In preparation for colonoscopy and other diagnostic procedures, as well as before operations, it is necessary to carry out a complete cleansing of the intestines. For this purpose, laxatives are used, for example, the drug “Fortrans”. It is produced in the form of a powder, which is dissolved in water and taken orally in large volumes of 2 to 4 liters.
"Fortrans": active substance and description
The drug contains the component macrogol 4000 - this is an active substance that gives a laxative effect. The composition also includes additional components - potassium chloride, sodium chloride, sodium sulfate and others. The product is produced in the form of a powder, from which an aqueous solution is prepared for oral administration.
The active component macrogol 4000 is an organic polymer that retains water molecules. This leads to an increase in osmotic pressure and intestinal content volume. Thanks to this, stool moves better, which leads to natural bowel movements.
The drug is stored under normal room conditions at a temperature of no more than 30 degrees without direct sunlight. Access for children is excluded. The shelf life is 5 years; after this time, the powder should not be used.
Active ingredients
You can easily notice that the composition of “Fortrans” or “Endofalk” is similar. Both preparations use Macrogol, only in Fortrans it is the high-molecular substance Macrogol 4000, and in Endofalk it is the high-molecular substance Macrogol 3350.
“Macrogol 3350” is a second-generation substance with a reduced molecular weight. The molecules of this substance are less irritating and damage the mucous membrane of the distal (final) parts of the colon and rectum. Endoscopists often record so-called hemorrhagic proctosigmoidopathy (bruising or focal redness on the mucous membrane of the rectum and sigmoid colon) after using drugs based on Macrogol, which was quite common when preparing Fortrans.
The next feature of the composition is that Endofalk does not use sodium sulfate, which is responsible for the unpleasant, salty-bitter taste of drugs such as Fortrans, Moviprep, Pikoprep.
Indications and contraindications
"Fortrans" is mainly used for bowel movements on the eve of research:
- X-ray;
- endoscopy;
- colonoscopy;
- irrigoscopy;
- preparation for intestinal surgery.
In some cases, the use of the Fortrans laxative is excluded:
- malignant tumors, chronic diseases of the large intestine, in which damage to the mucous membrane is observed;
- intestinal obstruction – both complete and partial;
- heart failure (severe form);
- dehydration;
- age up to 14 years inclusive;
- individual sensitivity to polyethylene glycol, allergic reactions.
Effect of the drug
The powerful laxative effect of Fortrans is caused by macrogol, a substance with many intermolecular bonds.
Due to them, it is able to attract water to itself and retain it. Thanks to this property, macrogol swells, increasing the total volume of the contents of the entire intestine. As soon as the feces reach the ampulla of the rectum, the person feels the urge to defecate and empties.
It is noteworthy that thanks to Fortrans it is possible to cleanse all parts of the intestines, including the upper ones, and this cannot be done by any enema or conventional laxatives. The effect of the drug begins one and a half to two hours after administration, but the urge to defecate will continue to bother you for another 6 to 12 hours.
We recommend reading about laxatives for weight loss. You will learn about the types of laxatives and the principles of their action, proven folk and newest means for losing weight. And here is more information about the drug Bilayt for weight loss.
Instructions for use "Fortrans"
The product is used in the form of a solution: 1 sachet of powder per 1 liter of water at room temperature. This amount is enough for 20 kg of weight. Accordingly, an adult will need to drink 3-4 liters of solution.
The drug should be taken on the eve of the operation, i.e. In the evening. The dose can be divided into 2-3 parts of 1.5-2 liters. Moreover, the last appointment should take place no later than 3-4 hours before the operation or examination.
Important!
Before using the medicine on the eve of a colonoscopy and other procedures, it is recommended to consult a doctor to clarify the dosage and frequency of administration.
How to take Fortrans for weight loss
If the decision to lose weight with the help of the drug is still made, then you need to know the regimen for taking it. First of all, you need to take care of two days off: on the first day there will simply not be a “technical” opportunity to move away from the toilet, and on the second day severe weakness and even dizziness will appear. The next point is that you need to drink the drug solution 2 hours after eating, but you should not do this on an empty stomach.
