Scheme of preparation for colonoscopy with the drug "Fortrans"

A healthy gut is the foundation of health and well-being. An incorrect lifestyle, bad habits, and poor ecology lead to the accumulation of harmful substances in the body. A clogged intestine weakens the immune system and leads to insomnia, nausea, stool retention, deterioration of complexion, and irritability.

You can combat this phenomenon with intestinal cleansing. When choosing the appropriate technique, it is important to take into account your wishes regarding the nature and duration of exposure, as well as the method of using the cleanser. For people who are afraid of the word “enema” and do not trust folk recipes, bowel cleansing with Fortrans is suitable.

General characteristics

Fortrans is a French drug designed for quick and effective cleansing of the intestinal tract. Unlike an enema, this cleansing method allows you to eliminate harmful substances throughout the entire digestive tract, and not just in its lower sections. Fortrans does not cause pain or discomfort during use.

Most often, this drug is prescribed to patients before diagnostic procedures, such as colonoscopies, and surgical interventions that require the absence of any contents in the intestinal tract. This remedy can also be used at home, for example, when switching to a diet or before fasting. In this case, you should strictly adhere to the recommendations specified in the instructions. For complete cleansing you will need three to four sachets of Fotrans.

Important! As patient reviews show, a single dose of Fortrans is much more effective than several cleansing enemas.

The product is available in powder form, from which a medicinal solution is prepared using plain water. One sachet of potent laxative medicine contains the following active ingredients:

  • macrogol;
  • magnesium sulfate;
  • sodium bicarbonate;
  • sodium chloride;
  • potassium chloride

Macrogol is the main active ingredient. It has a pronounced laxative effect. Macrogol cleanses the upper and lower parts of the digestive tract. Fortrans has a wide spectrum of pharmacological action. The mechanism of the laxative effect is based on an increase in osmotic pressure, an increase in fecal volume, fluid retention, stimulation of mechanical receptors and improved peristalsis.

The active component is not absorbed into the systemic bloodstream, does not change the acidity of the intestinal tract and does not have a toxic effect on the body. Given a one-time use, the drug has virtually no effect on the balance of the natural intestinal microflora. However, this cleansing technique is not suitable for everyone.

The use of Fortrans is prohibited in the following cases:

  • ulcerative lesions of the intestinal mucosa;
  • abdominal pain of unknown cause;
  • children under fifteen years of age;
  • serious condition;
  • intolerance to active ingredients;
  • heart failure;
  • exacerbation of gastrointestinal diseases;
  • dehydration of the body;
  • malignant neoplasms;
  • intestinal obstruction, including partial.


Fortrans is able to cleanse the body of heavy metal salts, toxins and wastes

Description of the drug

The main substance of the drug Fortrans is macrogol 4000. It is this that provides the laxative effect.

The powder contains:

  • Sodium chloride.
  • Sodium saccharinate.
  • Sodium bicarbonate.
  • Potassium chloride.
  • Sodium sulfate anhydrous.

The auxiliary components included in the laxative are necessary to maintain normal salt and alkaline balance in the body, and are also responsible for the sweetish taste of the drug. If you take a product called Macrogol 4000 separately, this can lead to dehydration. However, the use of Fortrans is also possible only with the permission of a doctor.

The drug is produced in powder form. It is necessary to prepare a solution from it, which is taken orally. The powder is white in color and easily dissolves in water. It is packaged in paper bags. There are 4 of them in each package.

Recommendation:

“Fortrans has a specific taste that many people find unpleasant. Even passionflower extract, which is part of the powder, is not able to radically change it. In order not to provoke vomiting, you need to take the medicine with juice squeezed from citrus fruits (orange, grapefruit or lemon).”

Principles of application

The dosage of the drug is selected depending on the patient’s weight. It is recommended to take one liter of solution per 15–20 kg of weight. That is, a person who weighs around 60 kg needs to drink about three liters of Fortrans. One liter of water contains the contents of one sachet.

Every twenty minutes you should consume 250 ml of the product. It turns out that in one hour a person drinks a liter of liquid. You cannot drink the entire solution in one gulp. To make the cleaning process gentle and painless, Fortrans must be taken gradually. Only in this case will the fecal accumulations have time to soften, and the cleansing process will be complete.

If the drug was prescribed before diagnostic procedures, it should be consumed the day before the procedure, but you need to start drinking it no later than 18 hours. Most often, the drug is prescribed once or in two doses (morning and evening).

