Can you buy miralax over the counter

KENILWORTH, N.J., March 28, 2007 -- Schering-Plough Corporation (NYSE: SGP) today announced that prescription-strength MiraLAX® (polyethylene glycol 3350) is now available as an over-the-counter (OTC) treatment for occasional constipation. The innovative formula of MiraLAX works with the body to increase the frequency of bowel movements without causing the side effects of cramps and gas. MiraLAX allows a comfortable, easy and complete bowel movement. MiraLAX has a strong safety profile and is not known to be habit forming. "Laxatives that work gently with the body are preferred because people can live their lives normally. Some other laxatives may cause uncomfortable cramps. MiraLAX is a welcome alternative. It offers effective constipation relief, allowing the patient to regain control," said Jack A. DiPalma, M.D., immediate past president of the American College of Gastroenterology and director of the division of gastroenterology at University of South Alabama College of Medicine.

MiraLAX is the first Rx-to-OTC switch in the laxative category in 30 years. Nearly 70 percent of constipated consumers who tried MiraLAX preferred it versus their usual laxative.1 MiraLAX brings the body back to its natural rhythm by using the body’s own water to gently increase the frequency of bowel movements and to soften the stool so it is easier to pass. MiraLAX is taken once daily and comes in a powder form which dissolves completely in any common beverage (coffee, tea, juice, soda).

Constipation is a common gastrointestinal complaint, affecting more than 65 million Americans.2 Constipation can stem from lifestyle causes such as diet and inadequate fluid intake; physical inactivity; stress or anxiety; and medical conditions such as pregnancy, diabetes or hypothyroidism.3 Constipation can also be caused or exacerbated by narcotic analgesics, antacids, anti-cholinergics or iron supplements. On average, more than twice as many women as men suffer from constipation.2

"MiraLAX is the latest in a line of successful prescription-to-OTC switches by Schering-Plough," said Stan Barshay, chairman of Schering-Plough HealthCare Products. "We are pleased to bring the benefits of MiraLAX, a proven medication, to the millions of Americans suffering from constipation."

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About Schering-Plough Health Care Products

Schering-Plough Health Care Products is the U.S. over-the-counter (OTC) and consumer products business unit of Schering-Plough Corporation (NYSE: SGP) a global science-based health care company with leading prescription, consumer and animal health products. Through internal research and collaborations with partners, Schering-Plough discovers, develops, manufactures and markets advanced drug therapies to meet important medical needs. Schering-Plough's vision is to earn the trust of the physicians, patients and customers served by approximately 33,500 people around the world. The company is based in Kenilworth, N.J., and its Web site is www.schering-plough.com.

SCHERING-PLOUGH DISCLOSURE NOTICE:

The information in this press release includes certain "forward-looking statements" within the meaning of the Private Securities Litigation Reform Act of 1995, including statements relating to the potential market for MiraLAX. Forward-looking statements relate to expectations or forecasts of future events. Schering-Plough does not assume the obligation to update any forward-looking statement. Many factors could cause actual results to differ materially from Schering-Plough's forward-looking statements, including market forces, economic factors, product availability, patent and other intellectual property protection, current and future branded, generic or over-the-counter competition, the regulatory process, and any developments following regulatory approval, among other uncertainties. For further details about these and other factors that may impact the forward-looking statements, see Schering-Plough’s Securities and Exchange Commission filings, including Part I Item 1A. Risk Factors listed in the Company’s 2006 10-K.

References

1 Stoltz, et al. An efficacy and consumer preference study of polyethylene glycol 3350 for the treatment of constipation in regular laxative users. Home Health Care Consultant. 2001; Vol. 8, No. 2., p. 4

2 Higgins, Peter D.R., & Johanson, John F. Epidemiology of constipation in North America: a systematic review. American Journal of Gastroenterology. 2004; 99, 750-759.

3 DeLillo A.R. & Rose, S. Functional bowel disorders in the geriatric patient: constipation, fecal impaction and fecal incontinence. American Journal of Gastroenterology. 2000; 95, 901-905.

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Dulcolax vs. Miralax: Differences, similarities, and which is better for you

By Karen Berger, Pharm.D. | Jul. 6, 2020

Drug overview & main differences | Conditions treated | Efficacy | Insurance coverage and cost comparison | Side effects | Drug interactions | Warnings | FAQ

If you struggle with hard stools, stools that are difficult to pass, and/or have less than three bowel movements per week, it is likely you are dealing with constipation. Constipation is a very common problem in the United States, affecting 16 out of 100 adults, and 33 out of 100 adults aged 60 and older.

Dulcolax and Miralax are two popular, FDA approved over-the-counter laxatives used to treat occasional constipation and irregularity. Dulcolax contains bisacodyl, a stimulant laxative. It works by increasing the activity of the intestines to cause a bowel movement.

