price and side effects. Therefore, you should not independently replace Duphalac, prescribed by a doctor, with other drugs.
What can be replaced
If the drug does not have a pronounced therapeutic effect, the doctor has the right to replace it with other laxatives.
Normaze and other analogues
Pharmacies offer a wide selection of laxatives, the active component of which is also lactulose. Among them:
- Normaze;
- Lactulose;
- Portalak;
- Good luck;
- Prelax.
Despite the similar composition and action, each listed drug has its own application characteristics, so in each case it is necessary to consult a doctor, who will select the appropriate medication. In addition, laxatives with a different composition and mechanism of action can help pregnant women get rid of constipation.
Table: laxatives allowed for expectant mothers
| Name | Dosage forms | Active substances | Indications | Contraindications | How to use during pregnancy |
| Microlax | Solution |
| Difficulty having bowel movements | Component intolerance | Use according to indications |
| Glycerol | Rectal suppositories | Glycerol | Therapy and prevention of constipation |
| Use according to indications |
| Fitomucil Norm | Powder |
|
|
| Allowed during pregnancy. Before use, you should definitely consult a doctor, since the product is a dietary supplement. |
| Forlax | Powder | Macrogol 4000 | Symptomatic treatment of constipation |
| Use according to indications |
| Transipeg | Powder | Macrogol 3350 | Difficulty having bowel movements |
| Use according to indications |
| Normaze | Syrup | Lactulose |
|
| Safe during pregnancy |
| Lactulose | Syrup | Lactulose |
|
| Allowed during gestation |
Photo gallery: glycerin suppositories, Fitomucil Norm and other constipation remedies used in all trimesters of pregnancy
Forlax is an effective laxative based on macrogol.
Fitomucil Norm - herbal remedy for constipation
Tranzipeg is a drug from the group of osmotic laxatives
Normaze is a lactulose-based drug
Microlax is a microenema filled with a solution for rectal administration.
Lactulose syrup effectively and safely relieves constipation
Glycerin suppositories - a proven remedy for constipation
