The drug “Fortrans” - colon cleansing without enemas

Fortrans for bowel cleansing is a drug that has a strong laxative effect. It is used for deep cleaning before medical examinations or for the purpose of removing decay products collected in the organs of the digestive system or toxic substances during poisoning. Used before surgery and for weight loss.

How to take Fortrans correctly when cleansing the colon?

Doctors usually prescribe the drug Fortrans to patients for preparatory cleansing of the intestines before X-ray and endoscopic examinations of the intestines (colonoscopy, rectoscopy, etc.) or before operations on the intestines.
Fortrans is not intended for frequent and long-term treatment. Fortrans is prescribed only for a one-time bowel cleansing. To treat constipation, gentler, mild laxatives are used.

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The use of laxatives for weight loss was invented by women and men who wanted to get rid of hated kilograms as quickly as possible and, therefore, did not want to notice that the cause of excess weight lies in excess fat deposits on different parts of the body, and not in the intestines. In other words, as a method of losing weight, Fortrans can be safely classified in the section

Fortrans will not help you lose weight if a person does not follow a diet, since it is a laxative that only thoroughly cleanses the intestines. In principle, after using Fortrans, weight will decrease by 2 - 3 kilograms, but this will happen due to excreted intestinal contents, and not due to “burnt” fat deposits.

The drug can only be useful as a means of cleansing the intestines of accumulated toxic substances, which will facilitate subsequent entry into the diet. According to nutritionists, using Fortrans before starting food restriction will improve metabolism and enhance the effectiveness of any diet, following which a person will lose weight faster and better.

However, doctors warn that Fortrans can be used to flush the intestines to remove toxic substances no more than 2 to 3 times a year. If you use the drug more often, you can disrupt the normal balance of microflora, provoke the colonization of the intestines with pathogenic bacteria and, thereby, independently, through your own actions, “acquire” colitis, enteritis, chronic constipation, deficiency of vitamins and microelements and other problems associated with periodic and strong artificial caused by diarrhea.

If, nevertheless, a person decides to use Fortrans for the purpose of losing weight, then this should be done while observing the following rules:

• Plan to take Fortrans no earlier than two hours after meals;
• Dilute 1 sachet of powder in 1 liter of still, clean water;
• Drink the prepared solution one glass every 15 minutes to drink the entire volume in 1 hour;
• In addition to the Fortrans solution, you can drink water or juice, but you cannot eat.

On the day of bowel cleansing with Fortrans, you should stay at home, since the urge to defecate may continue for 6 hours. In addition, it is also better to stay at home during the next few days after using Fortrans, as severe weakness may appear.

On the day of taking Fortrans, you can only drink tea with sugar, compote, juice, etc. You should not eat food. The next day you need to eat only boiled rice. To prepare it, pour a glass of rice with water in a ratio of 1:2 and boil over low heat. Divide the resulting volume of finished rice into 6 – 8 servings, which are eaten throughout the day at approximately equal intervals. Rice will fill the intestinal lumen and prevent diarrhea.

Then, for 7 to 10 days, it is necessary to take any probiotics containing bifidobacteria or lactobacilli (for example, Linex, Bifidumbacterin, Bifiform, Baktisubtil, etc.) to populate the intestines with representatives of normal microflora. Taking probiotics is necessary, since Fortrans removes literally everything from the intestines, including normal microflora.

Each package of the medicine contains detailed instructions for use and 4 sachets of powder. One such sachet should be dissolved in a liter of water.

Rules of application:

• The solution should be taken 12 hours before the upcoming operation or examination.
• Take it for 3-6 hours.
• Drink the solution in small sips.

If you take the drug at night, you will not be able to achieve high-quality intestinal cleansing.

One liter of the drug is designed for 20 kg of weight, so if a person weighs 70-85 kg, 4 sachets will be enough for him. When the patient's weight is 60 kg, he needs to take 3 sachets. If you weigh 100 kg or more, you will need 5 sachets of the drug.

It is prohibited to exceed the recommended dose, as this will provoke poisoning with the development of side effects.

If an examination or operation is planned in the morning, then the drug should be taken as follows:

• You need to have breakfast as usual.
• Lunch should take place no later than 2-3 pm.
• The rest of the time is allocated to cleansing the intestines with taking Fortrans.

From the moment you start cleaning until the procedure, you must refuse food. Drink the solution every 2 hours after the last meal.

It is not recommended to use Fortrans to remove toxins from the intestines more than 2-3 times a year. It can cause dysbiosis with the proliferation of pathogenic flora in the intestines. This increases the likelihood of developing colitis, enteritis and chronic constipation. In addition, frequent use of laxatives can lead to the leaching of vitamins and microelements from the body.

The use of the laxative “Fortrans” implies, according to the instructions, preliminary preparation for the procedure and subsequent rest for the body. This is explained by the fact that cleansing the intestines with this drug is not an easy task, from a moral point of view. This is facilitated by the large volume of the drink, its taste and the discomfort associated with the subsequent repeated urge to defecate.

Fortrans: instructions for use before colonoscopy and diet

Fortrans belongs to the group of laxatives used as an emergency and effective cleansing of the intestines from feces, including stagnant deposits.

In clinical practice, Fortrans is widely used before invasive diagnostic procedures and before surgery.

The appropriateness of use is determined solely by the doctor based on the patient’s clinical history, his age, the need for anesthesia and other criteria.

The main indications for use are:

1. Preparation for surgery for hemorrhoids, intestinal polyps of any location (read how quickly polyps grow in the intestines here);
2. Manipulative diagnostics: sigmoidoscopy, colonoscopy;
3. Emergency bowel cleansing before other interventions;
4. Preventive bowel cleansing after surgery.

Many patients use Fortrans when trying to lose weight, but the risks of dehydration remain. Cleansing the intestines with the powdered drug Fortrans in one procedure is much more effective than repeated enema cleansing.

