cremalax tablet - Sodium Picosulfate (10mg) medicine

Cremalax Tablet: Comprehensive Guide to Uses, Side Effects, and Safety

No reviews yet
🏭 Abbott 📦 Varies by brand 💊 Allopathy 📅 Updated: Sep 25, 2026
📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Well-established for short-term treatment of constipation and bowel preparation.
Reviewed by
SaathiMed Expert Panel | Sep 25, 2026

When to Call Your Doctor IMMEDIATELY

  • Severe abdominal pain
  • Blood in stool or vomit
  • Signs of dehydration (dry mouth, decreased urination, dizziness)
  • Irregular heartbeat or muscle weakness
  • Swelling of face, lips, or throat
  • Difficulty breathing
  • Severe diarrhea that does not stop

If experiencing severe symptoms, call emergency services immediately.

What is cremalax tablet used for?

This medicine is a stimulant laxative used for short-term relief of constipation and bowel preparation before medical procedures. It works by stimulating the colon to promote bowel movements.

  • Generic Name: Sodium Picosulfate
  • Manufacturer: Abbott
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 cremalax tablet के बारे में (Hindi Summary)

उपयोग: यह दवा कब्ज के इलाज और कोलोनोस्कोपी जैसी प्रक्रियाओं से पहले आंतों की सफाई के लिए उपयोग की जाती है। यह आंतों की मांसपेशियों को उत्तेजित करके मल त्याग को आसान बनाती है।

साइड इफेक्ट्स: आम दुष्प्रभावों में पेट में ऐंठन, जी मिचलाना, दस्त और चक्कर आना शामिल हैं। गंभीर दुष्प्रभाव दुर्लभ हैं लेकिन इनमें तेज पेट दर्द, मल में खून आना, निर्जलीकरण और इलेक्ट्रोलाइट असंतुलन शामिल हो सकते हैं।

सुरक्षा सलाह: इस दवा को डॉक्टर के निर्देशानुसार ही लें। निर्धारित मात्रा से अधिक न लें। पर्याप्त पानी पिएं। बिना डॉक्टर की सलाह के 7 दिन से अधिक इसका उपयोग न करें। यदि आप गर्भवती हैं या स्तनपान करा रही हैं तो डॉक्टर को बताएं।

💡 Did You Know? Over 80% of the antiretroviral drugs used globally to combat AIDS are supplied by Indian pharmaceutical companies.

💊 cremalax tablet Uses & Benefits

[{"condition":"Constipation","description":"Provides short-term relief of occasional constipation by stimulating bowel movements.","evidence":"Well-established"},{"condition":"Bowel preparation for procedures","description":"Used to empty the colon before colonoscopy or other diagnostic procedures.","evidence":"Well-established"}]

Off-label uses: []

Primary treatment for: Constipation

Also treats: Bowel preparation for diagnostic procedures

📋 Drug Information

Generic Name(s)Sodium Picosulfate
Brand NameAlpicno 5mg/5ml Syrup
ManufacturerAbbott
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassGASTRO INTESTINAL
Action ClassStimulant laxatives/purgative
Route of AdministrationOral
StorageStore at room temperature (15-30°C) in a dry place, away from direct sunlight. Keep in the original container.
Shelf LifeNot established from the available information.
WHO GuidelineNot established from the available information.
ICMR GuidelineNot established from the available information.

👨‍⚕️ Doctor's Practical Tips

Evidence-based practical advice from experienced clinicians

1
Take this medicine at bedtime with a full glass of water for best results.
2
Do not use this medicine for more than 7 days without consulting your doctor.
3
Stay well hydrated throughout the day to prevent dehydration.
4
Avoid alcohol while taking this medicine as it can increase the risk of dehydration.
5
If you experience severe abdominal pain or blood in stool, seek immediate medical attention.
6
Inform your doctor if you are pregnant, planning to become pregnant, or breastfeeding.
7
Do not share this medicine with others, even if they have similar symptoms.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Constipation
This medicine is commonly prescribed for this.
Likely Use
❌
Abdominal pain
This medicine is not for abdominal pain; it may cause cramps.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionSodium picosulfate is minimally absorbed from the gastrointestinal tract after oral administration. It acts locally in the colon.
DistributionNot established from the available information.
Protein BindingNot established from the available information.
MetabolismSodium picosulfate is metabolized by colonic bacteria to its active form. It is not significantly metabolized in the liver.
Half-LifeNot established from the available information.
ExcretionNot established from the available information.
BioavailabilityNot established from the available information.
Onset of ActionLaxative effect typically occurs within 6 to 12 hours after oral administration.
Peak Plasma TimeNot established from the available information.
Duration of ActionNot established from the available information.

How It Works

Sodium picosulfate is a stimulant laxative that acts primarily on the large intestine. It is a prodrug that is activated by colonic bacteria to form the active metabolite, which directly stimulates the enteric nervous system and colonic smooth muscle. This stimulation increases peristaltic activity and promotes the accumulation of water and electrolytes in the colon, resulting in a laxative effect.

