Understanding Evict Syrup and Its Active Ingredient
Evict Syrup is a brand name for a medication whose active ingredient is lactulose. Lactulose is a synthetic, non-absorbable sugar used primarily to treat constipation. It is classified as an osmotic laxative. Besides constipation, it is also used in the management of a liver complication known as hepatic encephalopathy, where it helps remove toxins like ammonia from the body. Evict Syrup is manufactured by Albert David Ltd. and is available in various volumes.
The Mechanism: How Does Evict Syrup Work?
Evict Syrup functions as an osmotic laxative. After oral administration, the lactulose passes through the stomach and small intestine largely undigested and unabsorbed. When it reaches the colon, it is broken down by gut bacteria into products that draw water from the body into the bowel. This influx of water has two main effects:
- It softens the stool: The increased water content makes the feces softer and bulkier, which makes it easier to pass.
- It stimulates the colon: The increased volume in the colon promotes peristalsis, the natural wave-like muscle contractions that move stool along.
For hepatic encephalopathy, the breakdown of lactulose makes the colon more acidic. This environment helps trap ammonia in the colon, preventing its absorption into the bloodstream and facilitating its removal from the body.
Onset of Action: When to Expect Results
For treating constipation, Evict Syrup does not provide immediate relief. It typically takes between 24 to 48 hours to produce a bowel movement. Some sources state it can begin working in 8-12 hours, but may take up to two days for full effect. It is important to be patient and to follow prescribed instructions if you do not get immediate results. If constipation persists for more than three days after starting the medication, you should consult your doctor.
Factors That Influence Effectiveness
The time it takes for Evict Syrup to work can be influenced by several factors:
- Hydration: Since lactulose works by drawing water into the bowel, its effectiveness is enhanced by adequate fluid intake. It is recommended to drink 6 to 8 glasses of water or other liquids daily while taking this medication.
- Diet: A diet high in fiber from fruits, vegetables, and whole grains can complement the action of the laxative and help prevent future constipation.
- Individual Metabolism and Gut Flora: The way an individual's gut bacteria metabolize lactulose can affect its action.
- Other Medications: Some medications, such as antacids or certain antibiotics, can potentially decrease the effectiveness of lactulose.
Comparison with Other Laxatives
Evict Syrup (Lactulose) differs from other types of laxatives in its mechanism and onset time.
| Laxative Type | Example(s) | Mechanism of Action | Typical Onset Time |
|---|---|---|---|
| Osmotic | Evict (Lactulose), Miralax | Draws water into the colon to soften stool. | 24-72 hours |
| Stimulant | Senna (Ex-Lax), Bisacodyl | Stimulates the intestinal muscles to contract. | 6-12 hours |
| Stool Softener | Docusate (Colace) | Adds moisture to the stool to soften it. | 12-72 hours |
| Bulk-Forming | Psyllium (Metamucil) | Absorbs water to form a bulky, soft stool. | 12-72 hours |
Stimulant laxatives generally work faster but are recommended for short-term use, as prolonged use can lead to dependency. Osmotic laxatives like Evict Syrup may be used for longer periods under medical supervision for chronic constipation.
Proper Administration
It is crucial to follow the administration instructions provided by a healthcare professional.
To improve the taste, the syrup can be mixed with fruit juice, water, or milk. It is important to use the measuring cup provided to ensure an accurate administration.
Potential Side Effects
Like all medications, Evict Syrup can cause side effects. Common side effects are usually mild and may include:
- Gas (flatulence)
- Bloating
- Stomach pain or cramps
- Nausea and vomiting
These effects often occur at the beginning of treatment and are typically transient. Taking an excessive amount can lead to diarrhea and electrolyte imbalance. If you experience severe side effects like persistent diarrhea, severe abdominal pain, or rectal bleeding, you should contact your doctor immediately.
Conclusion
Evict Syrup, a lactulose-based osmotic laxative, is an effective treatment for constipation that generally takes 24 to 48 hours to produce a bowel movement. Its effectiveness is optimized with proper administration, adequate hydration, and a supportive diet. While common side effects like gas and bloating can occur, they are often temporary. Understanding its mechanism and onset time helps manage expectations and use the medication safely and effectively for relief from constipation.
For more information on treating constipation, you can visit the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK): https://www.niddk.nih.gov/health-information/digestive-diseases/constipation/treatment