Note! After the medical cleansing procedure, doctors recommend taking a course of probiotics, eubiotics and lactobacilli to restore the microflora of the gastrointestinal tract.

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Considering some contraindications, special instructions and the likelihood of side effects, Fortrans is not suitable for all categories of patients. In this case, analogues of drugs are used, the differences of which lie not only in the manufacturer, but also in the dosage of the main component, the degree of similarity of pharmacological properties.

There are several main groups with a laxative effect on the intestinal muscles:

• Based on macrogol (Fortrans, Realaksan, Endofalk);
• Based on lactulose (Portalak, Duphalac syrup);
• Based on a salt component (Microlax, Picoprep, Moviprep).

Other similar drugs are Tranzipeg, Osmogol, Lavacol, which contain macrogol in various dosages. The choice in favor of analogues may also be caused by the price aspect, which is taken into account when prescribing the drug before a colonoscopy.

Fortrans is a powdered laxative that is effective and available for use at home.

When comparing both drugs, it should be noted that they are similar in terms of active component and effectiveness. The main therapeutic component is macrogol. Endofalk contains macrogol 3350 (polyethylene glycol) - 52 g, Fortrans contains a little more active substance - macrogol 4000 in a volume of 64 g. The drugs are sold from pharmacy chains in powder form.

Both drugs act only on the gastrointestinal tract; the components are not absorbed into the systemic circulation and have no effect on other organs and tissues.

Attention! Medicines to cleanse the intestines should not be used during pregnancy and lactation, without a doctor’s prescription.

Moviprep

Moviprep contains macrogol 3350 in a volume of 100 g, while Fortrans contains macrogol 4000. In the second case, a longer therapeutic effect is provided, especially if the colonoscopy process is scheduled for the evening.

The use of Fortrans with long-term use or exceeding the dose often provokes in patients:

• attacks of nausea;
• irritation of mucous membranes;
• hemorrhages in the sigmoid colon segment;
• local reactions in the form of skin itching, redness.

When taking Fortrans, you need to drink 4 liters of liquid, and in the case of Moviprep, only 2 liters. In the second case, the problem with the unpleasant taste was solved with the help of a sweetener.

If you have the opportunity to choose between drugs, then the choice should be given to Moviprep. It is easier to tolerate and can be washed down with sweet fruit juice and water.

Note: Moviprep is ideal for patients with reduced renal clearance and glomerular filtration rate (signs of renal failure). If the gag reflex is poorly developed and there is no complicated clinical history, then you can choose Fortrans.

Duphalac

If Fortrans is based on a synthetic component, then the active substance of Duphalac is lactulose - a substrate substance for normal microflora.

As a result of fermentation, the substance breaks down into organic acids, helping to reduce acidity in the intestines and thereby changing osmotic pressure.

Peristalsis of the rectum increases, stool softens and passes freely during bowel movements.

When taking laxatives, fluid is washed out of the body, so it is not recommended to use them for more than 3-4 days. During use, it is important to take plenty of fluids to restore water-salt balance and eliminate the risk of dehydration.

Many patients falsely mistake the loss of fluid from the body for weight loss and use this method in the future. However, when taken, only liquid is lost, and not extra pounds, leading to serious consequences if used uncontrolled.

Patients should adhere to the following rules:

• Do not take drugs such as Loperamide, Imodium, Lopedium, which harden the stool;
• Avoid using fiber, which retains water in the body;
• Patients with a history of diabetes should not fast.

On the eve of a colonoscopy, preparation is important for a reliable assessment of the diagnostic study, as well as to eliminate errors in the presence of old feces in the intestinal lumens.

Patients with constipation should prepare for the procedure several days in advance.

If a colonoscopy is scheduled for the morning, then patients need to follow the following schedule:

• Fortrans solution is used during the previous day;
• The last meal should be no later than 15.00 the previous day;
• The last bowel movement should be clear water.

After the colonoscopy examination, you can have breakfast or lunch with slimy porridge or soup. Then you can return to your usual diet.

If the procedure for examining the intestinal lumens occurs during the day at lunchtime, then the instructions for use will be as follows:

• The drug is taken in two stages to enhance the effectiveness of intestinal lavage;
• The day before, you should start drinking a drink with powder from 14 to 17 hours of the drug in small doses;
• In the morning, cleansing should be repeated until absolutely clear water appears without any admixture of feces;
• Before the lunch procedure, it is important to repeat the therapeutic cleansing no later than 6 am.

It is important! If the patient suffers from diabetes, then a light breakfast and a second breakfast are allowed so that insulin replacement therapy can fully work without compromising the patient’s health.

On the morning of surgery or colonoscopy, you must take another dose of the drug (2 sachets). To enhance the effect, it is recommended to perform cleansing enemas for several days before a colonoscopy examination.

If patients do not have diabetes, then, if possible, a fasting day should be organized to fully cleanse the intestines.

Anesthesia for colonoscopy is a determining factor in compliance with a special diet and preparation. Deep cleansing of the intestines with Fortrans begins two days before the procedure. On the eve of the examination, the last meal should be no later than 16.00.

The procedure with anesthesia should be performed on an empty stomach to avoid negative reactions:

• vomit,
• allergic reactions.

While taking the drug, you should maintain a drinking regime and consume about 2 liters of liquid per day. The end of cleansing procedures should occur before clear, watery stools.

In case of diabetes mellitus, anesthesia can be replaced with local anesthesia to preserve the ability to take food and insulin.

Ideal for:

• steamed fish
• buckwheat or rice,
• low-fat kefir,
• jelly with minimal sugar content.

For drinking, you should use clean water, avoiding juices, rich compotes or fruit drinks.

For breakfast the previous day, it is better to limit yourself to:

• slimy dairy-free porridge,
• low-fat yogurt,
• green tea with crackers.

You can eat low-fat cottage cheese throughout the day. The entire day before the colonoscopy diagnosis, it is recommended to eat low-fat broths, tea, boiled water and crackers.

