Page last updated: 2024-10-23

bisacodyl and Muscle Contraction

bisacodyl has been researched along with Muscle Contraction in 9 studies

Bisacodyl: A diphenylmethane stimulant laxative used for the treatment of CONSTIPATION and for bowel evacuation. (From Martindale, The Extra Pharmacopoeia, 30th ed, p871)

Muscle Contraction: A process leading to shortening and/or development of tension in muscle tissue. Muscle contraction occurs by a sliding filament mechanism whereby actin filaments slide inward among the myosin filaments.

Research Excerpts

ExcerptRelevanceReference
"Bisacodyl is a stimulant laxative often used in manometric studies of pediatric constipation to determine if it can initiate propulsive high-amplitude propagating contractions (HAPCs)."4.02Duodenal and proximal jejunal motility inhibition associated with bisacodyl-induced colonic high-amplitude propagating contractions. ( Amicangelo, M; Brookes, SJH; Costa, M; Dinning, PG; Nurko, S; Whitter, L; Wiklendt, L, 2021)
"Experimental antidiarrheal activity of a traditionally used medication, Salicairine, was demonstrated in comparison to loperamide by significant inhibition of castor oil-induced diarrhea in mice (increases in hard faeces/total faeces ratio of 38 and 54 and 5 and 54% with respect to controls, at 0."3.70Experimental study of antidiarrheal activity of Salicairine. ( Brun, Y; Demenge, P; Sevenet, T; Wang, XP; Willemot, J, 1998)
" In contrast to muscle contractions induced by 1 mug/ml acetylcholine (ACh) and 1 mug/ml histamine, respectively bis-acodyl-induced contractile responses were antagonized neither by the anticholinergic agent atropine (6 mug/ml) nor by the antihistaminic compound pheniramine (6 mug/ml)."3.65[The mode of action of bisacodyl on the smooth muscle of the small and the large intestine of the guinea pig]. ( Demling, L; Domschke, S; Domschke, W; Mitznegg, P; Schubert, E; Strunz, U, 1975)
"Bisacodyl was superior to edrophonium as a stimulant for inducing high-amplitude-propagating contractions."1.30Bisacodyl and high-amplitude-propagating colonic contractions in children. ( Di Lorenzo, C; Flores, AF; Hamid, SA; Hyman, PE; Reddy, SN, 1998)

Research

Studies (9)

TimeframeStudies, this research(%)All Research%
pre-19903 (33.33)18.7374
1990's2 (22.22)18.2507
2000's0 (0.00)29.6817
2010's3 (33.33)24.3611
2020's1 (11.11)2.80

Authors

AuthorsStudies
Dinning, PG1
Wiklendt, L1
Costa, M1
Brookes, SJH1
Amicangelo, M1
Whitter, L1
Nurko, S1
Krueger, D1
Demir, IE1
Ceyhan, GO1
Zeller, F1
Schemann, M1
Liem, O2
van den Berg, MM1
Mousa, HM1
Youssef, NN1
Langseder, AL1
Benninga, MA1
Di Lorenzo, C3
Gomez, R1
Mousa, H1
Hayes, J1
Brun, Y1
Wang, XP1
Willemot, J1
Sevenet, T1
Demenge, P1
Hamid, SA1
Reddy, SN1
Flores, AF1
Hyman, PE1
Schubert, E3
Strunz, U3
Mitznegg, P3
Domschke, S2
Domschke, W3
Demling, L3
Schwemmle, K2
Heim, F1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
A Within Subjects Comparison of Two Antegrade Flushing Regimens in Children[NCT02435069]Phase 45 participants (Actual)Interventional2016-02-09Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Change in Stool Calprotectin Levels Assessed Through Comparing Levels Obtained Following Completion of NS and USP Glycerin Dosing Phases With the Baseline Value For Each Subject

Stool calprotectin was used to evaluate the impact of NS and USP Glycerin antegrade flush on colonic health. Calprotectin levels were obtained at baseline and following completion of the NS and USP Glycerin dosing phase of the study. Descriptive data analysis included mean and standard deviation for each flush regimen. Inferential statistical analysis was accomplished using a two-tailed, two-sample pooled variance t test with a significance level set at 0.05. Both descriptive and inferential data analysis was calculated on the difference in calprotectin levels between samples obtained at baseline and samples obtained following the completion of the NS and USP Glycerin flush (value at completion of dosing phase - baseline value). The assumption was the length of each dosing phase was sufficient to achieve a credible active washout period and therefore levels obtained at the end of a phase reflected flushing regimen effects colonic health regardless of flush order. (NCT02435069)
Timeframe: Collection dates included a baseline sample (week 1) and at the completion of the dosing trail for both NS and USP glycerin for a total of 3 samples

