Colon cleansing with Fortrans. Instructions

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.

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.

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.

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.

Instructions for use

The special specificity of the active substance is indicated in the instructions for use - softening accumulated feces. This causes them to soften and increase in mass, which activates muscle motility and leads to easy bowel movement. The active ingredient of the medicine can cause negative effects, so it is recommended to use the medicine as prescribed by a doctor. Sometimes, in order to prescribe treatment, a doctor requires the patient’s diagnostic results in order to identify contraindications or obtain a basis for using the drug in the treatment plan.

Adults are prescribed Fortrans or Macrogol to completely flush the entire gastrointestinal tract in order to free it from feces and remove toxins.

For adults, such training is prescribed for:

• X-ray examination;
• endoscopic diagnostics;
• sigmoidoscopy;
• surgical interventions on the intestines.

Fortrans can only be used by adults to cleanse the intestines. The instructions specifically state that the use of the medicine for children under 15 years of age is not allowed, that is, until the entire anatomical formation of the entire gastrointestinal tract system has occurred. From the age of 18, it is already possible to safely use Fortrans, as for adult patients. Particular attention is paid in the instructions to the use of laxatives in pregnant women and women during lactation.

There is also a ban on the use of the drug, since there is no data on the results of treatment. However, for special indications, Fortrans can be used for intestinal lavage when complex diagnostic procedures or surgical intervention on the gastrointestinal tract are required. This fact has been proven to be completely safe. This is evidenced by reviews from doctors and patients themselves, based on their own well-being after the procedure.

The drug Macrogol is used for:

• used to cleanse the intestines before MRI;
• to cleanse the intestines before x-rays;
• to cleanse the intestines before RMS;
• before CT.

The practice of its use in these cases shows high efficiency and safety. In addition, complete cleansing of the intestines increases the information content of the diagnostic study.

Adults take the powder orally, dissolved in water. The dosage is calculated as 1 sachet of powder per 15–20 kg of person’s weight. The average daily norm is no more than 2 sachets of the product. It is recommended to take the medication in the evening the day before the examination. If it is necessary to take it again, the solution should be drunk no earlier than ½ hour later. A repeat morning appointment is allowed, at least 2-3 hours before the examination.

When taking other medications simultaneously, Macrogol 4000 reduces their absorption, weakening their effect. As special instructions, the instructions note careful selection of dosages for elderly people, especially those with somatic pathologies. In such a situation, the drug is taken under the supervision of the attending physician.

The powder must be stored at a temperature of no more than 30°C, always out of the reach of children. Shelf life – 5 years.

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.

Undergoing a number of diagnostic procedures for hemorrhoids and gastrointestinal diseases requires a complete cleansing of the intestines on the eve of the study.

Having a powerful laxative effect , the drug easily removes feces, which, if retained in the body, complicate the doctor’s work during the study.

Video:

How to take it correctly?

The package with the powder contains instructions for use for cleansing the intestines and 4 sachets necessary for the procedure.

The contents of 1 sachet are poured into a container with a liter of water.

How to use:

• The use of the solution begins 12 hours before the procedure.
• The reception takes place within 3–6 hours.
• The liquid is absorbed in small sips.

Using it at night will not allow for deep cleaning, especially if the procedure is carried out in the morning.

Weight limit

1 liter of product is designed for 20 kilograms, so for a weight of 75–85 kg, 4 sachets of powder are enough.

In other cases, you need to drink Fortrans with a decrease or increase in dosage:

• with a weight of 60 kg - 3 sachets,
• 100 kg and above - 5 or more sachets.

Taking powder and food

If the procedure is scheduled for the morning, then you should correctly take the colon cleanser according to the following scheme:

• Breakfast is available without restrictions,
• Lunch - no later than 2–3 pm.
• The rest of the time is allocated to cleanse the intestines before colonoscopy using Fortrans in a natural way.

Doctors note the impossibility of eating after the liquid solution enters the body, if a colonoscopy has not yet been performed.

The solution must be consumed after a certain period of time - 1.5–2 hours after the last meal.

Instructions for use of Fortrans, method and dosage

A packet of Fortrans is designed to be dissolved in 1 liter of water. First, the water must be boiled and cooled to room temperature.

Correctly calculate the dosage based on the fact that the dose of 1 sachet is intended for 15-20 kg of human weight.

Therefore, a person weighing 80 kg needs to drink 80/15 = 5.33 sachets or 80/20 = 4 sachets. If the calculation results in a fractional number, then you need to round to whole numbers. That is, a person weighing 80 kg needs to drink 4-5 sachets dissolved in 4-5 liters of water.