Important! If the procedure is scheduled for morning, lunch or evening, then the nutritional principle is identical. All meals should be stopped no later than 16.00 the previous day.

During preparation, patients are advised to drink enough fluids. Considering that the solution itself is prepared in 4 liters of water and it must be drunk all, then clean water is drunk in small sips in the intervals between using the solution. Drinking allows you to soften stool and freely remove it from the intestines with regular bowel movements.

Fortrans does not have a pleasant taste, so if the patient has a high vomiting reaction, severe nausea is possible. Unpleasant sensations provoke severe vomiting, and therefore the solution may either not work or lead to severe dehydration. To prevent dehydration, you can drink water in small sips.

For unbearable nausea, anti-nausea tablets prescribed by your doctor are suitable. A Motilium tablet will help.

Colonoscopy requires serious preparation. The success and informativeness of the entire study depends 70% on the patient’s discipline. It is unacceptable to use the drug contrary to contraindications or special instructions in case of a burdened clinical history of the patient.

• Sedation during colonoscopy, what it is - read our article here.
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• Be healthy and happy!

In order for a laxative to completely cleanse the body, it is necessary to properly prepare for the procedure and strictly follow the instructions. Admission is accompanied by uncomfortable sensations, accompanied by prolonged and repeated urges to defecate.

2 days before cleansing procedures, it is necessary to unload the body. It is recommended to exclude foods rich in fiber, spices, saltiness and fried foods from the diet. They promote fluid retention in the body and reduce the therapeutic effect of the drug. The result may be dehydration rather than cleansing.

Composition, dosage and release form of Fortrans

The drug Fortrans is available in a single dosage form -

. Fortrans is produced by the French pharmaceutical corporation Beaufour Ipsen Industrie (Ipsen Pharma). The drug is sold in cardboard packages of 4 sachets each. One sachet contains 73.69 grams of powder.

As an active substance, Fortrans contains a synthetic polymer - macrogol 4000 in a volume of 64 g. As excipients, the drug contains the following salts:

• Sodium chloride (table salt);
• Potassium chloride;
• Sodium bicarbonate;
• Sodium sulfate anhydrous;
• Sodium saccharinate.

Fortrans powder is finely dispersed, white in color and highly soluble in water.

Description of the drug

Medicinal powder Fortrans (PEG, polyethylene glycol) is a powerful laxative for cleansing the large intestine without an enema. It has a finely dispersed structure and is highly soluble in water. There is no smell. The package contains 4 sachets with the drug.

Composition (per 1 sachet):

• main active ingredient: macrogol 4000 (C2nH4n+2On+1) - 640 mg;
• sodium salt of sulfuric acid, anhydrous (Na2SO4) - 5700 mg;
• baking soda (NaHCO₃) - 1680 mg;
• sodium salt of hydrochloric acid (NaCl) - 1460 mg;
• potassium chloride (KCl) - 750 mg.

Sodium salt of saccharin (additive E954) is used as a sweetener. Auxiliary components ensure optimal water-salt balance in the body.

How to use Fortrans

Dosage

The dosage of Fortrans depends on body weight. It is recommended to consume 1 liter of Fortrans solution per 15-20 kg of body weight. This means that with a body weight of 60-80 kg you need to drink 3-4 liters of solution. To prepare a solution, dilute 1 sachet of Fortrans powder in 1 liter of drinking or boiled water.

The solution should be used 1 glass every 15-20 minutes. That is, approximately 1 liter of solution in 1 hour. Gradual intake of the solution is important so that the stool has time to soften and the cleaning process is complete and smooth and painless.

You should start using the drug Fortrans the day before the examination, but keep in mind that you should start drinking the Fortrans solution no later than 18 hours.

The drug Fortrans is prescribed once or in two doses (evening and morning). The solution is drunk in the evening if the planned operation or procedure on the intestines takes place tomorrow, in the first half of the day and in two doses if in the afternoon.

The last dose of Fortrans solution should be 3-4 hours before the intestinal examination procedure.

12:00 - last meal (food should not be heavy); 14:00 - 15:00 - take 1 liter. solution of the drug Fortrans* 15:00 - 16:00 - take 1 liter. solution of the drug Fortrans* 16:00 - 17:00 - 1 hour break; 17:00 - 18:00 - take 1 liter. solution of the drug Fortrans* 18:00 - 19:00 - take 1 liter. solution of the drug Fortrans*

*drink 1 glass of solution within 15 minutes

If this scheme is followed, bowel cleansing with Fortrans usually proceeds gently and ends by midnight.

Perhaps your doctor will prescribe a different regimen, but in any case, if in doubt, follow the instructions for using the drug Fortrans.

Measures to prepare the intestines for cleansing with Fortrans

A few instructions that will help you properly cleanse toxins and toxic substances with Fortrans:

• Visit to the doctor. As before any cleansing of the body, it is necessary to consult a doctor about the advisability of the procedure and possible contraindications.
• Dietary diet. 4-5 days before starting cleansing with Fortrans, you should start eating right. The diet should be dominated by foods rich in fiber: raw vegetables, fruits, bran, cereals cooked in water. Do not drink alcohol or carbonated drinks. To ease the work of the intestines, avoid fatty foods, sweets and starchy foods.
• Meals on the day of cleansing. To make the cleaning as comfortable as possible, on the day of it, you need to eat a light breakfast consisting of cottage cheese and yogurt or a light omelet. You should avoid eating at lunchtime
• Drinking regime. While preparing for cleaning, you need to drink 2-2.5 liters of water per day. Green or herbal teas will also be beneficial.

Mechanism of action of fortrans

The powder dissolves quickly in water and does not cause electrolyte imbalance, so taking it does not lead to dehydration of the body. The drug acts in the small and large intestines and does not have a toxic effect on the body.

Fortrans has a laxative effect, increasing osmotic pressure in the intestines and retaining water in it. This promotes the dissolution of food masses, swelling of the intestinal contents and increased peristalsis. As a result, emptying occurs.