1 sachet of powder is diluted in a liter of clean water, the resulting amount is drunk within an hour. It will be easier if you drink a glass of “drink” every 15 minutes. On this day you should not eat anything (after taking the drug), but you can drink sweet tea, compotes, fruit drinks and juices. Those who have already taken the drug warn that you need to prepare a basin in advance and place it next to you - the taste of the “drink” is so unpleasant that it provokes vomiting.
The next day you can eat only boiled rice without salt and oil. To do this, boil 1 glass of raw cereal in 3 glasses of water and eat the resulting amount of porridge per day, dividing it into small portions. Rice must be present in a weight loss regimen with Fortrans, as it prevents diarrhea.
You will need to take probiotics for the next 7 days. This could be Bifidumbacterin, Linex or Bifiform. This point is also mandatory, since cleansing the intestines is so complete that, along with fecal deposits, it also removes normal microflora from it.
This cleaning can be done only 2 times a year, although some people who are losing weight do it once a week. This is unacceptable, as it is fraught with serious complications and disruption of the intestines - colitis, enteritis, lack of vitamins, constipation will certainly appear.
The only benefit of such a cleanse, according to nutritionists, is that it makes it easier to enter into a diet. Therefore, Fortrans can be taken before switching to a low-calorie diet.
special instructions
The drug should be taken with extreme caution in old age, as well as during pregnancy. You can drink the solution only in cases of extreme necessity. During breastfeeding, use is carried out only if there are appropriate indications. The medicine is not used in children, but adolescents from 15 years of age can take it in the same dosage as adults.
When using the drug, you need to stay at home for 24 hours. After bowel movement and the procedure, a short-term diet based on boiled rice is indicated. You can also take fermented milk products containing bifidobacteria and lactobacilli (yogurt, kefir and others).
FORTRANS (powder)
Ter starts yelling in your ear, you suddenly jump up from your chair and run headlong to the clinic, begging for a coupon for a colonoscopy.
Usually they give me direction immediately and unconditionally when they see my half-moon round eyes. At this moment, actress Sarah Bernhardt is in action. The coupon is in hand, now the task is to prepare well. I run to the pharmacy and buy the French colon cleanser Fortrans.
At the clinic, along with a coupon for such an unpleasant procedure, I was given preparation instructions, there was a detailed description in black and white of how to drink Fortrans. Several years ago I already underwent this hellish colonoscopy and I know that in order for the study to be of high quality, you need to be well prepared so as not to miss the “enemy”. I’ll definitely share my feelings about having it done to me, just laugh out loud. But today the highlight of the Fortrans program.
Four years ago I tried this remedy for the first time and I can say with confidence that it is quite effective, but on the other hand, it is the most disgusting potion for cleansing the intestines. Just be-be-be. As for the Esmarch mug, it’s the last century, and there’s no certainty that the intestines will be crystal clear. Personally, I find it problematic to pour two liters of liquid into myself at once, and then writhe in pain. Fortrans, I note, copes with its task more gently and naturally! A little later I will tell you how to drink THIS so as not to feel sick.
Four years ago, during an examination, a “small, round pink polyp” was discovered in my beautiful colon - I quote the words of the doctor.)) I love positive doctors! Of course, it could have been removed during the examination, but the colonoscope used to perform the procedure did not have this option.
And now four years have passed. I even forgot that I had THERE... But a couple of weeks ago I suddenly felt that it hurt to sit on my butt. I examined the entire women's sphere inside and out - everything is fine. I remembered about the polyp. And away we go... Every day the pain intensified. Psychosomatics in action is powerful! As a rule, immediately on the Internet, all the symptoms of a SCARY nature are obvious.
In conditions of growing psychosis, even Fortrans will seem like a miraculous magic elixir!