Miralax contains polyethylene glycol 3350, an osmotic laxative. It works by attracting water in the colon, which softens stools and makes them easier to pass. Both medications are known as laxatives and help treat constipation. However, they do have some differences. Continue reading to learn more about Dulcolax and Miralax.

What are the main differences between Dulcolax and Miralax?

Dulcolax (Dulcolax coupons | Dulcolax details) is a stimulant laxative available in brand and generic, and in tablet and rectal suppository form, containing the ingredient bisacodyl. Dulcolax as a brand name is also available in various other formulations, which do not contain bisacodyl, such as liquid and soft chews (which contain magnesium) and a stool softener (which contains docusate sodium). For the purpose of this review, we will focus on Dulcolax, which contains bisacodyl.

Miralax (Miralax coupons | Miralax details) s an osmotic laxative containing the ingredient polyethylene glycol 3350. It is available in brand and generic, in powder and powder packet form. You may also see Gavilax, which is the same as Miralax.

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Conditions treated by Dulcolax and Miralax

Dulcolax tablets and suppositories are used for the temporary relief of occasional constipation and irregularity. The tablets produce a bowel movement in six to 12 hours, and the suppositories work quicker, producing a bowel movement in 15-60 minutes.

Miralax is also indicated for the relief of occasional constipation and irregularity and produces a bowel movement in one to three days.

Dulcolax or Miralax are often used in bowel preparation for a procedure, such as a colonoscopy. When you are preparing for a procedure, your surgeon will give you a list of foods and drinks (such as Gatorade) you can consume on a clear liquid diet, along with a bowel prep procedure.

Is Dulcolax or Miralax more effective?

Studies have not compared the two drugs head to head for the treatment of occasional constipation. Therefore, when deciding which medication to try, you can look at a few factors. First, you will want to think about how fast you want to go to the bathroom. Are you very uncomfortable and want to go as quickly as possible? Or would you prefer more gentle, overnight relief? Considering this factor, Dulcolax tablets will work in about six to 12 hours, while the suppositories will work more quickly, within an hour.

Miralax can take one to three days to produce a bowel movement. You’ll also want to consider the type of medication. Do you prefer a tablet, a powder mixed into a liquid, or a suppository? If you have a strong preference for the type of medication you can tolerate, that may factor in as well. Also, it may take a bit of trial and error to find if Dulcolax or Miralax works better for you.

It is always a good idea to discuss treatment options with your healthcare provider. He or she is most qualified to help you decide which treatment to try, taking into account your medical history and conditions, as well as any medications you take that could interact with Dulcolax or Miralax.

Coverage and cost comparison of Dulcolax vs. Miralax

Because they are over-the-counter, Dulcolax and Miralax are usually not covered by insurance or Medicare Part D. Some exceptions may apply, for example, a state Medicaid plan. Also, you may be able to use your health savings credit card to pay for these OTC medications.

The typical out-of-pocket price for a box of generic Dulcolax tablets is about $8, and a box of suppositories is also about $8. The out-of-pocket price for a bottle of generic Miralax is about $23.

You can save money on Dulcolax (tablets or suppositories) or Miralax with a SingleCare card. (Note—although both drugs are OTC, a prescription is needed for coverage through SingleCare. Simply follow the steps here.)

Get the SingleCare discount card

Common side effects of Dulcolax vs. Miralax

The most common side effects of Dulcolax include nausea, vomiting, diarrhea, and stomach cramps. If you use the suppository form, you may feel local rectal irritation. Serious side effects may include electrolyte imbalance (symptoms may include decreased urine, fatigue/weakness, irregular heartbeat, dizziness, fainting, and/or confusion) or loss of colon function, after taking Dulcolax for too long. If you are still constipated after using Dulcolax for seven days, consult your healthcare provider. Consult your healthcare provider right away if you experience any of these serious side effects.

The most common side effects of Miralax include nausea, stomach cramping, and gas. Serious side effects may include excessive bowel movements, persistent diarrhea, severe stomach pain, bloody stools, or rectal bleeding. Consult your healthcare provider right away if you experience any serious side effects.

With either drug, rare but serious allergic reactions may occur. If you experience itching/swelling of the face, tongue, or throat, or trouble breathing, seek immediate medical attention.

Drug interactions of Dulcolax vs. Miralax

Dulcolax should not be taken within one hour of antacids like Tums or Rolaids, or proton pump inhibitors, because the combination could increase the risk of stomach cramps and other side effects. Dulcolax should not be taken with other stimulant laxatives because the combination could increase the risk of ulcers or colitis.

Miralax should not be taken with Linzess because the combination can increase the risk of dehydration and electrolyte abnormalities. Miralax also should not be taken with Trintellix or Fetzima because the combination may increase the risk of SIADH or low sodium.