A distinctive feature of the drug is that it cleanses not only the large but also the small intestine of a person. In this case, excess fluid is not removed from the body and dehydration does not develop. Fortrans does not penetrate the systemic bloodstream, is not absorbed in the intestines, and is excreted unchanged from the body.

The effect occurs 1-1.5 hours after administration. It lasts for 2-5 hours.

If after 3 hours there is no bowel movement, then you need to massage your stomach or increase physical activity.

Fortrans should not be taken frequently; it is used for one-time bowel cleansing and is not prescribed for the treatment of constipation.

Acts of defecation occur several times, which can be achieved by taking the drug in portions. Cleaning is gentle and safe for the body. As a rule, the restoration of normal bowel movements, after stopping the use of Fortrans, occurs in the patient quite quickly.

Often, after cleansing with Fortrans, people complain of discomfort and pain in the anus.

In order to avoid irritation and pain in the anus after the bowel cleansing procedure with Fortrans, do not wipe it with toilet paper every time, but wash it and lubricate it with cream or vegetable oil.

If cleansing with Fortrans causes diarrhea, cramps and pain, choose another method of bowel cleansing: cleansing enemas or bowel cleansing with salt water according to the yogic method (Shank Prakshalana)

The active substance of Fortrans is not absorbed from the gastrointestinal tract into the systemic bloodstream, so the drug does not have any effect on other organs and systems of the human body. Getting into

, and further moving along

, Fortrans does not undergo any metabolic transformations and is excreted unchanged from the body along with feces.

The action of Fortrans is a powerful laxative effect, as a result of which the contents of all parts of the colon, including its upper parts, are removed. This laxative effect distinguishes Fortrans from an enema or other laxative drugs that remove only formed feces located in the lower parts of the colon.

When taking a regular laxative or giving an enema, the upper parts of the colon remain contaminated with food debris and half-formed feces. For carrying out various surgical interventions or diagnostic studies of the condition of the colon, such cleansing is insufficient.

Therefore, currently, in preparation for examining the condition of the colon (for example, colonoscopy, irrigography, irrigoscopy, etc.) or performing surgical interventions, Fortrans is used - a drug that allows you to remove all its contents from the intestinal lumen, thereby creating ideal conditions for medical manipulations.

The powerful laxative effect of Fortrans is due to its constituent macrogol, which in its chemical structure is polyethylene glycol. Macrogol is a polymer compound containing many intermolecular bonds. It is due to these connections that macrogol attracts and retains the water currently available in the intestine.

Due to the attraction of water, macrogol swells, the total volume of intestinal contents increases, which has a stimulating effect on intestinal motility, which begins to actively contract, moving all the contents to the anus. When the next portion of intestinal contents reaches the ampulla of the rectum, the urge to defecate occurs, and all feces are expelled.

Macrogol does not suck water from the stomach and intestines, that is, it does not lead to dehydration of the body. Macrogol binds only the water that entered the gastrointestinal tract along with it. That is why Fortrans is taken dissolved in a large volume of water (1 sachet dissolves in 1 liter of water). The drug cleanses the intestines due to frequent bowel movements caused by the movement of the next portion of the solution through the intestines.

The salts included in Fortrans as excipients are, in fact, an isotonic solution of electrolytes, which prevents dehydration of the body and disturbances in water-electrolyte balance.

That is, Fortrans is a combined drug consisting of an osmotic laxative (macrogol) and an isotonic solution of salts that replenish the loss of fluid and electrolytes by the body during heavy and often loose stools, preventing dehydration and microelement imbalance.

Advantages and disadvantages

Positive aspects of Fortrans:

• frees not only the large intestine from feces, but also the small intestine, which creates ideal conditions for medical manipulations;
• you can carry out the procedure at home;
• allows you to cleanse the intestines without the use of enemas;
• is not subject to absorption into the blood and does not affect other (except the intestines) organs and systems;
• It is easy to independently calculate the dose of the medicine.

The disadvantages of Fortrans include the need to use a significant volume of liquid during the procedure and an unpleasant aftertaste.

If used uncontrolled for other purposes, complications may develop:

• dysbacteriosis;
• nausea, vomiting;
• flatulence, cramps;
• allergy;
• discomfort in the anus.

A single use of a laxative for cleansing without enemas does not lead to disruption of the intestinal microflora. Dysbacteriosis develops after 2-3 similar lavages.

Baby cream or Vaseline will help eliminate irritation in the anus. If you are intolerant to the components of the drug, you can replace it with analogues or use an enema.

How long does it take for Fortrans to work?

How quickly Fortrans begins to act and how long it will last - these are questions that concern many.

How long it takes for Fortrans to take effect depends on the individual characteristics of the body. As a rule, the effect of fortrans begins within 1-2 hours. But there are cases when the evacuation did not begin even after 3-4 hours. In this case, it is advisable to perform a gentle abdominal massage, using circular movements clockwise, and move more (within the apartment, of course).

When you take the drug again in the morning, the first bowel movement occurs 20-30 minutes after taking the cleansing solution.

Indications and contraindications

The drug can be prescribed for the following indications:

• Planned endoscopy and fluoroscopy of the digestive system or upcoming colonoscopy.
• Upcoming intestinal surgery.
• Upcoming anoscopy, fibrocolonoscopy, sigmoidoscopy, irrigoscopy, enteroscopy.
• Sometimes the drug is prescribed before ultrasonography.

In some cases, people take Fortrans on their own to cleanse the intestines before fasting or dieting.

Contraindications to taking Fortrans:

• Hypersensitivity of the body to sulfate, bicarbonate and sodium chloride, as well as to polyethylene glycol.
• Various lesions of the intestinal walls.
• Dehydration of the body.
• Heart dysfunction.
• Stomach ulcer with perforation.
• Abdominal pain of unknown etiology.
• Gastroparesis and other disorders of the stomach muscles.
• Intestinal obstruction or suspicion of it.
• Intoxication of the body with inflammation of the digestive system.