If the manipulation is scheduled for the morning, then it is better to take Fortrans once in the evening. If the procedure takes place in the afternoon, it is better to drink the solution in two doses. The last solution should be taken four hours before the expected time of the manipulation.

Important! The laxative effect usually occurs after one hour and can last up to ten hours. Sometimes the therapeutic effect lasts longer, so it is better to choose a day off from work for cleaning.

The speed of onset of the laxative effect largely depends on the characteristics of the body. There are cases when the urge to stool did not occur even after four hours. In this case, it is recommended to massage the anterior abdominal wall, as well as move more around the apartment.

You need to prepare for bowel cleansing with Fortrans. A day before starting to take the medicine, easily digestible foods should be introduced into the diet: porridge, omelet, fruit jelly. Foods containing raw fiber, such as vegetables and fruits, are excluded from the diet. On the day of the procedure, you can eat an omelet for breakfast. A heavy lunch will interfere with cleaning, so it is better to avoid it.

Juices, tea, and low-fat meat broth are allowed throughout the day. It is better not to eat any more food after breakfast. The next day after cleansing, it is recommended to eat boiled rice, as well as maintain physical and mental rest.

After finishing the cleansing, it is recommended to drink plenty of fluids to help compensate for the lack of fluid. The fact is that Fortrans increases the volume of feces due to fluid retention in the intestines. The solution has a rather unpleasant taste, so to avoid the gag reflex, you can chew a slice of lemon or orange.

Slag-free diet

YOU CAN take refined foods and easily digestible foods:

  • Boiled meat (low-fat varieties), fish, chicken
  • Bouillon
  • Low-fat fermented milk products without fruit additives
  • Boiled eggs
  • Omelette
  • Honey
  • Jelly
  • Not strong tea or coffee, clear juices without pulp
  • Not sparkling water

DO NOT eat foods rich in fiber and poorly digestible foods:

  • Grain products, cereals
  • Fruits, vegetables, berries, greens
  • Cereals, legumes, nuts
  • Fatty meats, fish, poultry, mushrooms
  • Cream soups, smoked meats, canned food, sausages
  • Full fat dairy products
  • Bread, sweets
  • Alcohol and carbonated drinks

Precautionary measures

Fortrans is suitable for one-time colon cleansing. To treat constipation, milder and more gentle remedies are used. You should not use Fortrans for the purpose of losing weight. Yes, you will lose extra pounds for a while, but only liquid will go away. This method of losing weight is fraught with dehydration, weakened immunity and dysbacteriosis. Fortrans is not intended for regular use.

The drug is usually well tolerated by patients, but in rare cases discomfort and pain in the anus occur. This is mostly due to frequent bowel movements. To avoid discomfort, experts recommend not wiping the anus with toilet paper after stool, but rather washing it. And also the anorectal area can be lubricated with Vaseline oil.


Fortrans should be used exclusively for medical reasons.

And also Fortrans can cause diarrhea, pain and abdominal cramps. In this case, it is better to use other methods of cleansing the body. It is also worth understanding that the drug helps to wash out not only toxins, but also beneficial bacteria. Therefore, the next day after treatment you need to start taking prebiotics.

Constipation medications

Uncontrolled use of Fortrans can lead to other complications:

  • intestinal atony - the inability to empty oneself without the use of laxatives;
  • impaired absorption of vitamins, minerals, salts. This manifests itself in the form of bleeding gums, brittle nails, hair loss;
  • bloating and flatulence from any foods;
  • diarrhea;
  • violation of metabolic processes;
  • inability to digest rough food. This causes the development of anal fissures and hemorrhoids.

Fortrans reduces the absorption of any other medications. If there is intolerance to the active components, allergic reactions may develop in the form of skin rash, urticaria, and swelling. In rare cases, anaphylactic shock may occur. Unpleasant symptoms do not require symptomatic therapy.

They go away on their own after stopping treatment. In case of overdose, diarrhea occurs. In this case, symptomatic treatment is mandatory. Elderly people with serious chronic diseases can use Fortrans only under the supervision of specialists. There are no data regarding the active substance on the fetus.

The active component does not penetrate the circulatory system, so treatment is not prohibited during lactation. After using Fortrans, a gentle, lean diet with low fiber content is indicated. Carbonated drinks are strictly prohibited, as they can damage the delicate lining of the intestinal tract.

In what cases is it used?

Doctors primarily prescribe drinking Fortrans to cleanse the intestines during the period of preparation for diagnostic procedures, such as:

  • irrigoscopy;
  • colonoscopy;
  • irrigography.

