Psyllium

Psyllium is a fiber laxative that helps create bulk in the stool. It is used to treat occasional constipation or irregular bowel movements.

Psyllium may also help lower cholesterol when taken along with a diet that is low in cholesterol and saturated fat.

Psyllium may also be used for reasons not mentioned in this medication guide.

Use exactly as directed on the label, or as prescribed by your doctor.

Laxatives may be habit-forming if they are used too often or for too long.

Psyllium can swell in your throat and cause choking if you do not take it with enough liquid. Drink plenty of fluids each day to help improve bowel regularity.

Take psyllium with a full glass (at least 8 ounces) of water or other liquid.

Swallow psyllium capsules one at a time.

Psyllium powder must be mixed with liquid before you take it. Do not swallow the dry powder. Mix with at least 8 ounces of liquid such as water or fruit juice. Stir and drink this mixture right away. Add a little more water to the glass, swirl gently, and drink right away.

Psyllium usually produces a bowel movement within 12 to 72 hours.

Do not take psyllium for longer than 7 days in a row without a doctor's advice. Using a laxative too often or for too long may cause severe medical problems with your intestines.

Call your doctor if your symptoms do not improve, or if they get worse.

Psyllium may be only part of a complete program of treatment that also includes diet, exercise, and weight control. Follow your doctor's instructions very closely.

Store at room temperature away from moisture and heat. Keep the container tightly closed when not in use.

Follow all instructions on your medicine label and package. Inform each of your healthcare providers about all your medical conditions, allergies, and all medicines you are taking.

You should not take psyllium if you have ever had an allergic reaction to it.

Ask a doctor or pharmacist if psyllium is safe to use if you have ever had:

• stomach pain, nausea, or vomiting;
• trouble swallowing; or
• a sudden change in bowel habits lasting longer than 2 weeks.

This medicine may contain sugar, sodium, or phenylalanine. Check the medication label if you have diabetes, high blood pressure, phenylketonuria (PKU), or if you are on a low-salt diet.

Ask a doctor before using this medicine if you are pregnant or breastfeeding. Your dose needs may be different during pregnancy or while you are nursing.

Do not give psyllium to a child younger than 6 years old without medical advice.

Get emergency medical help if you notice signs of an allergic reaction: hives; trouble breathing; swelling of your face, lips, tongue, or throat.

Psyllium can cause serious side effects. Stop using psyllium and call your doctor immediately if you experience:

• constipation that lasts longer than 7 days;
• rectal bleeding; or
• severe stomach pain.

Common side effects of psyllium may include:

• bloating; or
• minor changes in your bowel habits.

This is not a complete list of side effects, and others may happen. Call your doctor for medical advice about side effects. You can report side effects to the FDA at 1-800-FDA-1088.

Usual Adult Dose for Constipation:

Daily fiber:Adults 19 to 50 years: Male: 38 g/day; Female: 25 g/dayPregnancy: 28 g/dayLactation: 29 g/dayDose:1 to 2 rounded teaspoonfuls, 1 to 2 packets, 1 to 2 wafers, or 5 to 6 capsules orally with 8 ounces of fluid 1 to 3 times a day

Usual Adult Dose for Irritable Bowel Syndrome:

Daily fiber:Adults 19 to 50 years: Male: 38 g/day; Female: 25 g/dayPregnancy: 28 g/dayLactation: 29 g/dayDose:1 to 2 rounded teaspoonfuls, 1 to 2 packets, 1 to 2 wafers, or 5 to 6 capsules orally with 8 ounces of fluid 1 to 3 times a day

Usual Pediatric Dose for Constipation:

Daily fiber:Children 1 to 3 years: 19 g/dayChildren 4 to 8 years: 25 g/dayChildren 9 to 13 years: Male: 31 g/day; Female: 26 g/dayChildren 14 to 18 years: Male: 38 g/day; Female: 26 g/dayConstipation: Children 6 to 11 years: 1.25 to 15 g orally per day in divided dosesChildren greater than or equal to 12 years and Adults: 2.5 to 30 g per day in divided doses

Since psyllium is used as needed, you might not have a regular dosing schedule. If you miss a dose and it's close to the time for your next dose, skip the missed dose. Do not take two doses at the same time.

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

Avoid breathing in the dust from psyllium powder when mixing. Inhaling psyllium dust may cause an allergic reaction.

If you take psyllium as part of a cholesterol-lowering treatment plan, do not eat foods high in fat or cholesterol or your overall treatment will not be as effective.

Psyllium can interfere with how well your body absorbs other medicines you take by mouth, which may make those medicines less effective. If you take any oral medicines, take them 2 hours before or 2 hours after you take psyllium.

Other drugs may impact psyllium, including prescription and over-the-counter medicines, vitamins, and herbal products. Inform your doctor about all your current medicines and any new medicines you start or stop using.