Only a doctor can determine the exact dosage, but recently preference has been given to calculating one sachet per 20 kg of weight, that is, on the smaller side. It is better to dissolve each liter separately. The entire solution must be drunk within several hours. You should drink one glass every 15-20 minutes, taking one glass every 5-10 minutes. This is approximately 1 liter per hour.

This medicine should be taken two hours after lunch. During the procedures, eating is strictly prohibited until the morning. You can drink water without gases.

What to replace: analogues

Almost 600 rubles - this price for Fortrans can put off a prudent patient, so some patients, after a colonoscopy, are looking for an affordable analogue.

Fortrans analogues:

• Forlax. 10-gram bags (20 pieces), like Fortrans , are made in France, but cost from 310 to 340 rubles .
• Duphalac. Syrup (15 ml) in 10 sachets from a German manufacturer costs 310–335 rubles .
• Lavacol. Domestic laxative includes 15 sachets of powder and costs between 180–230 rubles .
• Magnesium sulfate. An economical option - its price will be from 40 to 60 rubles per 25-gram sachet.

These products can be used to replace Fortrans for colon cleansing with great savings for your personal budget.

Reviews

Tatyana, 40 years old: “I had pain in the lower abdomen of unknown origin, so after a huge number of tests I was prescribed a colonoscopy. The doctor immediately warned me that I needed to take Fortrans. The effect turned out to be excellent: everything unnecessary came out quickly, and I didn’t even have to use an enema. Now I know the reason for the discomfort.”

Victor, 59 years old: “Lately I have been tormented by constipation, and other remedies did not help. Fortrans weakens effectively, and there is no diarrhea after the course. I didn’t even consider various analogues of Fortrans, because I am completely satisfied with the product.”

Marina, 24 years old: “I bought Fortrans after an unsuccessful colonoscopy, during which excess masses remained in the intestines. The doctor sent me back because the visibility of the camera was impaired. I don’t use enemas anymore, I only buy Fortrans. With him, I’m sure I won’t waste my time in vain.”

Fortrans belongs to the group of laxatives designed to effectively and quickly cleanse the intestines in the shortest possible time. This pharmacological effect of the drug is especially in demand before colonoscopy or surgical procedures. You can find out how to take Fortrans correctly in the detailed instructions attached to the package. But the advisability of using the drug is determined only by a doctor, since the laxative has a significant number of contraindications and exhibits side effects.

Characteristic features of the drug use

Fortrans is one of the few laxatives that, after administration, ensure complete evacuation of feces from all parts of the intestines. The undoubted advantage of the drug is the ability to carry out the cleansing procedure yourself at home without the use of an enema or an Esmarch mug.

Taking Fortrans allows you to empty your bowels without experiencing painful cramps in the lower abdomen.

Recommendation: “Fortrans solution has a specific taste, which most patients find unpleasant. Even the passionflower extract included in the drug is not able to improve the situation. To eliminate nausea and vomiting, you should take the medicine with a small amount of juice made from any citrus fruit (lemon, grapefruit, orange).”

Fortrans powder is not suitable for frequent use. Some alternative medicine practitioners recommend using this laxative for weight loss. Indeed, after such a high-quality intestinal cleansing, body weight decreases slightly. But this occurs solely from the excretion of feces. Frequent use of Fortrans will cause:

• reducing the body's resistance to viral and bacterial infections;
• disturbances in the absorption of nutrients and biologically active substances;
• development of water-electrolyte imbalance.

The French manufacturer produces Fortrans in the form of a white, easily water-soluble powder, packaged in bags weighing 64 g. The secondary packaging of the laxative is a cardboard box, inside which there are 4 bags and instructions for use. The drug should be stored at room temperature, away from direct sunlight.

How does a laxative work?

Unlike most drugs, Fortrans completely cleanses the digestive tract of food residues and feces at various stages of formation. Systemic laxatives and solutions used for enemas remove only formed fecal matter. At the same time, significant contamination remains in the upper intestine. This can distort the results of endoscopic and instrumental studies and complicate surgical operations.

Pharmacodynamics

The active ingredient of Fortrans is macrogol 4000. The chemical compound has a large number of useful properties:

• not absorbed by the walls of the gastrointestinal tract;
• does not enter the systemic circulation;
• does not have a negative effect on other internal organs.

From the stomach, the laxative solution easily penetrates into the intestinal cavity, where its therapeutic activity is manifested. Macrogol belongs to high-molecular polymer compounds and is polyethylene glycol in its chemical structure.