You should also pay attention to the following recommendations:

• The drug is not prescribed to children under 15 years of age.
• Fortrans must be taken 2 hours before or 2 hours after taking other medications.
• People with serious illnesses, as well as elderly patients, should be under medical supervision while taking Fortrans.
• The drug does not cause an imbalance of electrolytes in the body, but may aggravate the course of other metabolic disorders, such as hypoglycemia.
• Fortrans should be used with caution in patients with heart and kidney failure.
• You cannot combine Fortrans with diuretics.
• Patients with aspiration and diseases of the nervous system should take the drug only in a hospital setting. The same applies to bedridden patients.
• If a person is advised to limit their salt intake, they should take into account that each sachet of the drug contains 2 g of sodium chloride.

It is not recommended to use drugs like Fortrans for weight loss. Because It is impossible to lose weight by taking drugs like Fortrans. Yes, there will be a temporary loss of kilograms, but also weakening of the immune system and dehydration of the body.

Weight loss after taking Fortrans occurs due to dehydration of the body and, in fact, evacuation of intestinal contents.

Macrogol, the main active ingredient of Fortrans, binds and removes fluid from the intestines, in addition, causes an osmotic effect, drawing water from the body through the intestinal walls, which leads to the loss of fluid by the body.

Unfortunately, the lost kilograms will return when you switch to a normal diet and drinking regimen.

• intestinal obstruction (complete or partial)
• malignant tumors
• serious condition of the patient
• children under 15 years of age

Cleansing the intestines with Fortrans washes out not only toxins, but also beneficial intestinal microflora. In order to prevent the development of dysbiosis, the day after cleansing the intestines with Fortrans, start taking prebiotics (bifiform, bifidumbacterin, etc.).

A single dose of the drug "Fortrans" will not adversely affect the intestinal microflora, but after a series of such cleansings or deep cleansing of the intestines using cleansing enemas, you will probably have to restore the beneficial intestinal microflora.

And it’s best to start cleansing the large intestine, proper nutrition and the fight against dysbiosis at the same time.

How to restore beneficial intestinal microflora

Colon cleansing with herbs in capsules - Ready-made scheme for colon cleansing with herbs in NSP capsules

How to remove waste and toxins from the body - Methods and methods of cleansing from waste and toxins

When is colon hydrotherapy useful? What are the contraindications? How does colon hydrotherapy work?

Cleansing by fasting - Daily fasting according to Paul Bragg

Nutritional Cleanse - Jensen's Cleanse Diet

Cleansing the body with rice – Rice breakfast

The indication for the use of Fortrans is the need for lavage (washing) of the intestines as preparation for various therapeutic or diagnostic procedures, such as:

• Endoscopic (colonoscopy, irrigoscopy) or X-ray (irrigography) examination of the intestinal condition;
• Surgery on the intestines or neighboring organs, which is best performed against the background of a complete absence of intestinal contents;
• Symptomatic treatment of constipation of various etiologies.

That is, Fortrans is indicated in cases where, for some reason, it is necessary to rinse the intestines, removing all its contents from it.

The drug can be taken orally by adults and children over 15 years of age. Fortrans should be taken no earlier than two hours after meals.

The dosage of Fortrans is calculated individually depending on body weight, and is rounded up to the whole sachet. The dose is calculated based on the ratio of 1 sachet per 15–20 kg of weight.

For example, a person weighs 70 kg, which means that he will need 70 kg / 15 kg = 4.67 sachets or 70 kg / 20 kg = 3.5 sachets to perform intestinal lavage. In both cases, the result is a fractional number that must be rounded up to a whole number. That is, 4.67 is rounded up and you get 5 bags.

How many specific sachets should be used for the procedure is determined by the doctor who prescribed Fortrans. However, at present, most often the calculation is based on the ratio of 1 sachet for every 20 kg of body weight. Practitioners have found that the ratio of 1 sachet per 20 kg of weight is subjectively better tolerated, but provides the same effect as 1 sachet per 15 kg of weight. Therefore, the patient is offered the lowest effective dosage.

Having calculated the required number of bags, it is necessary to prepare clean, boiled water in sufficient quantity. For 1 sachet of Fortrans powder you will need 1 liter of water. All powder should be dissolved in the required amount of water, for example, 2 sachets in two liters of water, 3 sachets in 3 liters, etc. To avoid confusion, it is recommended to dissolve each packet of powder in a separate jar or any other container.

The entire prepared solution should be taken at one time. However, this does not mean that you need to drink all 3 - 4 liters of solution in one go. It is recommended to pour the solution into a glass and drink it in small sips. Drink the next glass in 5 – 10 minutes, etc. Thus, taking breaks between glasses of the solution for 10 - 20 minutes, you need to drink the entire prepared volume of Fortrans. On average, this can take from 2 to 4 hours. The intake rate of Fortrans should be approximately 1 liter per hour.

If it is not possible to drink the entire solution at one time, then you can divide it into two equal portions, one taken in the evening and the second in the morning. For example, drink 2 liters in the evening, and another 2 liters in the morning of the next day.

Since the solution can cause a gag reflex due to a subjectively unpleasant taste, it is recommended to drink it in quick small sips without holding it in the mouth. And immediately after the last sip from the next glass, it is recommended to put a piece of lemon in your mouth or take a sip of lemon juice, which will immediately relieve the gag reflex and eliminate nausea.

Since after the last dose of Fortrans, defecation may continue for another 2 to 3 hours, it is recommended to calculate the time of use of the drug. It is best to take Fortrans in the evening, on the eve of the upcoming examination in the morning. If the study will be carried out in the afternoon or evening, then you can drink Fortrans in the morning, but the last glass should be taken 3 - 4 hours before the procedure.

Stool begins to be released approximately 1.5 - 2 hours after the first glass of Fortrans. At this point, the entire volume of the solution may not have been drunk yet. In this case, you should continue to drink the Fortrans solution in glasses until the entire prepared volume has been taken. Doctors usually recommend taking another glass of Fortrans after each bowel movement.

