What are the precautions for taking bisacodyl enteric-coated tablets?

Precautions for the use of bisacodyl enteric-coated tablets mainly include strict control of treatment duration and dosage, contraindications or cautious use in special populations, proper administration methods, clear understanding of contraindications, and maintaining a reasonable diet. Specific details are as follows:

1. Strict control of treatment duration and dosage: This medication is intended for short-term symptomatic treatment and should not be used continuously for more than 7 days. The standard dose should be followed according to medical advice or the product instructions; self-adjusting the dosage upward is not recommended. Long-term or excessive use may lead to intestinal dysfunction, drug dependence, or electrolyte imbalances.

2. Contraindications and cautious use in special populations: Pregnant women, breastfeeding mothers, and children under 6 years of age should not use this drug, as its components may affect fetal, infant, or childhood intestinal development. Elderly individuals, patients with hypertension or heart disease, and those with impaired liver or kidney function should use the drug cautiously only after physician evaluation to avoid exacerbating underlying conditions.

3. Proper administration method: As an enteric-coated tablet, it must be swallowed whole with lukewarm water and should not be chewed or crushed, as doing so would destroy the enteric coating and irritate the gastric mucosa, causing discomfort. It is recommended to take the medication on an empty stomach or before bedtime. Avoid consuming milk or antacids within 1–2 hours after taking the medication, as they may reduce its effectiveness.

4. Clear contraindications: The drug is contraindicated in patients with acute abdominal conditions (acute abdomen), as it may worsen the condition and lead to serious complications. It is also contraindicated in individuals allergic to its components. Patients with known allergies should use it cautiously and discontinue immediately if symptoms such as rash or itching occur.

5. Maintain a balanced diet: During treatment, increase fluid intake to 1500–2000 mL per day. Consume more dietary fiber-rich foods such as vegetables, fruits, and whole grains to help soften stools, enhance bowel movement efficacy, and reduce irritation to the intestines.

Maintain regular daily routines during treatment, avoid prolonged sitting, and engage in light physical activities such as walking to help regulate intestinal motility and gradually improve bowel movements.