Laxamalt (Liquid Paraffin)

Laxamalt (liquid paraffin) is an oral laxative that works on the gastrointestinal tract to relieve constipation.

• Constipation: softens stool and eases its passage, providing relief from infrequent or hard bowel movements.
• Opioid‑induced constipation: lubricates intestinal contents to counteract opioid‑related reduced motility.
• Post‑operative constipation: facilitates stool passage after surgery when mobility may be limited.

• Liquid paraffin acts as a lubricant within the intestinal lumen. After oral ingestion, the oil is not absorbed and coats the stool and mucosal surface, reducing friction and increasing water content. This physical effect promotes smoother transit through the colon, allowing easier evacuation without stimulating intestinal secretions or motility. The coating also prevents the stool from adhering to the bowel wall, further aiding passage.

Laxamalt may cause adverse reactions, most of which are mild and related to its oily nature.

Common Side Effects

• Abdominal cramping: mild discomfort in the lower abdomen.
• Oily or fatty stools: visible oil coating in the stool.
• Nausea: feeling of unease or urge to vomit.
• Flatulence: increased gas production.
• Diarrhea: loose, watery stools.
• Rectal irritation: mild burning or itching.

Serious or Rare Side Effects

• Aspiration pneumonia: risk if the liquid is inhaled.
• Severe abdominal pain: intense or persistent pain.
• Allergic reaction: rash, itching, swelling, or difficulty breathing.
• Rectal bleeding: blood in the stool or on toilet paper.
• Electrolyte imbalance: abnormal levels due to excessive fluid loss.
• Intestinal obstruction: blockage worsened by oil use.

Before using Laxamalt, consider the following precautions to ensure safe and effective use.

• Assess bowel status: confirm that constipation is not due to an underlying obstruction.
• Use with adequate fluids: drink sufficient water to support stool softening.
• Avoid in known intestinal blockage: do not use if a mechanical obstruction is present.
• Monitor in children: pediatric use should be supervised by a healthcare professional.
• Watch for hypersensitivity: discontinue if allergic signs appear.
• Store at ambient temperature: keep in the original container, protect from moisture and direct sunlight.

Liquid paraffin can affect the absorption of certain medications and nutrients; consider the interactions below.

Major Interactions (Avoid)

• Fat‑soluble vitamins (A, D, E, K): may significantly reduce their absorption when taken concurrently.
• Oral chemotherapy agents: oil coating can impair drug uptake, potentially decreasing efficacy.

Moderate Interactions (Monitor Closely)

• Antacids and calcium supplements: may decrease absorption of the paraffin and the other agents.
• Thyroid hormone replacement (levothyroxine): reduced uptake may require dose adjustment.
• Other oral laxatives: combined use can increase risk of diarrhea and electrolyte loss.
• Lithium: possible decreased absorption leading to altered serum levels.