An overdose of Fortrans is impossible, since the drug is not absorbed into the bloodstream and is excreted unchanged. When Fortrans is taken simultaneously with other medicinal substances, their effect is significantly weakened.

Proctologists, radiologists and endoscopists believe that it is better to cleanse the intestines with Fortrans not on the eve of the upcoming procedure, but directly on the day on which it is planned. However, to do this you will have to get up early in the morning, at about 5:00, if the procedure is scheduled for 10:00. So, on the evening before the event

You should prepare the required amount of water, bags of Fortrans powder and lemons. In the morning, you need to dilute the powder in water and drink the solution within 2 - 3 hours - from approximately 5-00 to 8-00 am. It is recommended to drink one glass of the solution every 5 to 15 minutes.

The first portion of stool will be released 1 - 2 hours after starting to take Fortrans, and will end 2 - 3 hours after taking the last glass of the laxative drug. 4 hours after taking the last glass of Fortrans, you can perform irrigoscopy or colonoscopy.

However, if the irrigoscopy or colonoscopy procedure is scheduled for earlier hours, for example, at 7-00, 8-00 or 9-00 in the morning, then it is recommended to cleanse the intestines with Fortrans the night before. In this case, it is optimal to start taking Fortrans at 17:00 or 18:00 in the evening and finish by 20:00 or 21:00.

The first portion of stool is released 1 to 2 hours after taking the first glass of Fortrans solution. That is, we can say that the drug begins to act 1 – 2 hours after administration.

After taking the last glass of Fortrans solution, stool excretion may continue for 2 to 4 hours, depending on the individual characteristics of the human body. This means that in total Fortrans lasts approximately 6 – 8 hours, depending on the amount of solution drunk.

Fortrans has only absolute contraindications for use, in the presence of which the drug cannot be used in principle. These absolute contraindications for use are the following diseases or conditions in humans:

• Severe dehydration in a person;
• Severe general condition, for example, due to heart failure, etc.;
• Malignant neoplasm of the colon;
• Toxic expansion of the colon;
• Erosive and ulcerative diseases of the digestive tract;
• Perforation of the intestines or stomach;
• Complete or partial intestinal obstruction;
• Tendency to develop intestinal obstruction;
• Stenosis (narrowing of the lumen) of the stomach;
• Age under 15 years;
• Kidney pathology;
• Hypersensitivity or allergy to polyethylene glycol.

It is not advisable for minors to use Fortrans.

How to understand that the intestines are completely cleansed

If during the last bowel movements clear water comes out without feces and mucus, then the cleansing was successful and the gastrointestinal tract is completely free of congestion.

To effectively cleanse your intestines, follow these recommendations:

1. Drink the prepared solution when chilled.
2. Fortrans should be used after preliminary cleansing with a mild laxative. For example, Lactulose syrup.
3. Drink from a bottle. This makes it easier to swallow large volumes of liquid and helps you consume them completely. Many do not withstand the procedure and leave 0.5-1 liter unfinished.

The ingested solution may cause a gag reflex. To prevent it, immediately after Fortrans, take a sip of citrus juice or add a slice of lemon or orange.

How does fortrans work?

Most often, the cleansing effect of Fortrans lasts for 3-6 hours. Sometimes, the action can extend over a longer period of time. Therefore, if you are not tied to a specific examination time, choose a day off from work and start taking the drug a little earlier.

Macrogol, the active ingredient of Fortrans, retains water in the intestines, dilutes the intestinal contents, and the volume of the contents increases significantly, causing a laxative effect.

Side effects of Fortrans

Incorrect, unauthorized and repeated use of Fortrans provokes negative and dangerous side symptoms. This is due to the fact that it cleanses the intestines of everything that is present in it. The most common is the body’s addiction to the laxative effect of the drug. As a result, the intestines subsequently do not cleanse themselves.

Fortrans can provoke the following side effects:

• Nausea and vomiting at the beginning of administration due to a subjectively unpleasant taste. As you continue to take the solution, both nausea and vomiting usually stop;
• Flatulence;
• Feeling of heaviness and discomfort in the abdomen while taking the solution;
• Diarrhea;
• Allergic reactions most often take the form of skin rash, hives or swelling. In rare, isolated cases, anaphylactic shock may develop.

Diarrhea after using Fortrans usually goes away on its own within 1 to 2 days and does not require special treatment.

Possible side effects

Side effects from the use of Fortrans are an increase in the manifestations of the gag reflex. In this case, you should not stop drinking the drug. Gradually, the body will get used to the unpleasant taste, and the nausea will stop.

In rare cases, allergic reactions to the drug are possible.

The process of defecation may drag on for a couple of days, but with less intensity. There is no need to take fixing medications. The body must cope on its own. After cleansing with the drug, it is necessary to undergo a course of restoration of intestinal microflora. To do this, you need to take medications with active bifidobacteria and lactobacilli. Within a week of use, the flora will return to its optimal state.

In the case of a single dose of Fortrans, to relieve constipation or before an examination, there is no need for such therapy.

Analogs

Currently, there are analogues and synonyms of Fortrans on the pharmaceutical market of the CIS countries. Synonyms for Fortrans are laxatives containing exactly the same active substance - macrogol (polyethylene glycol). Analogs are drugs that contain a different active substance, but have a laxative effect similar in effectiveness and mechanism of development.

Synonyms of Fortrans include the following laxatives: 1. Lavacol powder for oral solution; 2. Osmogol powder for the preparation of solution for oral administration;3. Realaxan powder for the preparation of solution for oral administration;4. Transipeg powder for the preparation of solution for oral administration; 5.

