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

Source: Operational Medicine 2001, Health Care in Military Settings, NAVMED P-5139, May 1, 2001, Bureau of Medicine and Surgery, Department of the Navy, 2300 E Street NW, Washington, D.C., 20372-5300