Docusate

Table of contents

  • Brand Names
  • Drug Combinations
  • Chemistry
  • Pharmacologic Category
  • Mechanism of Action
  • Therapeutic Use
  • Unlabeled Use
  • Pregnancy and Lactation Implications
  • Contraindications
  • Warnings and Precautions
  • Adverse Reactions
  • Drug Interactions
  • Dosage
  • Pharmacokinetics and Pharmacodynamics
  • Special Considerations

Brand Names

Europe

Belgium: Laxavit, Norgalax; France: Jamylene, Norgalax; Germany: Norgalax, Yal; Greece: Florisan; Ireland: Waxsol; Italy: Macrolax, Sorbiclis; Luxembourg: Norgalax; Netherlands: Norgalax; Poland: Dipolaxan, Laxopol; Portugal: Clyss-Go, Norgalax; Slovakia: Yal; UK: Dioctyl, DulcoEase, Norgalax, Waxsol.

North America

Canada: Calax, Colace, Docusate.

Latin America

Argentina: Cerumex.

Drug combinations

Docusate and Bisacodyl

Docusate and Sorbitol

Chemistry

Docusate Calcium: C~40~H~74~CaO~14~S~2~. Mw: 883.22. (1) Butanedioic acid, sulfo-, 1,4-bis(2-ethylhexyl) ester, calcium salt; (2) 1,4-bis(2-Ethylhexyl) sulfosuccinate, calcium salt. CAS-128-49-4; CAS-10041-19-7 (1,4-bis(2-Ethylhexyl)sulfosuccinate)(1980).

Pharmacologic Category

Cathartics and Laxatives; Stool Softeners. (ATC-Code: A06AA02).

Mechanism of action

Reduces surface tension of the oil-water interface of the stool, allowing for stool softening.

Therapeutic use

Stool softener in patients who should avoid straining during defecation, and constipation associated with hard, dry stools. Prophylaxis for straining following MI.

Pregnancy and lactiation implications

Use caution when administered during pregnancy and lactation.

Unlabeled use

Ceruminolytic.

Contraindications

Hypersensitivity to docusate or any component of the formulation. Concomitant use of mineral oil. Intestinal obstruction, acute abdominal pain, nausea, or vomiting.

Warnings and precautions

Prolonged, frequent or excessive use might result in dependence, and in electrolyte imbalance. Ineffective when used long-term.

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