Cremalax Liquid (Sodium Picosulfate 5mg/5ml): Complete Medicine Guide
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026
When to Call Your Doctor IMMEDIATELY
- Severe or worsening abdominal pain
- Blood in the stool or vomiting blood
- Persistent vomiting or inability to keep fluids down
- Signs of dehydration such as very dry mouth, reduced urine, or dizziness on standing
- Muscle weakness, cramps, or irregular heartbeat
- Swelling of the face, lips, or throat, or difficulty breathing
- No bowel movement at all with increasing abdominal bloating and pain
If experiencing severe symptoms, call emergency services immediately.
What is agelax 5mg oral suspension used for?
This medicine is an oral stimulant laxative containing sodium picosulfate 5 mg/5 ml. It is used for short-term relief of occasional constipation and, under medical supervision, for bowel preparation before certain procedures. It usually works within 6 to 12 hours and should not be used for long periods without medical advice.
- Generic Name: Sodium Picosulfate
- Manufacturer: Agex Laboratories Pvt Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 agelax 5mg oral suspension के बारे में (Hindi Summary)
उपयोग: यह दवा मुख्य रूप से कब्ज़ (क़ब्ज़) के अल्पकालिक इलाज के लिए इस्तेमाल की जाती है। यह आंतों को हल्के से उत्तेजित करके मल त्याग को आसान बनाती है। कुछ मामलों में डॉक्टर इसे किसी जाँच या प्रक्रिया से पहले आंत साफ़ करने के लिए भी लिख सकते हैं। इसे डॉक्टर की सलाह के बिना लंबे समय तक नहीं लेना चाहिए।
साइड इफेक्ट्स: आमतौर पर पेट में हल्की ऐंठन, दस्त, जी मिचलाना और शौच जाने की तेज़ इच्छा हो सकती है। अगर दस्त बहुत ज़्यादा हो, उल्टी हो, चक्कर आएँ, मांसपेशियों में कमज़ोरी महसूस हो या दिल की धड़कन अनियमित लगे, तो तुरंत डॉक्टर से मिलें। कभी-कभी एलर्जी के कारण चेहरे या गले में सूजन, साँस लेने में तकलीफ़ या त्वचा पर दाने भी हो सकते हैं।
सुरक्षा सलाह: इस दवा को सिर्फ़ डॉक्टर की बताई गई मात्रा और अवधि तक ही लें। अपने आप मात्रा न बढ़ाएँ, क्योंकि इससे गंभीर दस्त और शरीर में पानी व नमक की कमी हो सकती है। दिनभर पर्याप्त पानी पिएँ। अगर पेट में तेज़ दर्द, उल्टी, मल में खून या पेशाब कम आना जैसी समस्या हो, तो तुरंत डॉक्टर से संपर्क करें। गर्भवती महिलाएँ, स्तनपान कराने वाली महिलाएँ और बुज़ुर्ग इस दवा का इस्तेमाल डॉक्टर से पूछकर ही करें।
💊 agelax 5mg oral suspension Uses & Benefits
[{"condition":"Occasional constipation","description":"This medicine provides short-term relief of infrequent bowel movements by stimulating colonic contractions and promoting stool passage.","evidence":"Well-established"},{"condition":"Bowel preparation before procedures","description":"When prescribed as part of a supervised bowel-cleansing regimen, this medicine helps empty the colon before certain diagnostic or surgical procedures.","evidence":"Well-established when used under medical supervision"},{"condition":"Constipation associated with opioid therapy","description":"Sometimes used as part of a clinician-directed bowel regimen in patients who develop constipation while taking opioid pain medicines.","evidence":"Moderate, typically as an add-on under medical guidance"}]
Off-label uses: [{"condition":"Chronic idiopathic constipation","description":"May be used for longer periods in selected patients only under close medical supervision, with regular review of need and electrolyte status.","evidence":"Limited; long-term stimulant laxative use is generally discouraged without specialist guidance"}]
Primary treatment for: Constipation
Also treats: Opioid-induced constipation, Constipation-predominant irritable bowel syndrome (selected cases under medical guidance)
📋 Drug Information
| Generic Name(s) | Sodium Picosulfate |
| Brand Name | Alpicno 5mg/5ml Syrup |
| Manufacturer | Agex Laboratories Pvt Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | GASTRO INTESTINAL |
| Action Class | Stimulant laxatives/purgative |
| Route of Administration | Oral |
| Storage | Store at room temperature, between 15°C and 30°C, in the original tightly closed container. Protect from direct sunlight and keep away from heat. Do not freeze unless the label specifically says it is acceptable. |
| Shelf Life | Refer to the expiry date printed on the bottle. Do not use after the expiry date. Once opened, follow the manufacturer's instructions on the label regarding how long the liquid may be kept. |
| WHO Guideline | Not established from the available information. Sodium picosulfate may be included in some national bowel-preparation protocols, but a specific WHO recommendation for this product is not established here. |
| ICMR Guideline | Not established from the available information. |
👨⚕️ Doctor's Practical Tips
Evidence-based practical advice from experienced clinicians
🔍 Is This Medicine Right for Your Symptom?
