{"id":3570,"count":7,"description":"Constipa\u021bia cronic\u0103 afecteaz\u0103 aproximativ 16% din adul\u021bi \u0219i 33% dintre cei peste 60 de ani, av\u00e2nd un impact semnificativ asupra calit\u0103\u021bii vie\u021bii. Ghidurile moderne recomand\u0103 tratament \u00een trepte, \u00eencep\u00e2nd cu m\u0103suri de stil de via\u021b\u0103 \u0219i dietetice (lichide, fibre, exerci\u021bii fizice), apoi laxative cu efect de umflare, urmate de laxative osmotice \u0219i stimulante, cu noi substan\u021be secretagoge pentru cazurile refractare. Catalogul de medicamente pentru constipa\u021bie MedsBase include \u00eentreaga gam\u0103 farmacologic\u0103, furnizat\u0103 de <strong>produc\u0103tori certifica\u021bi WHO-GMP<\/strong>.\n\n<strong>Laxativele osmotice \u2014 farmacoterapia de prim\u0103 inten\u021bie.<\/strong> Lactuloza (un dizaharid neabsorbabil care atrage ap\u0103 \u00een colon \u0219i este metabolizat de bacterii produc\u00e2nd acizi gra\u0219i cu lan\u021b scurt activi osmotic \u2014 reduce \u0219i amoniacul \u00een encefalopatia hepatic\u0103) este disponibil\u0103 sub form\u0103 de. Efectul apare \u00een 24\u201348 de ore; doza se ajusteaz\u0103 (\u00eencep\u00e2nd cu 15 ml pe zi, cresc\u00e2nd la 15 ml de dou\u0103 ori pe zi) \u00een func\u021bie de produc\u021bia de scaun. Macrogolul\/polietilenglicolul (PEG) 3350 \u2014 mai bine tolerat dec\u00e2t lactuloza, cu mai pu\u021bin\u0103 balonare \u2014 este disponibil sub form\u0103 de plicule\u021be Movicol. Se amestec\u0103 un plicule\u021b \u00een ap\u0103, se pot lua 1\u20133 plicule\u021be pe zi. <a href=\"https:\/\/medsbase.com\/ro\/duphalac-syrup\/\">Sirop Duphalac<\/a>. Laxativele stimulante \u2014 pentru utilizare pe termen scurt sau ca tratament adjunct.\n\n<strong>Bisacodil 5 mg (stimuleaz\u0103 direct peristaltismul colonic) este disponibil sub form\u0103 de.<\/strong> Bisacodyl 5 mg (stimulates colonic peristalsis directly) is stocked as <a href=\"https:\/\/medsbase.com\/ro\/dulcoflex\/\">Dulcoflex<\/a>. Lua\u021bi seara pentru ac\u021biune intestinal\u0103 diminea\u021ba (\u00eencepe \u00een 6\u201312 ore). Util pentru preg\u0103tirea intestinal\u0103 \u00eenaintea procedurilor, constipa\u021bia postoperatorie sau cea indus\u0103 de opioide. Cremalax (combina\u021bie de plante-laxativ) ca <a href=\"https:\/\/medsbase.com\/ro\/cremalax\/\">Cremalax<\/a>. Long-term daily stimulant laxative use (months\/years) was once thought to cause \"lazy bowel\" \u2014 modern evidence does not support this, but bulk and osmotic laxatives remain preferred for chronic use.\n\n<strong>Lubiproston\u0103 \u2014 pentru SII-C refractar \u0219i constipa\u021bie cronic\u0103 idiopatic\u0103.<\/strong> Lubiproston\u0103 (un activator al canalului de clorur\u0103 2 care stimuleaz\u0103 secre\u021bia de fluide intestinale) este aprobat\u0103 de FDA pentru constipa\u021bie cronic\u0103 idiopatic\u0103, SII-C (la femei) \u0219i constipa\u021bie indus\u0103 de opioide. Lua\u021bi 24 mcg de dou\u0103 ori pe zi cu m\u00e2ncare (doza mai mic\u0103 de 8 mcg pentru SII-C la femei). Stocat ca <a href=\"https:\/\/medsbase.com\/ro\/lubowel-24\/\">Lubowel 24<\/a>. Efect secundar: grea\u021b\u0103 (mitigat\u0103 prin administrare cu m\u00e2ncare).\n\n<strong>Prucaloprid\u0103 \u2014 agonist selectiv 5-HT4 pentru constipa\u021bie cronic\u0103.