Product image of Guttalax (Sodium Picosulfate Monohydrate) supplied by GNH India

Guttalax

Active Ingredient:
Sodium Picosulfate Monohydrate
Origin:
EU

Guttalax (Sodium Picosulfate Monohydrate)

Guttalax is an over‑the‑counter oral stimulant laxative whose active ingredient is sodium picosulfate monohydrate. It is supplied in tablet or powder form (strength not specified) and is marketed in the European Union. The medication works by being converted by colonic bacteria into an active metabolite that stimulates intestinal peristalsis and reduces water absorption, helping to produce a bowel movement in cases of constipation for adult patients.

Manufacturer / TM Owner

Opella Healthcare Czech S.R.O

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Indications & Clinical Uses

Guttalax is indicated for the temporary relief of occasional constipation in adults and is generally well tolerated when used as directed.

  • Short-term relief of infrequent constipation.
  • Preparation for diagnostic procedures that require an empty colon, such as colonoscopy.
  • Adjunct therapy when dietary measures and fluid intake have not resolved constipation.
  • Use in patients who prefer an oral stimulant laxative over bulk‑forming agents.
  • Short-term use before travel when changes in routine may predispose to bowel irregularities.
  • Management of constipation associated with limited mobility or sedentary lifestyle.

Side Effects

Possible side effects of Guttalax vary in frequency and severity, and most are mild and transient.

Common

  • Abdominal cramping or discomfort that may be mild to moderate.
  • Diarrhea or loose stools occurring shortly after the dose.
  • Nausea, occasional stomach upset, or a feeling of fullness.
  • Increased frequency of bowel movements, sometimes resulting in urgency.
  • Mild headache or dizziness, especially if dehydration occurs.

Serious

  • Severe dehydration caused by excessive fluid loss from frequent diarrhea.
  • Electrolyte imbalance, such as low potassium or sodium levels, which may require medical attention.
  • Persistent abdominal pain, rectal bleeding, or signs of intestinal obstruction.
  • Allergic reactions such as rash, itching, or swelling of the face and throat.

Precautions & Warnings

Before using Guttalax, consider the following precautions to ensure safe and appropriate use.

  • Do not use if you have an intestinal blockage, severe abdominal pain, or known hypersensitivity to sodium picosulfate.
  • Consult a healthcare professional before use during pregnancy, breastfeeding, or if you have chronic kidney or heart disease.
  • Use only as directed; prolonged or excessive use may cause laxative dependence.
  • Maintain adequate fluid intake while taking the product to lower dehydration risk.
  • Keep out of reach of children; accidental ingestion can cause severe diarrhea.
  • Discuss any inflammatory bowel disease or other gastrointestinal conditions with your doctor before starting.

Avoid Interactions

Guttalax may interact with certain medicines or substances; be aware of the following recommendations.

Avoid

  • Concurrent use with other stimulant or osmotic laxatives, which can increase the risk of severe diarrhea and electrolyte disturbances.
  • Taking anticholinergic drugs that reduce intestinal motility, as they may diminish the effectiveness of Guttalax.

Use with caution

  • Combining with diuretics or antihypertensive agents; monitor blood pressure and electrolyte levels.
  • Use together with mineral supplements containing calcium or magnesium, which could affect absorption.
  • Co‑administration with medications that have a narrow therapeutic index, such as digoxin, may require closer clinical monitoring.

Frequently Asked Questions

The active ingredient in Guttalax is sodium picosulfate monohydrate, a stimulant laxative.

Sodium picosulfate is metabolized by colonic bacteria into an active compound that stimulates intestinal peristalsis and reduces water absorption, promoting a bowel movement.

Yes, Guttalax is classified as an over‑the‑counter (OTC) medication in the European Union.

Guttalax may be used as part of a bowel‑cleansing regimen before colonoscopy, but the specific protocol should be prescribed by a healthcare professional.

Common side effects include abdominal cramping, diarrhea, nausea, a feeling of fullness, increased bowel‑movement frequency, and mild headache or dizziness.

Avoid Guttalax if you have an intestinal blockage, severe abdominal pain, or a known allergy to sodium picosulfate.

Pregnancy and breastfeeding status are not well defined for Guttalax; consult a healthcare professional before use.

Concurrent use with other stimulant or osmotic laxatives is not recommended because it may increase the risk of severe diarrhea and electrolyte disturbances.

Adequate fluid intake should be maintained while using Guttalax to reduce the risk of dehydration.

Serious reactions such as severe dehydration, electrolyte imbalance, persistent abdominal pain, rectal bleeding, or allergic symptoms like rash and swelling should prompt immediate medical evaluation.

Onset of action varies, but a bowel movement usually occurs within several hours after a single oral dose.

Guttalax is intended for adult use; it should be kept out of reach of children to prevent accidental ingestion.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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