Interventionμg/g (Mean)
Calprotectin Levels Following NS FLush133.7
Calprotectin Levels Following USP Glycerin FLush108

Cramping With Flush

Cramping with flush was measured using the Wong Baker Faces Pain Rating Scale (WBFPRS). The WBFPRS has undergone extensive testing and has well established psychometrics in the pediatric population. The scale ranges from 0 (very happy without pain) to 10 (the worse pain imaginable). Each pain level is associated with a facial expression. The child is asked to choose the face that best describes his/her level of discomfort (ordinal data). The parent was instructed to call if the child had flushing regimen-associated discomfort greater than a 4 on the WBFPRS. Documentation of pain severity was completed by the parent and child on a data-collection form at the time of occurrence. Descriptive statistics including mean and standard deviation. Inferential statistical analysis was accomplished using a two-tailed, two-sample pooled variance t test with a significance level set at 0.05. Descriptive and inferential statistics were calculated on the last data point in the dosing phase. (NCT02435069)
Timeframe: Data analysis was completed on data obtained during the last flush in both the NS and USP Glycerin dosing phase

Interventionunits on a scale (Mean)
Pain With NS Antegrade Flush Administration0
Pain With USP Glycerin Antegrade Flush Administration0.4

Fecal Soiling - Number of Participants That Gained and Maintained Continence on Each Flushing Regimen

Fecal soiling was defined as non-toilet elimination, which was tracked and documented by the parent/child as direct event recording and tallied as the number of pairs of underwear/protective undergarments soiled with stool per day. The purpose of this outcome measure was to document the number of individuals who gained continence on NS and USP glycerin. Descriptive statistics was limited to percentage of total participants who achieved continence on each flushing regimen. Data was calculated on the last data point in the final phase for both the NS and USP glycerin flush. (NCT02435069)
Timeframe: Data collection started following consent and procedural training and was collected daily from day 1 for the duration of the study, an average of 135 days.

InterventionParticipants (Count of Participants)
Subjects Continent on NS Antegrade Flush1
Subjects Continent on USP Glycerin4

Fecal Soiling - Quantitative Count Detailing the Number of Episodes of Fecal Incontinence Per Day on NS and USP Glycerin

Fecal soiling was defined as non-toilet elimination, which was tracked and documented by the parent/child as direct event recording and tallied as the number of pairs of underwear/protective undergarments soiled with stool per day. Descriptive statistics included mean and standard deviation. Inferential statistical analysis was accomplished using a two-tailed, two-sample pooled variance t test with a significance level set at 0.05, calculated on the data from the last day of the completed NS and USP Glycerin phases of the study. Power analysis conducted using data from this study with α = 0.5, power of .80, correlation between two means of .598, and effect size of 1.554 estimated a sample size of 11 would be needed to minimize the risk of a Type II error to (20%). (NCT02435069)
Timeframe: Data collection began following consent and procedural training and was collected daily from day 1 for the duration of the study, an average of 135 days.

Interventionunderwear soiled/day (Mean)
Episodes of Fecal Incontinence on NS Antegrade Flush2
Episodes of Fecal Incontinence on USP Glycerin Antegrade Flush0.2

Flush Volume

Flush volume was measured in mL/flush using a graduated cylinder and recorded by the parent or child with each flush and later calculated in mL/kg. Data derived from the last flush of the completed dosing phase of both NS and USP Glycerin were used to calculate flush volume. Descriptive analysis included mean, median, range, and standard deviation. Reported data excludes subjects who failed to gain and maintain continence on either flushing regimen. (NCT02435069)
Timeframe: Data for analysis was collected from the last flush of the NS and USP Glycerin dosing phase of the study

InterventionmL/flush (Mean)
Flush Volume of NS39.215
Flush Volume of USP Glycerin1.475

NS and USP Glycerin Flush Solution Dosing Frequency Necessary to Achieve Continence

Flush administration frequency necessary to achieve continence was recorded as a single measure per subject per flush solution obtained as the number of flushes in the last three days of each dosing phase and recorded as either daily (1), every other day (2), or every third day (3). The larger the value, the less frequent the flush, the better the clinical outcome. Dosing frequency was measured using direct observational recording completed by the parent or child. Descriptive analysis included mean, and standard deviation. Inferential statistical analysis was accomplished using a two-tailed, two-sample pooled variance t test with a significance level set at 0.05. Descriptive and inferential statistics were calculated on the data from the last day of the completed NS and USP Glycerin phases of the study. (NCT02435069)
Timeframe: Frequency of administration data was collected as the total number of flushes recieved over the last three days of each dosing phase for both NS and USP Glycerin and recorded as either daily (1), every other day (2), or every third day

InterventionFlush administration/day (Mean)
Dosing Frequency on NS1
Dosing Frequency on USP Glycerin1.6

Number of Participants Experiencing Vagal Symptoms With Flush

Vagal symptoms including nausea, vomiting, sweating, dizziness, and pallor were noted by the parent. The parent was instructed to call if the child had any vagal symptoms. Documentation of any vagal symptoms was completed by the parent and child on a data-collection form at the time of occurrence. Data was analyzed as a percentage of subjects experiencing vagal symptoms during flush with NS and USP glycerin. (NCT02435069)
Timeframe: Data collection started with the first flush administered following discharge from the hospital and was collected with every subsequent flush through completion of the study, an average of 115 days.