<\/strong> Prucaloprida 2 mg pe zi este un agonist selectiv al receptorului 5-HT4 care stimuleaz\u0103 motilitatea colonului \u2014 util pentru constipa\u021bia cronic\u0103 refractar\u0103 la laxative. Stocat ca <a href=\"https:\/\/medsbase.com\/ro\/pruvict\/\">Pruvict<\/a>. Profil de siguran\u021b\u0103 cardiac\u0103 mai bun dec\u00e2t agonii\u0219tii mai vechi de 5-HT4 (cisaprida, tegaserod). Util \u00een special pentru constipa\u021bia indus\u0103 de opioide \u0219i la v\u00e2rstnici.\n\n<strong>Adjuncte pe baz\u0103 de plante.<\/strong> Formula\u021bia Himalaya Herbolax (con\u021bin\u00e2nd trivanga bhasma, kasani, sat isabgol \u2014 echivalent de coaj\u0103 de psillium \u0219i alte ingrediente vegetale) ofer\u0103 efect de volum + stimulant u\u0219or. Stocat ca <a href=\"https:\/\/medsbase.com\/ro\/herbolax\/\">Herbolax<\/a>.\n\n<strong>Cum s\u0103 alegi.<\/strong> Constipa\u021bie u\u0219oar\u0103, f\u0103r\u0103 factori de risc \u2192 modific\u0103ri ale stilului de via\u021b\u0103 mai \u00eent\u00e2i (fibre 25\u201330 g\/zi, lichide 1,5\u20132 L\/zi, activitate regulat\u0103), apoi agent de volum (psillium \/ metilceluloz\u0103). R\u0103spuns inadecvat \u2192 laxativ osmotic (lactuloz\u0103 sau PEG\/macrogol). Ad\u0103ugat pentru situa\u021bii acute \u2192 stimulant (bisacodil). Refractar cronic \u2192 lubiproston\u0103 sau prucaloprid\u0103. Indus\u0103 de opioide \u2192 osmotic + stimulant mai \u00eent\u00e2i; antagoni\u0219ti specifici de opioide (naloxegol, metilnaltrexon\u0103) acolo unde sunt disponibili. V\u00e2rstnici cu multiple medicamente \u2192 evaluare a polifarmaciei (anticolinergice, opioide, blocante ale canalelor de calciu, fier) pentru factorii care contribuie la constipa\u021bie.\n\n<strong>Important.<\/strong> New-onset constipation in adults over 50 (particularly with weight loss, rectal bleeding, family history of bowel cancer, or alternating bowel habit) warrants assessment for colorectal cancer rather than empirical laxative use \u2014 see your GP for FIT testing or colonoscopy referral. Severe abdominal pain, vomiting, or absolute constipation (no flatus or stool) suggests bowel obstruction and is an emergency. Pregnancy: bulk-forming laxatives, lactulose, and macrogol are first-line; stimulants reserved for short-term use. Children: PEG with electrolytes (PEG 4000 \/ Macrogol with electrolytes) is the first-line modern treatment.\n\nAll MedsBase Constipation Medicine products ship from <strong>produc\u0103tori certifica\u021bi WHO-GMP<\/strong> cu ambalaj discret \u0219i sunt acoperite de <a href=\"https:\/\/medsbase.com\/ro\/medsbase-re-shipment-assurance-policy\/\">Politica noastr\u0103 de Reexpediere Garantat\u0103<\/a>.","link":"https:\/\/medsbase.com\/ro\/constipation-medicine\/","name":"Medicamente pentru constipa\u021bie","slug":"constipation-medicine","taxonomy":"product_cat","parent":3342,"meta":[],"menu_order":0,"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_cat\/3570","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_cat"}],"about":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/taxonomies\/product_cat"}],"up":[{"embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_cat\/3342"}],"wp:post_type":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product?product_cat=3570"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}