Educational reference. Always consult a doctor for diagnosis.
🔬 How This Medicine Works (Pharmacology)
Pharmacokinetics
How It Works
Sodium picosulfate is a stimulant laxative that acts locally in the colon after being activated by colonic bacteria. It is converted into an active metabolite that directly stimulates the enteric nervous system in the large intestine, increasing propulsive contractions and reducing water absorption. This results in softer stool and a stronger urge to pass stool. Because it acts mainly in the colon, its effects are usually felt within several hours after an oral dose.
Mechanism Steps
💡 How to Take agelax 5mg oral suspension
Strength: Oral liquid containing sodium picosulfate 5 mg per 5 ml.
Dosage Information
| Adult Dosage | The usual adult dose of this liquid is 5 mg to 10 mg (5 ml to 10 ml of the 5 mg/5 ml solution) taken once daily, preferably at bedtime, for short-term relief of constipation. Some clinicians may advise a different dose for bowel preparation before a procedure. The dose must be individualized by a qualified clinician based on the indication, age, weight, kidney and liver function, and response. Do not exceed the dose recommended by your doctor. |
| Pediatric Dosage | Pediatric dosing is not established from available information for all age groups. This medicine should only be given to a child if a pediatrician or qualified clinician has prescribed it and provided the exact dose. Do not use adult doses in children. |
| Elderly Dosage | Older adults may be more sensitive to fluid and electrolyte loss. Use the lowest effective dose for the shortest time, and monitor hydration and potassium levels, especially if the person takes diuretics or has heart or kidney disease. A clinician should individualize the dose. |
| Renal Impairment | No specific dose adjustment is established from the available information, but caution is advised in people with kidney disease because dehydration and electrolyte loss can worsen kidney function. Use only under medical supervision. |
| Hepatic Impairment | No specific dose adjustment is established from the available information. Use with caution in severe liver disease and only under medical supervision. |
| Maximum Daily Dose | The maximum daily dose should not exceed the amount recommended by the prescribing clinician. For short-term adult constipation treatment, doses above 10 mg per day are not usually advised without medical supervision. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of agelax 5mg oral suspension
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Diuretics | Major | |
| Corticosteroids | Major | |
| Digoxin | Major | |
| Other laxatives | Moderate | |
| Antacids | Moderate | |
| Antibiotics | Moderate | |
| Oral iron | Minor | |
| Oral contraceptives | Minor | |
| Alcohol | Moderate | |
| Potassium-wasting medicines | Major |
🚨 Major Interactions
- Diuretics
- Corticosteroids
- Digoxin
⚡ Moderate Interactions
- Other laxatives
- Antacids
- Antibiotics
🍷 Alcohol Interaction
Alcohol can worsen dehydration and dizziness and may increase stomach upset when taken with this medicine. It is best to avoid alcohol until the laxative effect has passed and you are well hydrated.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known allergy to sodium picosulfate or any ingredient in the liquid","Known or suspected bowel obstruction or ileus","Severe abdominal pain of unknown cause","Acute inflammatory bowel disease flare","Severe dehydration or electrolyte imbalance","Toxic megacolon","Children below the age recommended by the prescribing clinician"]
⚠️ Warnings & Precautions
["Do not use for more than a few days without medical advice.","Avoid use in people with severe heart, kidney, or liver disease unless a doctor approves.","Use with caution in elderly patients who are frail or prone to dehydration.","Stop the medicine and seek help if severe diarrhea, vomiting, or signs of dehydration develop.","Tell your doctor if you take diuretics, steroids, digoxin, or other laxatives.","Do not use this medicine to treat undiagnosed abdominal pain.","Keep out of reach of children to avoid accidental overdose."]