The principle of action of Fortrans is that the active substance attracts fluid that is in the intestines. Macrogol rapidly increases in size and swells, which causes an increase in the volume of feces. The load on the intestinal walls increases, which begin to contract in waves, pushing feces towards the anus. Portion intake of Fortrans allows you to avoid too strong an effect on the intestines, so the evacuation of feces is not complicated by pain or damage to the mucous membranes.

Pharmacokinetics

Some patients have difficulty using Fortrans solution. The fact is that, according to the instructions, one powder is diluted in 1000 ml of water, and a person of average weight needs to drink 3-4 liters of liquid to completely cleanse the intestines. But this method of use also has its advantages. Macrogol attracts only water from the prepared solution, without adsorbing liquid molecules from the digestive tract. This allows you to avoid the development of dehydration and loss of microelements necessary for the functioning of the body.

Moreover, manufacturers have added mineral compounds to the dosage form containing:

They are necessary to prevent the development of water and electrolyte imbalance. Such substances provide the sour-sweet-salty taste of the solution. Macrogol is not metabolized during passage through the gastrointestinal tract. After swelling, it leaves the human body unchanged along with feces.

How to take Fortrans

According to the instructions, bowel cleansing with Fortrans depends on the indication for use:

Dosage, rules of administration according to the scheme

Treatment of constipation of various etiologies

Dilute the contents of the sachet in a liter of water, wait for complete dissolution, drink in a dose of 1 liter per 15-20 kg of body weight (3-4 liters in total) in portions of 1 or 2 stages. Take once.

Before colonoscopy or X-ray (irrigography) examination of the intestinal condition

In the evening before the procedure, take 3-4 liters at a time in the evening or with an hour break after taking the first 2 liters

3 l in the evening, 1 l in the morning, take 1-1.5 l per hour (250 ml every 10-15 minutes)

Take 2 liters in the evening before surgery and 1-2 liters on the day of the procedure, take the last dose 3-4 hours before the procedure

It is useful to study the special instructions for use in the instructions:

The rate and dosage can be adjusted by the doctor depending on the patient’s condition. If kidney function is impaired, the dose does not change. The product should not be used in children under 18 years of age, with caution in the elderly. At least 2 hours must pass between taking Fortrans and other oral medications, otherwise the latter will be absorbed and have no effect on the body. The product contains polyethylene glycol, which can lead to the development of allergies, anaphylactic shock, rash, urticaria, and angioedema. In some patients, taking the drug caused water-electrolyte imbalances and acute pulmonary edema due to its isotonic composition. At risk are patients with dehydration, electrolyte abnormalities, taking medications that contribute to the risk of developing hypokalemia or hyponatremia, with heart failure, renal failure, and using diuretics.

Fortrans can cause aspiration pneumonia in patients prone to aspiration and bedridden, with neurological disorders, motor disorders

The medicine is administered to them in a sitting position through a nasogastric tube. The contents of one sachet contain 1.967 g of sodium. The product should be used with caution in pregnant women and breastfeeding mothers. It is not known whether it affects fertility. There is no evidence that taking the powder interferes with the control of vehicles or machinery. The product is used only once, it cannot be taken for a long time due to the risk of dehydration and loss of electrolytes, vitamins, proteins and fats important for health. The medicine does not have the most pleasant taste, so to prevent nausea and vomiting, you can wash it down with a tablespoon of orange or lemon juice, or eat slices of these citrus fruits. A few days before taking Fortrans you need to avoid foods rich in fiber.

On the day of using the drug, eat a light meal, scrambled eggs, scrambled eggs, porridge, and refuse lunch. After taking the medicine, you need to drink more water so that it flushes any remaining medication from the body. Using an effective medication at an affordable price for weight loss is very dangerous, because it is not fats that are lost, but water and electrolytes. Long-term use of laxatives threatens exhaustion of the body and immunodeficiency. A single use of the drug does not have a detrimental effect on the intestinal microflora. Taking the product too often can result in the development of dysbiosis due to the leaching of beneficial bacteria along with toxins. To prevent this from happening, you need to start using prebiotics at the same time as Fortrans.

Indications for use

In the annotation for the drug, manufacturers indicate that the use of Fortrans powder is possible only in preparation for an examination or surgical procedure. The laxative is not intended to treat acute or chronic constipation. Such use is not only inappropriate, but also dangerous. Fortrans has such a powerful effect that its use for the treatment of constipation will cause a decrease in the functional activity of the entire gastrointestinal tract. When is the drug needed:

• before performing endoscopic or x-ray procedures, which include colonoscopy, rectoscopy;
• at the stage of preparation for various surgical operations.

