castor oil (OTC)

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Brand and Other Names:Fleet Castor Oil, Emulsoil

Dosing & Uses

AdultPediatric

Dosage Forms & Strengths

oral solution

  • 30mL
  • 60mL
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Constipation

15 ml PO x1

Colonic Evacuation

15-60 ml PO x1, 16 hours before procedure

Other Indications & Uses

Usually reserved for total colonic evacuation before GI procedure

Dosage Forms & Strengths

oral solution

  • 30mL
  • 60mL
more...

Constipation

<2 years old: 1-5 mL PO once

2-12 years old: 5-15 mL PO once

>12 years old: As in adults

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Adverse Effects

Frequency Not Defined

Excessive bowel activity

Abdominal cramping

Yellow/brown urine discoloration

Laxative dependence (Avoid chronic use)

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Warnings

Contraindications

Hypersensitivity, GI obstruction or perforation, severe impaction, symptoms of appendicitis or acute surgical abdomen, ulcerative colitis, rectal fissures

Avoid in pregnancy: can induce premature labor

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Pregnancy & Lactation

Pregnancy Category: X

Lactation: safe

Pregnancy Categories

A:Generally acceptable. Controlled studies in pregnant women show no evidence of fetal risk.

B:May be acceptable. Either animal studies show no risk but human studies not available or animal studies showed minor risks and human studies done and showed no risk.

C:Use with caution if benefits outweigh risks. Animal studies show risk and human studies not available or neither animal nor human studies done.

D:Use in LIFE-THREATENING emergencies when no safer drug available. Positive evidence of human fetal risk.

X:Do not use in pregnancy. Risks involved outweigh potential benefits. Safer alternatives exist.

NA:Information not available.

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Pharmacology

Onset: 2-6 hr

Mechanism of Action

Irritant/stimulant laxative

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