🤱 Lactation Safety
Systemic absorption is minimal, so the amount passing into breast milk is expected to be very low. Short-term use at the recommended dose is generally considered acceptable during breastfeeding, but a doctor should be consulted first.
💊 Overdose Management
An overdose can cause severe diarrhea, abdominal cramps, vomiting, dehydration, and electrolyte imbalance. Stop the medicine and seek medical attention immediately. Treatment is supportive and may include fluids and electrolyte replacement. Do not try to treat yourself at home if symptoms are severe.
⏰ Missed Dose
If you miss a dose, take it as soon as you remember, unless it is almost time for the next dose. If it is almost time for the next dose, skip the missed dose and continue with your regular schedule. Do not take a double dose to make up for a missed one.
Additional Safety Advice
Use this medicine only for the condition and duration advised by your clinician. Do not increase the dose on your own, because higher doses can cause severe diarrhea, dehydration, and electrolyte imbalance. Drink enough water and other fluids while taking this medicine to replace losses from loose stools. Avoid taking it for more than a few days unless a doctor has specifically instructed you to do so. Do not use this medicine if you have severe stomach pain, vomiting, a known bowel blockage, or blood in the stool unless a doctor has evaluated you. Tell your doctor about all other medicines you take, especially diuretics, steroids, heart medicines, and other laxatives, because these can interact. If you are pregnant, planning pregnancy, or breastfeeding, speak with a doctor before using this medicine. Keep the bottle tightly closed and out of reach of children.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Older adults are more prone to dehydration and electrolyte imbalance from laxatives. Use the lowest effective dose for the shortest time, monitor fluid intake, and check potassium levels if the medicine is used repeatedly or with diuretics. Frail elderly patients should use it only under medical supervision.
🤰 Pregnancy Planning (TTC)
If you are trying to conceive or are pregnant, talk to your doctor before using this medicine. Short-term use may be considered if non-drug measures for constipation have not worked, but the decision should be made with a clinician who knows your full medical history.
🏥 Post-Surgery Considerations
After surgery, bowel habits can be sluggish because of pain medicines, reduced movement, and changes in diet. Do not use this medicine after surgery unless your surgeon or doctor has prescribed it, because abdominal pain after surgery needs proper evaluation first.
🦷 Dental Procedures
This medicine does not directly affect dental procedures. However, if you have diarrhea or dehydration, it is wise to inform your dentist and to reschedule non-urgent dental work until you feel well and hydrated.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Gentle exercise such as walking is usually fine and can help bowel movements. Avoid strenuous exercise if you have diarrhea, cramping, or feel dizzy or dehydrated. Drink fluids before, during, and after exercise while taking this medicine.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine can cause urgency to pass stool and mild dizziness, so it is best taken at bedtime when you can be near a toilet. Avoid driving or operating heavy machinery until you know how the medicine affects you. Most people can continue their usual daily activities once the bowel movement has passed.
🛑 When to Stop This Medicine
Stop this medicine once your constipation has resolved or after the short course advised by your doctor. Do not continue it for weeks or months without medical review. Seek medical advice before stopping if you have been using it regularly for a long time, because stopping suddenly may cause temporary rebound constipation.