Mechanism Steps

1
Activation by colonic bacteria: Sodium picosulfate is converted by colonic bacteria into its active metabolite, which is responsible for its laxative effect.
2
Stimulation of enteric nerves: The active metabolite stimulates the enteric nervous system, leading to increased peristaltic contractions in the colon.
3
Increased fluid secretion: This medicine promotes the secretion of water and electrolytes into the colon, softening the stool and facilitating bowel movement.

💡 How to Take cremalax tablet

Strength: Sodium Picosulfate 10 mg immediate-release tablet

1Take this medicine orally with a full glass of water.
2Swallow the tablet whole; do not crush or chew.
3Take it at bedtime for best results.
4Follow the dosage instructions provided by your doctor.
5Do not take more than the prescribed dose.

Dosage Information

Adult DosageThe usual adult dose of this medicine is 5 to 10 mg (half to one tablet) taken orally once daily at bedtime. For bowel preparation, the dose and schedule may vary as directed by your doctor. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician.
Elderly DosageElderly patients may be more sensitive to the effects of this medicine and are at higher risk of dehydration and electrolyte imbalance. Use with caution and under medical supervision.
Renal ImpairmentCaution is advised in patients with renal impairment. Dose adjustment may be necessary. Consult your doctor.
Hepatic ImpairmentNo specific dosage adjustments are established for hepatic impairment. Consult your doctor.
Maximum Daily DoseThe maximum recommended daily dose for adults is 10 mg. Do not exceed this dose without medical advice.

Dosage Timeline

🌅 Morning ❌ ☀️ Afternoon ❌ 🌆 Evening ❌ 🌙 Night ❌

🍽️ Food Timing Guide

With food
Take with meals
Reduces stomach upset.
Grapefruit
No known interaction
No specific interaction reported.

⏰ What to Do If You Miss a Dose

📌 Less than half the dosing interval has passed
→ Take the missed dose as soon as you remember.
💡 Continue with the regular schedule.
📌 More than half the dosing interval has passed
→ Skip the missed dose.
💡 Do not double dose to catch up.

⚠️ Side Effects of cremalax tablet

✅ Common Side Effects

Abdominal cramps (Common (5-10%))
Usually resolves on its own. If persistent or severe, consult your doctor.
Nausea (Common (5-10%))
Take with food or milk to reduce nausea. Consult doctor if it continues.
Diarrhea (Common (5-10%))
Stay hydrated. If diarrhea is severe or persists, contact your doctor.
Dizziness (Uncommon (1-5%))
Avoid driving or operating machinery if you feel dizzy. Consult doctor if it persists.

🚨 Serious Side Effects

Severe abdominal pain (Rare (<0.1%))
Seek immediate medical attention.
Blood in stool (Rare (<0.1%))
Seek immediate medical attention.
Dehydration (Rare (<0.1%))
Drink fluids and seek medical help if symptoms of dehydration occur.
Electrolyte imbalance (Rare (<0.1%))
Consult a doctor if you experience muscle weakness, confusion, or irregular heartbeat.

⚠️ Rare Side Effects

Allergic reactions (rash, itching, swelling)
Seek immediate medical attention if you experience swelling of face, lips, or throat, or difficulty breathing.

Consult your doctor if you experience any unusual symptoms.

🛡️ Safety & Warnings

🚫 Contraindications

["Known hypersensitivity to sodium picosulfate or any component of the formulation","Intestinal obstruction or ileus","Severe inflammatory bowel disease (e.g., Crohn's disease, ulcerative colitis)","Severe abdominal pain of unknown cause","Severe dehydration"]

⚠️ Warnings & Precautions

["Do not use for more than 7 days without medical advice.","Avoid in patients with severe renal impairment.","Use with caution in elderly patients due to risk of dehydration and electrolyte imbalance.","Not recommended for children under 4 years of age without medical supervision.","May cause dizziness; avoid driving or operating machinery until you know how it affects you."]

🤱 Lactation Safety

It is not known whether sodium picosulfate passes into breast milk. Consult your doctor before using this medicine while breastfeeding.

💊 Overdose Management

Overdose may cause severe diarrhea, dehydration, and electrolyte imbalance. Seek immediate medical attention. Treatment is supportive and may include fluid and electrolyte replacement.

⏰ Missed Dose

If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double dose.

Additional Safety Advice

General Safety

Take this medicine exactly as prescribed by your doctor. Do not exceed the recommended dose. Drink plenty of fluids while taking this medicine to prevent dehydration. Avoid taking this medicine for more than 7 days without consulting your doctor. Do not take this medicine if you have a bowel obstruction or severe abdominal pain. Inform your doctor if you are pregnant, planning to become pregnant, or breastfeeding. Keep this medicine out of reach of children.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients are at higher risk of dehydration and electrolyte imbalance. Use with caution and monitor fluid intake.