Complete cleansing of the large intestine improves the visualization of its location and pathological changes, which allows you to make the most accurate diagnosis. Fortrans is often prescribed instead of a cleansing enema before operations on the digestive and pelvic organs.

For constipation, Fortrans is not recommended to be used too often - maximum 2-3 times a year.

Frequent use of Fortrans for chronic or episodic problems with bowel movements can cause microflora disturbances, colitis and other digestive problems. The medicine can be used up to 3 times a year to cleanse the body in order to remove accumulated toxic compounds and toxins.

The procedure improves liver function, helps cleanse the skin, and has a positive effect on digestion.

Reviews

Fortrans has earned good reviews from both patients and medical practitioners. The popularity of the drug is due to its rapid laxative effect and ease of use. Negative statements are associated with the unpleasant taste of the solution, high pricing, and the possibility of side effects.

Svetlana, 49 years old: I was prescribed colon cleansing with Fortrans before a colonoscopy. I weigh 80 kg, so I needed four sachets of powder, which I diluted in four liters of water. I drank the entire solution in 4 hours. The liquid had a nasty taste that made me want to vomit. The doctor warned me about this in advance and advised me to chew a slice of lemon, it really helped. The laxative effect came very quickly and did not cause any difficulties. In the morning I had breakfast with a steam omelet. During the day I did not eat any food, but drank teas and juices. In the evening I was very hungry, but I restrained myself and drank low-fat meat broth. The gastroenterologist advised me to immediately wash myself after stool, instead of wiping the anus with paper. And I also lubricated the entrance to the rectum with Vaseline. I did not experience any side effects during the treatment.

Lyudmila, 53 years old: I was prescribed Fortrans before the operation. I bought a pack that contained four bags, which was exactly what I needed. I diluted the contents of one sachet in a liter of water. Every fifteen minutes I drank a glass of solution. In total, this procedure took me about four hours. The doctor advised to remove vegetables and fruits from the diet before cleansing, and eat easily digestible dishes. The taste of the drug is unpleasant, but tolerable. For a long time there was no urge to defecate, so I had to massage my stomach and actively move around the apartment. After taking the solution, I drank a lot of water to avoid dehydration. As for side effects, there was slight bloating and discomfort in the abdomen. I liked the effect Fortrans had, but the doctor said that the drug was only suitable for one-time use. Self-medication can cause dysbiosis, metabolic disorders and addiction.

Zinaida, 47 years old: I have heard about the high effectiveness of the drug Fortrans for a long time. My friend was prescribed it before surgery. I decided to try it at home to cleanse the intestines and lose weight. I followed what was said in the instructions, but did not take into account one thing: regular use of Fortrans is unacceptable. After the first cleanse, I lost several kilograms and was very happy about it. I became interested in this technique, but I had to stop treatment when complications appeared. Later I was diagnosed with dysbiosis. Due to the malabsorption of nutrients, the nails began to peel, the hair began to fall out, and even the gums began to bleed. I had very dry skin. The doctor said that due to the uncontrolled use of Fortrans, dehydration developed. I probably spent about a year dealing with the consequences of such a stupid way to lose weight quickly and easily.

During colonoscopy under sedation (intravenous anesthesia)

It is necessary to maintain a fasting period of at least 8 hours and at least 4 hours without water. On this day it is not recommended to drive a car, operate any machinery, or make important decisions. It is advisable to be met and escorted home.

When making an appointment for gastro + colonoscopy, two-stage preparation is not suitable, since the patient must come to gastroscopy on an empty stomach, not eat or DRINK!

IMPORTANT: In case of concomitant pathology of the cardiovascular system, diabetes mellitus, renal failure, preparation with MOVIPREP is more justified.

After completing the examination and receiving the results of a colonoscopy, it is recommended to consult a gastroenterologist.

Summarizing

Fortrans belongs to the group of drugs with an osmotic laxative effect and is used for complete and deep cleansing. The product ensures complete elimination of contents from the upper and lower sections of the large intestine. The product is available in powder form for preparing a solution. With the help of Fortrans, you can cleanse the intestinal tract before a diagnostic procedure or operation.

The active component is macrogol, a substance that improves peristalsis, softens feces and improves their excretion. Fortrans is suitable for single use. Its uncontrolled use is addictive. The drug should not be used by children under fifteen years of age, pregnant women, or patients with exacerbation of chronic diseases.

Analogs

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.

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