Metamucil Treatment Report

Category: Over the Counter Drugs

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See also: Metamucil Wafers

What is Metamucil?

An example of Metamucil

Metamucil® is a brand name for psyllium, an antidiarrheal laxative. It is used as a dietary fiber supplement; for the treatment of occasional constipation; and to reduce risk of coronary heart disease. Off label it is used for irritable bowel syndrome and inflammatory bowel disease.

Reported Purpose & Perceived Effectiveness

Reasons and Perceived effectiveness
Perceived Effectiveness
Purpose # of patients # of patients with evaluations
Major
Moderate
Slight
None
Can’t tell
27 7 Efficacy_major Efficacy_moderate Efficacy_slight Efficacy_none
17 2 Efficacy_major Efficacy_moderate
6 2 Efficacy_cant_tell
6 2 Efficacy_slight Efficacy_none
1 0
1 0

See all 51 patients currently taking Metamucil

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Reported Side Effects

Side effects as an overall problem

Severe
0
Moderate
0
Mild
3
None
11

Commonly reported side effects, conditions, and hospitalizations associated with Metamucil

1
1
Hospitalization 1

Reported Dosages

Frequently reported dosages based on patients currently taking Metamucil. See all 29 dosages

  daily 1 tps. daily 2 tps. daily 2 tbs. daily 3 tps. daily 3.4 g/11 g daily 3.4 g/7 g daily 2 x 3.4 g/11 g daily 500 mg daily 3,000 mg daily
  2 Number of Patients: 2 2 Number of Patients: 2 2 Number of Patients: 2 2 Number of Patients: 2 2 Number of Patients: 2 5 Number of Patients: 5 5 Number of Patients: 5 2 Number of Patients: 2 6 Number of Patients: 6 3 Number of Patients: 3  

Reported Stop Reasons

Why Patients Stopped Taking Metamucil (multiple reasons could be selected)
Reason # Patients Percentage of patients
Other 9   Other: 47%
Did not seem to work 6   Did not seem to work: 32%
Expense 4   Expense: 21%
Course of treatment ended 2   Course of treatment ended: 11%
Not indicated 1   Not indicated: 5%
Personal research 1   Personal research: 5%
Doctor's advice 1   Doctor's advice: 5%
Side effects too severe 1   Side effects too severe: 5%

See all 19 patients who’ve stopped taking Metamucil

Currently Taking Metamucil

A bar graph

0-1 month 1-3 months 3-6 months 6 months-1year 1-2 years 2 years or more
0
0

Stopped Taking Metamucil

A bar graph

0-1 month 1-3 months 3-6 months 6 months-1year 1-2 years 2 years or more

Reported Adherence, Burden & Cost See details from patient evaluations

Adherence

Taking treatment as prescribed

Adherence of Metamucil

Always
10 71%
Usually
2 14%
Sometimes
1 7%
Never
1 7%

Burden

Difficulty being on treatment

Burden of Metamucil

Very
0 0%
Somewhat
2 14%
A little
4 29%
Not at all
8 57%

Cost

Paid out of pocket

Cost of Metamucil

$200+
0 0%
$100-199
0 0%
$50-99
0 0%
$25-49
0 0%
< $25
8 100%

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3 patient evaluations for Metamucil