A single use of Fortrans cleanses the intestines much faster and more effectively than using several enemas with saline solutions or warm water.

Warning: “During the cleansing procedure, beneficial microbes leave the body along with feces, which can cause the development of dysbiosis, indigestion, and flatulence. Doctors recommend a few days after intestinal lavage to undergo a course of treatment with eubiotics containing lacto- and bifidobacteria.”

Difficult environmental conditions, a sedentary lifestyle, irregular and unbalanced nutrition cause slagging in the gastrointestinal tract and deterioration in human well-being. Fortrans can be used for regular cleansing procedures to get rid of accumulated toxic compounds. But such therapeutic manipulations cannot be performed more than three times a year.

Contraindications for use

Taking Fortrans is strictly contraindicated in the following cases:

1. Complete or partial intestinal obstruction.
2. Pathology of the large intestine with concomitant damage to the mucous membranes.
3. Individual intolerance and hypersensitivity to polyethylene glycol.
4. Dehydration of the body.
5. Malignant tumor neoplasms localized in the rectal area.
6. Kidney pathologies.
7. Narrowing of the gastric lumen.
8. Ulcerative lesions of the gastrointestinal tract.

This product is also not recommended for use by breastfeeding mothers, women expecting the birth of a baby, or young patients under 15 years of age.

Contraindications and side effects

Fortrans should not be used in patients with individual sensitivity to macrogol and the auxiliary ingredients of the laxative. In such people, taking the drug will provoke the development of allergic reactions such as urticaria - skin itching, rashes and swelling. Also, absolute contraindications to the use of Fortrans include:

• state of dehydration due to intestinal, respiratory infections or developed for another reason;
• pathological expansion of the lumen of the colon;
• general serious condition of the patient caused by a chronic disease of one of the vital systems;
• malignant neoplasms of the large intestine;
• ulcerative damage to any part of the gastrointestinal tract;
• erosive lesions of the digestive organs;
• children under 15 years of age;
• violation of the integrity of the walls of the gastrointestinal tract;
• inability to move intestinal contents to the anus;
• congenital or acquired predisposition to intestinal obstruction;
• stenosis of the pylorus of the stomach and duodenum.

Fortrans is not used to cleanse the intestines of patients with serious pathologies of the urinary organs. The use of a laxative means consuming a significant amount of liquid, and this will negatively affect the condition of a person whose kidneys cannot cope with the functions of filtering, concentrating and excreting urine. Despite the absence of painful spasms and absorption of macrogol in the intestines, the use of Fortrans by pregnant women is prohibited.

Often, taking a laxative provokes the development of dyspeptic disorders. A person experiences nausea, rumbling and seething in the stomach, and a feeling of fullness. As a rule, these negative symptoms of excess gas disappear immediately after defecation.

fortrans before colonoscopy

So, when I faced the inevitable prospect of laparoscopy, the first thing I needed to prepare was, of course, tests and conclusions that I needed to take with me to the hospital

(1) General blood test + hemosyndrome (2) General urine test (3) Vaginal smear (4) ECG (5) Cystology smear (6) Blood for RW, HIV, hepatitis (HBS, HSV) (7) Fluorography ( 8) Blood group, RH factor (9) Biochemical blood test (bilirubin, cholesterol, urea, total protein) (10) Blood sugar (11) Consultation with a mammologist (12) Consultation with a therapist (13) Blood for oncology markets CA-125, CA — 19.9 (14) Sigmoidoscopy (15) Gastroscopy (16) Doppler ultrasound of the arteries of the lower extremities (17) Insurance policy (18) Referral from the antenatal clinic (19) Passport
Tests for surgery are valid for a month - points 4-16, ten days - points 1-3
.
All medical reports, fluorography, sigmoidoscopy, gasteroscopy, ultrasound examination must have two seals
. One is a doctor, and the other is a branded clinic where the study was conducted. I advise you to make copies of all this wealth before transferring the originals to the hospital for commission and keep them for yourself. Many tests are valid for a year.

I will dwell on some points in more detail. So, to save money, I went to the district antenatal clinic and asked for a referral for tests. As a result, looking ahead, I must say that 30% of my tests were lost or were not done on time. The result was that it had to be redone in a paid laboratory.