The examination was scheduled at 15:00. This is the most convenient time for the procedure, as you have time to prepare calmly and without fanaticism. This eliminates the need to get up at 5 am to take the second portion of the product.
IMPORTANT. It is better to prepare for taking Fortrans in advance, three days in advance. A proper diet is an important condition for Fortrans cleansing to be successful.
APPOINTMENT SCHEDULE, if scheduled for 15:00 the next day.
On the day of taking Fortrans, it is not necessary to starve yourself. You can treat yourself to a light breakfast until 15:00 - coffee with milk, omelet, low-fat kefir. My favorite doctor recommended this to me.
Cleansing with Fortrans is divided into two stages. You need to drink 4 liters of this liquid! Last time I was so sick that I couldn’t handle 4 liters and limited myself to 3. This CANNOT be allowed, otherwise the cleaning will not be perfect. Tested by my own experience!
The first stage of administration is carried out on the eve of the examination at 18:00-20:00, you need to drink 2 liters of FORTRANS (8 glasses), first dilute 1 sachet in 1 liter. water. It is better to dilute immediately before taking liquid and drink every 15 minutes.
The second stage is on the day of the examination. 07:00 - 09:00, - another 2 liters of liquid (8 glasses), every 15 minutes. This is an approximate reception schedule. I didn't always stick to the exact time. When I felt very sick, I took a break for 20-30 minutes.
SO WHAT SHOULD YOU DO TO NOT SICK? HOW TO DRINK 4 LITERS OF SOLUTION?
I approached this issue creatively. I simply reduced the amount of powder, i.e. I did not add the entire contents of the bag to a liter jar of water, leaving about 1 cm of powder. The solution was not as intense and less disgusting, but it worked as it should. I think this can be done provided that you follow a diet and your intestines are not clogged. Just limit yourself to what you eat before cleansing with Fortrans. This time I didn’t even have any cramping in my stomach. Although I repeat once again, this was a real test for me. When the intensity went off scale and I was vomiting, I diluted the contents with water. A couple of times the liquid I drank still poured back out. If this happens, there is no need to panic. You can take a small sip of homemade apple compote and continue the cleansing procedure after 30 minutes. Better yet, pour this cloudy water into a crystal glass (200 ml) and call your best friend. Time flies faster during a pleasant conversation. When I told my friend that I was cheating a little with the dose, she threatened me with her finger. We just laughed at the situation.
WHAT NOT TO DO. After the first stage of cleaning, a crazy decision came to mind to continue the second morning stage with an Esmarch mug. Should not be doing that. The attempt was unsuccessful, discomfort began and I continued to drink Fortrans according to my evening regimen.
True, three hours before the procedure, I gave a small enema. Just in case. The water after purification will not be white, rather amber is the norm.
The RESULT exceeded all my expectations! After cleaning with Fortrans, I saw my intestines on the screen. It was a work of art! Pink, shiny, not a single extra speck of dust or speck. And my little polyp, as in the song “As you were, so you remain...” He hasn't grown in these four years. It was simply removed upon release! Everything happened before my eyes. I didn't even feel it. Marvelous!
“What a beautiful intestine you have and a beautiful little polyp. I was!” Marina Anatolyevna Ryabova, the best and most positive gastroenterologist-endoscopist in Moscow, said with a smile. Hearing this was a great happiness. How the research was conducted is a different story! I'll definitely tell you someday.
And the fact that it hurt me to sit on my butt was purely nervous, said Marina Anatolyevna.)
AND ELSE, a very important note, especially for tablet lovers. Do not rush to stuff yourself with various expensive medications to restore microflora. It is clear that after Fortrans, all beneficial bacteria are washed out. Wait a little, these bacteria will slowly settle in, the stool will definitely return. The main thing is not to be nervous. Everything got better for me after three days. Kefir, curdled milk, fresh vegetables and fruits will help you!
Long live the intestines! Take care of him! Love it! And if in doubt, be bold and go ahead!