📅 Long-Term Use Effects
Long-term or excessive use of this medicine can lead to dependence on laxatives, chronic diarrhea, dehydration, and loss of important electrolytes such as potassium. This can cause muscle weakness, cramps, fatigue, and heart rhythm problems. It can also mask an underlying bowel problem that needs proper diagnosis. If constipation persists, a doctor should evaluate the cause rather than continuing this medicine indefinitely.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Gradually increasing fiber and water intake can help prevent and relieve mild constipation.
Evidence: Well-establishedWalking and other gentle exercise can stimulate bowel movements and improve overall gut health.
Evidence: Well-establishedThese work by drawing water into the bowel and are often preferred for longer-term or gentler management.
Evidence: Well-establishedUseful for people with pelvic floor dysfunction contributing to constipation.
Evidence: Well-established for selected patients💉 Vaccination Considerations
💉 If You're Getting Vaccinated
There is no established interaction between this medicine and routine vaccines. If you have severe diarrhea or dehydration, it is sensible to postpone non-urgent vaccinations until you have recovered, and to discuss timing with your doctor.
📦 Storage Guide
✅ DO
Store at room temperature between 15°C and 30°C
❌ DON'T
Do not store in direct sunlight or near a heat source
✅ DO
Keep the bottle tightly closed and upright
❌ DON'T
Do not transfer the liquid to an unlabelled container
✅ DO
Keep out of reach of children
❌ DON'T
Do not use after the expiry date
✅ DO
Use the measuring cup or syringe provided
❌ DON'T
Do not use a household spoon for measuring
✈️ Traveling with This Medicine
Carry this medicine in its original labelled container with the prescription or a copy of it, especially for international travel. Keep it in hand luggage if you need it during the journey, and store it away from direct heat and sunlight. If you are crossing time zones, continue the dose at the time advised by your doctor, but do not take extra doses to adjust for the time change. Check the customs rules of your destination for liquid medicines and carry only the amount you reasonably need for the trip.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: A bowel movement usually occurs within 6 to 12 hours after taking the dose, although this can vary from person to person.
A: It is meant for short-term use. Do not take it daily for long periods unless a doctor has specifically advised it and is monitoring you.
A: If you remember soon after the missed time, take it then. If it is almost time for the next dose, skip the missed dose and continue your regular schedule. Do not double the dose.
A: It is generally considered a low-risk option for short-term constipation in pregnancy, but you should only use it after discussing it with your doctor or midwife.
A: It is best to avoid alcohol because it can worsen dehydration and dizziness.
A: Rash, itching, swelling of the face, lips, or throat, and difficulty breathing are possible signs. Stop the medicine and seek emergency help if these occur.
🤔 Common Patient Concerns
🔄 Substitutes for agelax 5mg oral suspension
View AllAlternative brands with exact same active ingredient:
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laxpo syrupPharma Drugs & Chemicals ₹36.56 47% CHEAPER
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laxkair syrupPDC Healthcare ₹39.00 43.5% CHEAPER
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laxopic 5mg oral solutionZytras Life Sciences ₹39.38 42.9% CHEAPER
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laxcil syrupGNF Ethicals ₹45.85 33.6% CHEAPER
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stimulax 5mg syrupMoxy Laboratories Pvt Ltd ₹46.88 32.1% CHEAPER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine can be used daily for weight loss.
Fact: This medicine is not a weight-loss product. It is a laxative for short-term constipation relief, and misuse can cause dehydration and electrolyte problems. - Myth: Natural or herbal laxatives are always safer than this medicine.
Fact: Herbal laxatives can also cause diarrhea, dehydration, and interactions. Safety depends on correct use, not on whether a product is labelled natural. - Myth: If one dose does not work, taking more is safe.
Fact: Taking extra doses can cause severe diarrhea and fluid loss. Follow the prescribed dose and contact your doctor if it is not working. - Myth: This medicine stays in the body for a long time.
Fact: Most of this medicine acts locally in the colon and is largely excreted in the stool. It does not accumulate in the body in the way some other medicines do.
🔄 Alternative Options
Generic Alternatives
- Sodium picosulfate oral liquid
Brand Alternatives
- Cremalax Liquid