Analogs of Fortrans include the following laxatives:

• Goodluck syrup;
• Dinolak emulsion for oral administration;
• Duphalac syrup;
• Importal N powder for the preparation of solution for oral administration;
• Lactulose syrup;
• Livoluk-PB syrup;
• Magnesium sulfate powder for oral solution;
• Normaze syrup;
• Portalac syrup;
• Romphalac syrup;
• Transulose gel for oral administration;
• Fleet Phosphosoda solution for oral administration;
• Exportal powder for the preparation of solution for oral administration;
• Endofalk powder for the preparation of a solution for oral administration.

Fortrans has many advantages, but it is quite expensive (500 rubles per pack), so many patients are interested in the availability of analogues of this drug. Moreover, it has an unpleasant taste and should not be used by children.

Macrogol is contained in such drugs as:

• Osmogol.
• Lavacol. This is a domestic drug. The package contains 15 sachets. The cost of the medicine is 180-230 rubles. According to reviews, Lavacol tastes much better than Fortrans. However, doctors indicate that Fortrans cleanses the intestines better than Lavacol.
• Forlax. For 20 bags of 10 g you will need to pay 310-340 rubles. Forlax, as well as Fortrans, are produced in France.
• Transipeg.
• Forteza Rompharm.
• Relaxan.
• Endofalk contains macrogol 3350. This drug works in the same way as Fortrans. Its cost is 480 rubles.
• Fleet Phospho-Soda. This drug is based on a substance called sodium hydrogen phosphate dodecahydrate. However, the drug works the same way as Fortrans. The taste of Fleet Phospho-Soda is not very pleasant, but this does not affect the effectiveness of the drug. Its cost is 560 rubles.

These drugs have the same indications and contraindications.

If a person has an individual intolerance to macrogol, then you can use drugs such as:

• Duphalac. Available in the form of syrup (15 ml) the package contains 10 sachets. The drug is produced in Germany and costs 310-335 rubles.
• Bioflorax.
• Lactuvit.

Analogues also include Goodluck medicines in syrup, magnesium sulfate powder (a 25 g bag costs 40-60 rubles), Normaze syrup, Transulose gel, suppositories and Bisacodyl tablets. All these drugs can be used in childhood as an alternative to enemas.

Reviews about Fortrans

You can find the most conflicting reviews about the drug Fortrans. Many patients indicate its unpleasant taste. Some people write that with its help it was possible not only to cleanse the intestines, but also to get rid of several extra pounds. However, it is not the fat deposits that will go away. Therefore, experts insist that it should be taken only when indicated.

People who have used the drug to cleanse the intestines before a colonoscopy indicate its high effectiveness. Side effects include flatulence and intestinal cramps. Doctors call Fortrans an effective means for cleansing the digestive organs.

Subjectively unpleasant taste of the solution, which makes it very difficult to drink;

Having to drink a large volume of liquid in a short period of time, which is difficult for many people.

In their emotional reviews, people evaluate the drug as “muck”, “sickening dirty trick”, “impossible to drink” and other similar synonyms. The torment associated with the need to drink 3–4 liters of a very unpleasant and nauseating drink is also described in detail. However, despite such seemingly unflattering characteristics given to the drug Fortrans, its overall rating in the review is positive.

Positive reviews about Fortrans are due to the fact that the drug copes well with its immediate function - cleansing the intestines before upcoming diagnostic or surgical interventions. Therefore, people describe all the unpleasant sensations associated with its use, but conclude that they can be easily tolerated, since Fortrans cleanses the intestines perfectly.

However, there are also negative reviews about Fortrans left by people who were never able to drink the solution. According to them, it turned out to be very disgusting for them, so much so that they could not overcome the nausea and vomiting. Another reason for negative reviews of Fortrans is its ability to provoke bloating and flatulence, which are subjectively very poorly tolerated by some people.

Doctors evaluate Fortrans using criteria that are very different from the parameters that matter to people who take this drug. Therefore, the doctor’s opinion that the medicine is “excellent” may completely differ from the patient’s impressions.

So, from a doctor’s point of view, the criterion for the effectiveness of Fortrans is its ability to remove all contents from the intestine, so that the result is simply a hollow intestinal tube, which can be calmly examined during diagnostic or therapeutic manipulation, without paying attention to the “stains” of food masses.

Contraindications for use

The drug of French origin has many positive qualities, but despite its relative safety, it is prohibited to carry out deep cleansing if you have the following diseases:

• perforated ulcer with penetration of stomach contents into the abdominal cavity;
• high sensitivity to any of the components in the composition;
• myocardial dysfunction;
• dehydration;
• intestinal obstruction and suspicion of it;
• painful abdomen with unknown cause;
• damage to the intestinal mucosa;
• tissue degeneration and inflammatory process in the tissues of the digestive organs due to toxic poisoning;
• impaired activity of the stomach muscles;
• oncological diseases of the colon;
• children under 15 years of age.

Remember that the laxative effect of Fortrans interferes with the absorption of other medications. After taking it, not a single tablet or syrup can have a therapeutic effect.

Home is the best place to carry out unpleasant cleansing procedures; many patients refuse hospitalization and carry out bowel preparation on their own. If surgical intervention or proctological examination is to be performed, the main condition must be observed - complete disposal of feces. Fortrans will help you prepare and ensure the cleanliness of your gastrointestinal tract.

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It is not advisable for minors to use Fortrans.

"Fortrans" is prescribed to cleanse the intestines as an effective replacement for an enema. It is indicated on the eve of an endoscopic examination of the colon and for weight loss. As a means of losing weight, repeated use of the drug leads to a deterioration in overall health. Therefore, experts do not recommend using Fortrans for this purpose. The main reason for prescribing a laxative is the need to quickly empty the intestines.

The use of the product by patients under the age of 18 is prohibited. Against the background of general dehydration of the body, taking the drug is also not recommended, as the condition worsens. If you are allergic to the components of the composition, using Fortrans can cause itching and rash. Other contraindications include diseases of the gastrointestinal tract and intestinal obstruction.

Lavacol or Fortrans?

Lavacol and Fortrans are synonymous drugs, that is, they contain exactly the same active ingredient. Therefore, in principle, the action and effects of Lavacol and Fortrans are the same.