Indications for use
Doctors recommend taking the drug if the following indications exist:
- Constipation.
- Preparation for endoscopic examination of the intestine, colonoscopy.
- Planned surgical intervention on the intestines or adjacent organs of the gastrointestinal tract.
- The period of preparation for irrigoscopy.
This product is also actively used for the purpose of losing weight, allowing you to cleanse the body, eliminate puffiness and swelling by removing excess fluid. The medicine is especially effective as an addition to diet therapy and physical activity.
Colon cleansing with a drug before colonoscopy
Fortrans is one of the most effective means used to cleanse the intestines before a colonoscopy.
Preparation is carried out according to the following scheme:
- The day before the study, at 5 pm, you should dilute 2 sachets of Fortrans in 2 liters of warm water. The entire solution should be consumed within 2 hours, taking the medicine 1 glass every 15 minutes.
- On the day of the procedure, repeat taking 2 liters of solution immediately after waking up, from 7 to 9 am.
The medicine allows you to completely cleanse the intestines of feces and prepare for a colonoscopy, avoiding the unpleasant procedure of performing enemas.
Reviews of those losing weight
Having gained a couple of kilograms, I decided to get to know myself. In addition to diet and sports, I also included intestinal cleansing in the program, using the drug Fortrans. The taste is not pleasant, but it can be easily neutralized with lemon juice. I only lost a kilogram, but since my goal was to cleanse the intestines, I’m quite happy with the result. Grade:
Tamara
A good and budget product. I always take it before a diet, and thanks to this combination I have already been able to lose 10 kg! Grade:
Lydia
I used Fortrans as a means of emergency weight loss. I lost 3 kg in a day and achieved the effect of a perfectly flat stomach. At an important event she looked like a queen, however, after a short time her former weight returned. Grade:
Elena
I periodically take Fortrans to cleanse the intestines. Of course, the drug tastes terrible, and you have to spend almost a day in the toilet. But the result (minus 3-4 kilograms) is worth it! Grade:
Anna
I tried many products to cleanse the intestines, but I liked Fortrans the most. My weight has dropped by 4 kilograms! Although, of course, fat reserves remain in place, so I try to combine the product with proper nutrition and exercise. Grade:
Lyudmila
I tried Fortrans, but I couldn’t evaluate its effectiveness, because after every sip I began to vomit horribly. Grade:
Ksenia
The first time after taking the drug, my stomach hurt and I suffered from flatulence. But then, after warming up and a light massage, the remedy worked. My result was 2 kilograms. A nice bonus is an additional cleansing of the intestines. Grade:
Valeria
Cost of the drug
The cost of the drug Fortrans in Russian pharmacies is 450 - 670 rubles. In Ukrainian pharmacy chains, this product can be purchased for 230−300 UAH.
Fortrans is an effective mild laxative that allows you to cleanse the intestines, lose a few kilograms and prepare the body for further weight loss.
However, it is recommended to use the drug in moderation, in recommended dosages and after prior consultation with your doctor, in order to avoid possible adverse reactions.
Pros and cons of colon cleansing
Colon cleansing has the following benefits:
- Detoxification effect, removal of waste and toxins from the body.
- Elimination of edema and swelling.
- Weight loss by 3-5 kilograms in a short period of time.
- Normalization of stool, elimination of constipation.
- Strengthening intestinal motility.
Cleansing the intestines with this product also allows you to increase the effectiveness of diets, workouts, and other methods of losing weight.
However, bowel cleansing with Fortrans also has a number of disadvantages, which include the following:
- Bloating
- Pain syndrome.
- Decreased muscle tone.
- Increased gas formation.
- Slowing down metabolic processes.
- Intestinal atony.
- Mechanical damage to the large intestine.
However, most of the problems listed above can be avoided by taking the drug occasionally, in the recommended dosage. In addition, patients often complain of an unpleasant taste of the solution and a decrease in the effectiveness of other drugs when used simultaneously.