This is not a full list of drug interactions. Other drug interactions may occur. Consult your healthcare provider for a full list of drug interactions.

Warnings of Dulcolax and Miralax

It is always a good idea to consult with a doctor of gastroenterology (gastroenterologist) if you experience bowel problems, especially if they are frequent or chronic. The gastroenterologist can do a full workup and evaluation, to determine if you have any underlying conditions causing your constipation that need to be treated.

Warnings of Dulcolax:

• Ask your healthcare provider before using if you are experiencing stomach pain, nausea, vomiting, or a sudden change in bowel habits lasting more than 14 days.
• Dulcolax may cause stomach discomfort, faintness, rectal burning, and mild cramping.
• Stop using Dulcolax and consult your healthcare provider if you have rectal bleeding or no bowel movement after using Dulcolax. This could indicate a more serious condition. Also, consult your healthcare provider if you have chronic constipation or need to use a laxative for more than seven days.
• Suppositories are for rectal use only.
• If you are taking the tablets, do not chew or crush. Do not take within one hour of antacids or milk.

Warnings of Miralax:

• Do not use if you are allergic to polyethylene glycol.
• Consult your healthcare provider before using if you have kidney disease.
• Consult your healthcare provider before using if you have nausea, vomiting, abdominal pain, a sudden change in bowel habits lasting more than 14 days, or irritable bowel syndrome (IBS).
• When using Miralax, you may have loose or watery stools or more frequent stools.
• Stop using Miralax and consult your healthcare provider if you have rectal bleeding, or worsened symptoms of nausea, bloating, cramping, or stomach pain. This could indicate a more serious condition. Also, stop using Miralax and consult your healthcare provider if you get diarrhea, or if you need to use a laxative for more than seven days.

Warnings of both Dulcolax and Miralax:

• Consult your healthcare provider before using if you are pregnant or breastfeeding.
• Keep out of reach of children.
• Prolonged use of laxatives can lead to electrolyte imbalance, which can be very dangerous. Consult your healthcare provider if your constipation continues for more than seven days.

Frequently asked questions about Dulcolax vs. Miralax

What is Dulcolax?

Dulcolax is an OTC medication that contains bisacodyl, a stimulant laxative. It is available in brand and generic and in tablet or suppository form. The suppository works quickly, producing a bowel movement within 15-60 minutes, and the tablets take about six to twelve hours to work.

What is Miralax?

Miralax is an OTC medication that contains polyethylene glycol 3350, an osmotic laxative. It is available in brand and generic in powder form. Miralax should produce a bowel movement within one to three days.

Are Dulcolax and Miralax the same?

Both medications are laxatives, but are different types of laxatives and work in different ways. See above for more information about Dulcolax and Miralax. There are also other types of laxatives, compared in the chart below.

Is Dulcolax or Miralax better?

The two drugs have not been compared in clinical trials. You may want to consider the type of medication you prefer (tablet, suppository, or powder mixed into a liquid) as well as how fast you would like to go to the bathroom. For example, if you’re uncomfortable and want to go to the bathroom fast, and don’t mind inserting a rectal suppository, a Dulcolax suppository will have you in the bathroom within the hour.

Can I use Dulcolax or Miralax while pregnant?

If you are pregnant or breastfeeding, consult your healthcare provider before using a laxative.

Can I use Dulcolax or Miralax with alcohol?

Alcohol may worsen constipation. If you are experiencing constipation, you should avoid alcohol. Also, alcohol can worsen the side effects of laxatives, such as bloating, nausea, stomach pain, and/or dehydration.

What is stronger than Miralax?

See the laxative chart above. There are several other laxatives that can work quicker than Miralax if you need something to work quickly.

What is the best fast-acting laxative?

A Fleet Saline Enema can produce a bowel movement as quickly as one to five minute(s). A Dulcolax suppository can produce a bowel movement in 15-60 minutes. A saline laxative, such as magnesium citrate, can produce a bowel movement in a half hour to 6 hours. Depending on your preference (enema, suppository, or liquid) and your level of discomfort, you can choose one of these, and it should work very quickly.

Can you take Miralax every day?

Miralax can be taken occasionally to treat constipation, but should not be used for more than seven days. If you have been using Miralax for seven days, and feel like you need to keep using it, consult your healthcare provider for guidance. You may want to see a stomach specialist called a gastroenterologist, who can do a full workup, including performing tests/bloodwork, making suggestions on increasing dietary fiber, and evaluating the medications you take to see if any of them could be causing your constipation.

Is over the counter MiraLAX the same as prescription?

How long does it take for MiraLAX to make you poop?

Is MiraLAX a laxative or stool softener?

Can you buy MiraLAX at the store?