If you do everything at a local clinic, then first you need to get a referral from a general practitioner to a mammologist, have a cardiogram done (which will be expired at the time of the operation), so that the general practitioner gives permission for gastroscopy. The mammologist will give his opinion only if an ultrasound scan of the mammary glands is available. Having collected all the reports, including from the gynecologist, you again go to the therapist, who writes you the last report - his own) And, of course, take the cardiogram again. A month full of joyful and nervous running around is guaranteed to you. Congratulations )

Blood for oncology markets
CA-125 and CA - 19.9
CA-125 is the main marker of ovarian cancer and its metastases. As a rule, it shows changes in the ovaries. It is recommended for everyone who has tumors in the ovaries, including cysts. Those who have had them should also do it periodically in the future.

CA 19.9 is a marker for pancreatic cancer. They look because your ovaries are located next to your intestines and everything is close to each other.

Sigmoidoscopy

- check the rectum by inserting a tube with an eyepiece into the anus. It sounds scary, but in reality it is tolerable and does not cause falling. It is important to prepare properly:

Option "Fortrans"

- one sachet dissolves in one liter of water and you drink it all, then enjoy, sitting on your white friend, cleansing the intestines. It caused severe intestinal irritation in me, and the procedure had to be cancelled.

Option "Mikrolaks"

— microenemas for one-time use. It is even used in infants. Tried it a second time

Option "Granny's enema"

- turned out to be the most easily tolerated, because nothing gets irritated or comes out unnaturally. You lie in the bath on your side, thinking about the eternal)

Sometimes it is suggested to replace sigmoidoscopy with colonoscopy

- I don’t recommend it, since in the first case only the rectum is visible, at a fairly close distance, and in the second, the total length of the colon is 120-150 cm.

Gastroscopy

- examination of the esophagus, stomach cavity and duodenum using a special instrument - gastroscope, inserted into the stomach through the mouth and esophagus. The procedure is carried out strictly on an empty stomach. It didn’t evoke any strong emotions in me, despite my impressionability.

How to take medicine correctly

Before drinking Fortrans to cleanse the intestines, you should carefully read the attached instructions. If the doctor has not prescribed individual single dosages, they are determined according to the person’s weight. One powder, diluted in a liter of warm water, is designed for 20 kg of body weight. Typically, a package of laxative is enough to completely cleanse the intestines of a person weighing about 80 kg. The procedure can be carried out in two ways:

• Prepare the entire medicinal solution immediately. The dilution should be drunk within an hour, drinking a glass of liquid with short breaks;
• Divide the solution into two parts. Diagnostic procedures are carried out in the morning or lunchtime, so half of the dilution must be drunk in the evening. The remaining amount of laxative should be consumed 3-4 hours before the examination or surgery.

The second method is preferable to the first, since even a strong, large man has difficulty drinking 3-5 liters of laxative solution.

No special preparation is required before using Fortrans colon cleansing powder. You just need to exclude fried, salty, and spice-rich foods from your diet. They will provoke fluid retention in the body, reduce the therapeutic activity of the solution, and contribute to the development of dehydration. But during the procedure, you should completely stop eating food due to the possible too frequent urge to defecate.

Patients with chronic diseases should take into account that taking various pharmacological drugs will not be effective. You need to consult with your doctor about the current situation. He will adjust single and daily dosages or replace Fortrans with a more gentle laxative.

How to take Fortrans for weight loss

According to the instructions, to prepare 1 liter of isotonic laxative solution you will need 1 sachet of powder. The daily dose of Fortrans for weight loss is determined at the rate of 1 liter of solution per 20 kg of body weight. It can be drunk over 4 hours, one glass at a time, or divided in half, in the evening and morning. The drug begins to act approximately 1.5 hours after taking the first portion, the urge to defecate continues until the intestines are completely empty, this takes from 3-4 to 12 hours. Therefore, it is advisable to carry out the cleaning procedure on a day when you can not leave the house.

On the day of taking the laxative, you are only allowed to drink (sugary drinks are not prohibited). The first day after cleansing the intestines, it is recommended to eat cereals, vegetables, and not eat heavy or fatty foods. It is even better if the menu for this day consists of boiled rice, this will avoid diarrhea and strengthen the stomach. To restore beneficial microflora, it is recommended to take probiotics and prebiotics for 7-10 days - preparations containing live microcultures of bifidobacteria and lactobacilli and stimulating their growth.

Attention! A single dose of Fortrans is equivalent to several enemas in terms of cleaning efficiency. In this case, a person loses 2-3 kg of weight due to complete bowel movements. It is recommended to carry out such a weight loss procedure no more than 3-4 times a year, since it removes from the gastrointestinal tract not only “production waste”, but also the natural microflora necessary for the normal functioning of the digestive organs.