However, from the point of view of doctors, Fortrans removes intestinal contents better, creating more favorable conditions for diagnostics and therapeutic manipulations, which has a positive effect on their accuracy and efficiency. Therefore, according to doctors, it is better to use Fortrans rather than Lavacol.

But, according to people who take the drugs, Lavacol is easier to drink, it does not have such a nasty taste and does not provoke a gag reflex, which is difficult to suppress. In addition, Lavacol is cheaper than Fortrans, since it is manufactured by a Russian pharmaceutical plant. And Fortrans is a branded French drug. Therefore, in the opinion of many people, Lavacol is better than Fortrans.

In order to take into account the interests of both doctors and patients, and at the same time come to a balanced decision, it is recommended to be guided by the following postulates when choosing between Lavacol and Fortrans. If a person has the opportunity to take Fortrans, then it should be preferred. If for some reason a person cannot drink Fortrans (for example, financial difficulties, gag reflex, terrible taste that cannot be tolerated, etc.

), then you should choose Lavacol. Moreover, if a person has never used Fortrans before, then he should buy it and try drinking it, psychologically preparing himself for the procedure. Only if you can’t drink Fortrans in practice, you can buy Lavacol. You should not choose a drug based on the torment colorfully described in reviews, an idea of ​​what it will be like for you personally, receiving a negative impression in advance and choosing another remedy that does not cleanse the intestines so well from the doctor’s point of view. But the success and accuracy of the upcoming manipulation depends on the doctor.

Frequency of application for cleaning

The drug "Fortrans" is intended for one-time use. The reason lies in the strong laxative effect that it has on the body. For this reason, experts do not recommend using the product for weight loss. Repeated intake of Fortrans leads to an imbalance of salt and microelements in the intestines, which negatively affects the entire body.

Side effects of Fortrans can include addiction to the drug and depletion of intestinal flora.

If the doctor has not prescribed an individual single dosage, it is calculated according to body weight. One sachet is designed for a person weighing 20 kg. The packaging is sufficient to achieve the necessary laxative effect and complete cleansing of a person with a body weight within 80 kg. The procedure is carried out in two ways.

1. The medicinal solution is prepared in full, which must be drunk within 1 hour. Take 200 ml. with short breaks. 1 liter will take 1 hour, and 4 liters 4 hours.
2. A method for cases where medical procedures will be carried out in the morning or lunchtime. The entire volume of the solution is divided into 2 equal portions. Take half in the evening, drink the rest 3-4 hours before surgery or examination.

The second method is the most preferable. Taking 3-5 liters of laxative medicine at a time is difficult and can provoke a gag reflex.

The finished solution can be used according to the following scheme:

• light meal at 12.00;
• the first glass of laxative at 14.00 and every 15 minutes, 200 ml. until 16.00;
• rest from 16.00 to 17.00;
• at 17.00 start taking 200 ml. drink every 15 minutes until 19.00.

This scheme is designed for a person weighing 70-80 kg. The proctologist may prescribe a different method of administration. After the last portion of Fortrans, it is forbidden to eat. Only mineral water without gases and in limited quantities is allowed.

Can it be used during pregnancy? There is no confirmed information about the harmful effects of the drug on a child during pregnancy or breastfeeding. But cleansing the body with Fortrans in the situations described is only worth it as a last resort. The doctor must assess the possible risks and the expected therapeutic effect. During lactation, there is a risk of drug particles entering the baby's body.

If the expectant mother needs a medical examination, a single dose of Fortrans bowel cleansing powder is possible with the permission of the supervising doctor. With constant problems with stool, chronic constipation, it is necessary to look for the cause in hormones, nutrition, lifestyle and medications for long-term use.

It is difficult to say when the medicine will start to work. Therapeutic activity is influenced by many factors, including the quality of the products and their quantity, the age and weight of the person. If you strictly follow the instructions and take the solution on an empty stomach, the cleansing will begin after an hour.

Repeated use provokes emptying after half an hour. It may take up to 2 to 5 hours to completely remove stool.

If there is no bowel movement for a long time, it is necessary to help the body. To do this, massage your abdomen, moving your hands in a circle without strong or sudden pressure. You can walk around and do squats without going far from the toilet.

If you suspect incomplete cleansing, it is recommended to drink an additional 1 liter of solution.

The manufacturer allows strictly one-time use of the drug. The reason is the strong laxative effect, which puts a serious burden on the body.

Losing weight on Fortrans is strictly prohibited! Regular cleansing of the intestines threatens to upset the balance of microelements and salts. The active substance does not have a fat-burning effect, weight is reduced due to the removal of fluid from the body.

After use, it is recommended to use probiotics for a week to restore microflora. The best sellers in this category are Bifiform, Linex, Baktisubtil, etc. The pharmacy sells these drugs without a doctor's prescription.

If during the last bowel movements clear water comes out without feces and mucus, then the cleansing was successful and the gastrointestinal tract is completely free of congestion.

To effectively cleanse your intestines, follow these recommendations:

1. Drink the prepared solution when chilled.
2. Fortrans should be used after preliminary cleansing with a mild laxative. For example, Lactulose syrup.
3. Drink from a bottle. This makes it easier to swallow large volumes of liquid and helps you consume them completely. Many do not withstand the procedure and leave 0.5-1 liter unfinished.

The ingested solution may cause a gag reflex. To prevent it, immediately after Fortrans, take a sip of citrus juice or add a slice of lemon or orange.

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Fortrans – price

Fortrans is produced by only one company, so the difference in cost in pharmacies is due to trade policy and the network’s markup, as well as the costs of transportation, storage and sale of drugs. Therefore, there is no difference between drugs sold at a more expensive and cheaper price. You can buy the cheapest drug.

The average cost of a 4-pack of Fortrans in various pharmacies is 449 – 630 rubles. The cost of one packet of Fortrans ranges from 114 to 141 rubles.