🤰 Pregnancy Planning (TTC)

Consult your doctor before using this medicine if you are planning to become pregnant. It should only be used if clearly needed.

🏥 Post-Surgery Considerations

Consult your doctor before using this medicine after surgery, especially abdominal surgery, as it may interfere with healing.

🦷 Dental Procedures

No specific considerations for dental procedures. Inform your dentist about all medicines you are taking.

💚 Lifestyle Tips for Better Results

🏃
Increase dietary fiber intake with fruits, vegetables, and whole grains.
🥗
Drink plenty of water throughout the day.
😴
Exercise regularly to promote healthy bowel movements.
💧
Establish a regular toilet routine.
🧘
Avoid processed foods and excessive caffeine.

🏋️ Exercise Considerations

If you experience dizziness or weakness while taking this medicine, avoid strenuous exercise until you feel better. Stay hydrated during exercise.

🥗 Diet Recommendations

Include high-fiber foods like fruits, vegetables, and whole grains.
Stay well hydrated by drinking at least 8 glasses of water daily.
Avoid processed foods and high-fat meals.

💼 Impact on Daily Work & Life

This medicine may cause dizziness in some people. Avoid driving or operating heavy machinery until you know how it affects you. It is best to take it at bedtime to minimize daytime effects.

🛑 When to Stop This Medicine

Stop taking this medicine and consult your doctor if you experience severe abdominal pain, blood in stool, or signs of dehydration. Do not stop abruptly if you have been using it for a long time without medical advice.

📅 Long-Term Use Effects

Long-term use of this medicine can lead to dependence on laxatives, electrolyte imbalances, and dehydration. It should only be used for short periods unless directed by a doctor. Regular monitoring may be required if prolonged use is necessary.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Dietary fiber supplementation

Increasing fiber intake can help relieve constipation naturally.

Evidence: Well-established
Osmotic laxatives

Polyethylene glycol or lactulose can be used as alternatives.

Evidence: Well-established

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

No known interactions with vaccines. Consult your doctor for routine vaccinations.

📦 Storage Guide

✅ DO

Store at room temperature (15-30°C)

❌ DON'T

Do not refrigerate unless specified

✅ DO

Keep in original container

❌ DON'T

Do not transfer to unmarked containers

✅ DO

Keep away from direct sunlight

❌ DON'T

Do not store in bathroom cabinet

✈️ Traveling with This Medicine

When traveling, carry this medicine in its original packaging along with a copy of your prescription. Store it at room temperature and away from direct sunlight. If crossing time zones, continue taking it at your usual bedtime. Check customs regulations for carrying prescription medicines.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 50-year-old woman with chronic constipation
She was prescribed this medicine for short-term relief. She took it at bedtime as directed and experienced a bowel movement the next morning. She made sure to drink plenty of water and avoided alcohol. Her constipation improved within a few days, and she discontinued the medicine as advised by her doctor.
💡 Lesson: Taking this medicine as prescribed and staying hydrated can provide effective relief from constipation without serious side effects.
👤 A 60-year-old man preparing for a colonoscopy
He was instructed to take this medicine the day before his procedure. He followed the bowel preparation instructions carefully, including a clear liquid diet. The medicine effectively emptied his bowels, allowing for a successful colonoscopy. He experienced mild cramps but no serious issues.
💡 Lesson: Following bowel preparation instructions precisely is crucial for a successful procedure. Mild side effects are common but manageable.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: This medicine usually produces a bowel movement within 6 to 12 hours after taking it.

Q: Can I take this medicine every day?

A: This medicine is intended for short-term use only. Do not take it daily for more than 7 days without consulting your doctor.

Q: Is this medicine safe during pregnancy?

A: Consult your doctor before using this medicine if you are pregnant or planning to become pregnant.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I take this medicine long-term?
  • Will it affect my kidney function?
  • Can I drive after taking this medicine?
  • Does it interact with my blood pressure medicine?
  • What if I miss a dose?
  • Can I drink alcohol while taking this?

🔄 Substitutes for cremalax tablet

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

  • Myth: This medicine is safe for long-term use.
    Fact: This medicine should only be used for short-term relief of constipation unless directed by a doctor. Prolonged use can lead to dependence and electrolyte imbalances.
  • Myth: This medicine can help with weight loss.
    Fact: This medicine is not a weight loss aid and should not be used for that purpose. It is intended for constipation relief.

🔄 Alternative Options

Generic Alternatives

  • Sodium Picosulfate 10 mg tablet

Brand Alternatives

  • Cremalax Tablet

📊 Comparison with Similar Medicines

[{"medicine":"Sodium Picosulfate","class":"Stimulant laxative","onset":"6-12 hours","route":"Oral"},{"medicine":"Bisacodyl","class":"Stimulant laxative","onset":"6-12 hours","route":"Oral"},{"medicine":"Polyethylene glycol","class":"Osmotic laxative","onset":"1-3 days","route":"Oral"}]

😊 Was this information helpful?

Browse Medicines A-Z

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
Back to Medicines Directory