Products / PADMA LAX / FAQ / Use

FAQ (Frequently Asked Questions)

As a producer of medicinal products in Switzerland PADMA Inc. is not allowed to give medical advice to patients. Frequently asked questions regarding PADMA 28 are listed in the FAQs below. Please consult your doctor, pharmacist or druggist for further medical advice.

 

What is PADMA Lax and when is it used?
Padma Lax is an herbal laxative according to the principles of Tibetan medicine (for components see “What does Padma Lax contain?”). Padma Lax acts as mild (1 tablet per day) to strong (2 tablets per day) laxative. It also stimulates the digestive functions and reduces flatulence. It is used for the treatment of temporary constipation (e.g. due to change of diet, travel or confinement to bed).

What does Padma Lax contain?
One tablet contains: Aloes dry extract 12.5mg, standardised to 2.4-2.6 mg hydroxyanthracene derivatives (solvent: water); calumba root 10mg; cascara bark 52.5mg; chebulic myrobalan fruit 35mg; condurango bark 10mg; elecampane 35mg; frangula bark 52.5mg; gentian root 35mg; ginger 70mg; heavy kaolin 25mg; long pepper 3.5mg; nux vomica 1.75mg; rhubarb root 70mg; sodium hydrogen carbonate 15mg; sodium sulphate 35mg. The product also contains excipients.

The following is a brief characterisation of the components:
Herbal drugs containing 1,8-dihydroxyanthracene derivatives (Aloes, frangula bark, cascara bark und rhubarb root): various constituents of these drugs have a laxative effect. Two mechanisms of action are responsible for this effect. They influence the motility of the muscles of the large intestine and stimulate the active secretion of chloride ions into the lumen of the large intestine, which results in increased water secretion. Together, these effects lead to a shorter colonic transit time and a softer stool.
Herbal drugs containing bitter principles (calumba root, condurango bark, gentian root, elecampane, nux vomica): The bitter compounds stimulate gastric secretion and support the digestive processes in the stomach and the small intestine.
Herbal drugs containing essential oils (ginger, long pepper): These have spasmolytic and carminative effects.
Herbal drugs containing tannins (chebulic myrobalan fruit, rhubarb root): These protect the mucosa from irritation and have a local antiinflammatory effect.
Heavy kaolin: Acts as adsorbent for many substances.
Sodium hydrogen carbonate: Acts as an antacid.
Sodium sulphate: Acts as a saline laxative.

What else should be considered?
In the case of constipation you should, if possible, eat foods with high roughage content (vegetables, fruit, wholemeal bread), drink regularly and take adequate exercise (sport). In the case of chronic constipation a doctor should be consulted, who will possibly prescribe a causal therapy. Padma Lax is also suitable for diabetics: 1 tablet contains 0.09 g utilisable carbohydrates. The product does not contain lactose and is gluten-free.

When must Padma Lax not be used?
Padma Lax must not be used in the case of intestinal obstruction, diseases of the gastrointestinal tract (e.g. Crohn’s disease, ulcerative colitis, appendicitis) and in case of known hypersensitivity to one of the active substances or one of the excipients (see “What does Padma Lax contain?”). Padma Lax must not be given to children under the age of 12 years unless prescribed by the doctor.

When must Padma Lax be used only with caution?
Laxatives should generally not be taken for longer than 1 to 2 weeks without medical prescription, to avoid habituation. If Padma Lax is taken for longer or in a dosage higher than indicated, diarrhoea with dehydration and disorders of the mineral balance (incl. Potassium depletion) can occur and the intestinal mucosa can be damaged. Long-term treatment must be carried out under medical supervision. Inform your doctor, your pharmacist or your druggist if you are suffering from other diseases, have any allergies, or are taking other medicines (even if bought over the counter!).

May Padma Lax be taken during pregnancy and breast feeding?
During pregnancy and breast feeding Padma Lax may be taken only if expressly prescribed by your doctor.

What are the main characteristics of the individual components?

  • Herbal drugs containing 1,8-dihydroxyanthracene derivatives (Aloes extractum, Frangulae cortex, Rhamni purshianae cortex und Rhei radix): various constituents of these drugs have a laxative effect. Two mechanisms of action are responsible for this effect. They influence the motility of the muscles of the large intestine and stimulate the active secretion of chloride ions into the lumen of the large intestine, which results in increased water secretion. Together, these effects lead to a shorter colonic transit time and a softer stool.
  • Herbal drugs containing bitter principles (Calumbae radix, Condurango cortex, Gentianae radix, Helenii rhizoma, Strychni semen): The bitter compounds stimulate gastric secretion and support the digestive processes in the stomach and the small intestine. In toxic doses, strychnine acts as a centrally-active convulsant poison (the lethal dose in adults starts at about 1 mg/kg body weight). Convulsions have been observed in isolated cases in humans, already with doses of 1.5 mg of strychnine. When taken in a dosage of 2 tablets a day (corresponds to 3.5 mg strychni semen, i.e. 90 µg strychnine), the herbal drug acts as a toxicologically harmless bitter drug.
  • Herbal drugs containing essential oils (Zingiberis rhizoma, Piperis longi fructus): These have spasmolytic and carminative effects.
  • Herbal drugs containing tannins (Myrobalani fructus, Rhei radix): These protect the mucosa from irritation and have a local antiinflammatory effect.
  • Kaolin: Acts as adsorbent for many substances.
  • Natrii hydrogenocarbonas: Acts as an antacid.
  • Natrii sulfas: Acts as a saline laxative.

What else should be considered?
In the case of constipation you should, if possible, eat foods with high roughage content (vegetables, fruit, wholemeal bread), drink regularly and take adequate exercise (sport). In the case of chronic constipation a doctor should be consulted, who will possibly prescribe a causal therapy. Padma Lax is
also suitable for diabetics: 1 tablet contains 0.09 g utilisable carbohydrates. The product does not contain lactose and is gluten-free.

When must Padma Lax not be used?
Padma Lax must not be used in the case of intestinal obstruction, diseases of the gastrointestinal tract (e.g. Crohn’s disease, ulcerative colitis, appendicitis) and in case of known hypersensitivity to one of the active substances or one of the excipients (see “What does Padma Lax contain?”). Padma Lax must not be given to children under the age of 12 years unless prescribed by the doctor.

When must Padma Lax be used only with caution?
Laxatives should generally not be taken for longer than 1 to 2 weeks without medical prescription, to avoid habituation. If Padma Lax is taken for longer or in a dosage higher than indicated, diarrhoea with dehydration and disorders of the mineral balance (incl. Potassium depletion) can occur and the intestinal mucosa can be damaged. Long-term treatment must be carried out under medical supervision. Inform your doctor, your pharmacist or your druggist if you are suffering from other diseases, have any allergies, or are taking other medicines (even if bought over the counter!).

May Padma Lax be taken during pregnancy and breast feeding?
During pregnancy and breast feeding Padma Lax may be taken only if expressly prescribed by your doctor.