InterventionParticipants (Count of Participants)
Vagal Symptoms With NS FLush0
Vagal Symptoms With USP Glycerin Flush1

Number of Participants With Any Electrolyte Abnormality

Evaluated impact of NS and USP Glycerin antegrade flush on serum electrolytes using a blood test called a Basic Metabolic Panel. Data analysis limited to percentage of subjects demonstrating any electrolyte abnormality on NS or USP glycerin. (NCT02435069)
Timeframe: Collection dates included a baseline sample (week 1) and at the completion of the dosing trail for both NS and USP glycerin for a total of 3 samples

InterventionParticipants (Count of Participants)
Elelctrolye Abnormalities on NS FLush0
Elelctrolye Abnormalities on USP Glycerin FLush0

Trials

1 trial available for bisacodyl and Muscle Contraction

ArticleYear
How do antegrade enemas work? Colonic motility in response to administration of normal saline solution into the proximal colon.
    Journal of pediatric gastroenterology and nutrition, 2010, Volume: 51, Issue:6

    Topics: Adolescent; Bisacodyl; Child; Child, Preschool; Colon; Enema; Female; Gastrointestinal Motility; Hum

2010

Other Studies

8 other studies available for bisacodyl and Muscle Contraction

ArticleYear
Duodenal and proximal jejunal motility inhibition associated with bisacodyl-induced colonic high-amplitude propagating contractions.
    American journal of physiology. Gastrointestinal and liver physiology, 2021, 09-01, Volume: 321, Issue:3

    Topics: Bisacodyl; Colon; Constipation; Duodenum; Gastrointestinal Motility; Humans; Jejunum; Laxatives; Mus

2021
bis-(p-hydroxyphenyl)-pyridyl-2-methane (BHPM)-the active metabolite of the laxatives bisacodyl and sodium picosulfate-enhances contractility and secretion in human intestine in vitro.
    Neurogastroenterology and motility, 2018, Volume: 30, Issue:7

    Topics: Benzhydryl Compounds; Bisacodyl; Citrates; Gastrointestinal Motility; Humans; Intestinal Mucosa; Int

2018
Distention of the colon is associated with initiation of propagated contractions in children.
    Neurogastroenterology and motility, 2010, Volume: 22, Issue:1

    Topics: Adolescent; Bisacodyl; Cathartics; Child; Colon; Dilatation, Pathologic; Female; Gastrointestinal Mo

2010
Experimental study of antidiarrheal activity of Salicairine.
    Fundamental & clinical pharmacology, 1998, Volume: 12, Issue:1

    Topics: Acetylcholine; Alprostadil; Animals; Antidiarrheals; Barium Compounds; Bisacodyl; Body Water; Castor

1998
Bisacodyl and high-amplitude-propagating colonic contractions in children.
    Journal of pediatric gastroenterology and nutrition, 1998, Volume: 27, Issue:4

    Topics: Adolescent; Bisacodyl; Cecum; Child; Child, Preschool; Colon; Edrophonium; Female; Humans; Infant; I

1998
[The mode of action of bisacodyl on the smooth muscle of the small and the large intestine of the guinea pig].
    Arzneimittel-Forschung, 1975, Volume: 25, Issue:7

    Topics: Acetylcholine; Animals; Atropine; Bisacodyl; Calcium; Colon; Cresols; Cyclic AMP; Dose-Response Rela

1975
Proceedings: Mode of action of bisacodyl (DulcolaxR) on isolated muscles of human colon.
    Naunyn-Schmiedeberg's archives of pharmacology, 1975, Volume: 287 Suppl

    Topics: Bisacodyl; Colon; Cresols; Humans; In Vitro Techniques; Muscle Contraction; Muscle Tonus; Muscle, Sm

1975
[Mode of action of bisacodyl (dulcolax) on isolated muscles of human colon (author's transl)].
    Klinische Wochenschrift, 1975, May-15, Volume: 53, Issue:10

    Topics: Acetylcholine; Bisacodyl; Colon; Cresols; Diphenhydramine; Drug Antagonism; Histamine; Humans; Muscl

1975