Purpose: IBS (Irritable Bowel Syndrome) (Started Sep 23, 2006)
Date Dosage Perceived effectiveness Side Effects Adherence Burden
Jan 01, 2012   Led_efficacy_3Led_efficacy_3Led_efficacy_3Led_defaultModerate NoneNoneNoneNoneNone AlwaysAlwaysAlwaysAlwaysAlways Not at allNot at allNot at allNot at allNot at all
Jun 29, 2011 3000 mg Daily Led_efficacy_4Led_efficacy_4Led_efficacy_4Led_efficacy_4Major NoneNoneNoneNoneNone AlwaysAlwaysAlwaysAlwaysAlways Not at allNot at allNot at allNot at allNot at all
Date
Jan 01, 2012
Advice & Tips
Added more fruits and raw vegetables to diet instead.
Cost
< $25 monthly
Date
Jun 29, 2011
Advice & Tips
Stopped all meds due to elevated liver enzymes, until liver situation resolved.
Cost
< $25 monthly
  • Icon_thumb_off 0 helpful marks
Purpose: Bowel irritability (Started Jan 01, 2005)
Date Dosage Perceived effectiveness Side Effects Adherence Burden
Jun 01, 2011 3.4 g/11 g Daily Led_efficacy_2Led_efficacy_2Led_defaultLed_defaultSlight MildMildMildMildMild SometimesSometimesSometimesSometimesSometimes SomewhatSomewhatSomewhatSomewhatSomewhat
Date
Jun 01, 2011
Advice & Tips
The Metamucil was so thick and it made me think I was going to choke on it. I could not drink it fast enough to prevent it from jelling up.
Cost
< $25 monthly
  • Icon_thumb_off 0 helpful marks
  • expastrychef
    Sex: M
    Data Quality: 1 star
    MS: 13 yrs
    Type: Secondary Progressive
    Sensation: Moderate
    Overall: Moderate
    Cognition: moderate
    Vision: none
    Speech: mild
    Swallowing: moderate
    Upper limb: moderate
    Walking: moderate
  • 12697-thumb
  • See expastrychef's full Metamucil history
Purpose: Bowel problems (Started Jan 22, 2001)
Date Dosage Perceived effectiveness Side Effects Adherence Burden
Mar 14, 2009 As needed Led_efficacy_3Led_efficacy_3Led_efficacy_3Led_defaultModerate NoneNoneNoneNoneNone AlwaysAlwaysAlwaysAlwaysAlways Not at allNot at allNot at allNot at allNot at all
Feb 23, 2009 As needed Led_efficacy_3Led_efficacy_3Led_efficacy_3Led_defaultModerate NoneNoneNoneNoneNone UsuallyUsuallyUsuallyUsuallyUsually Not at allNot at allNot at allNot at allNot at all
  • Icon_thumb_off 0 helpful marks

11 additional evaluations for Metamucil are not currently shared publicly.

What is psyllium?

Psyllium is a bulk-forming fiber laxative. Psyllium works by absorbing liquid in the intestines and swelling to create a softer, bulky stool that is easier to pass.

Psyllium is used to treat occasional constipation or bowel irregularity. Psyllium may also be used to treat diarrhea and may help lower cholesterol when used together with a diet low in cholesterol and saturated fat.

Psyllium may also be used for other purposes not listed in this product guide.


Precautions

Laxatives may be habit-forming if they are used too often or for too long. This can lead to damage of intestinal nerves or muscle tissues. Do not take psyllium for longer than directed on the label or prescribed by your doctor.

You should not take this product if you are allergic to psyllium, or if you have:

  • trouble swallowing;
  • a sudden change in bowel habits that lasts longer than 2 weeks;
  • severe nausea, vomiting, or stomach pain; or
  • if you have ever had a skin rash while taking psyllium.

If you have certain conditions, you may need a dose adjustment or special tests to safely use this product. Before you take psyllium, tell your doctor if you have:

  • a colostomy or ileostomy;
  • rectal bleeding; or
  • a blockage in your intestines.

Psyllium products may contain sugar, sodium, or artificial sweeteners. This may be of concern to you if you have diabetes, high blood pressure, or phenylketonuria (PKU). Check the product label if you have any of these conditions.

FDA pregnancy category B. Psyllium is not expected to be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment.

It is not known whether psyllium passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

Avoid taking other oral (by mouth) medications within 2 hours before or after you take psyllium. Bulk-forming laxatives can make it harder for your body to absorb other medications, possibly making them less effective.

Avoid breathing in the dust from psyllium powder when mixing. Inhaling psyllium dust may cause an allergic reaction.

If you take psyllium as part of a cholesterol-lowering treatment plan, avoid eating foods that are high in fat or cholesterol. Your treatment will not be as effective in lowering your cholesterol if you do not follow a cholesterol-lowering diet plan.

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Instructions

Seek emergency medical attention if you think you have used too much of this medicine.

Overdose symptoms may include nausea, vomiting, and stomach pain. Using a laxative too often or for too long may cause severe medical problems involving your intestines.

Take the missed dose as soon as you remember. If it is almost time for your next dose, wait until then to take the medicine and skip the missed dose. Do not take extra medicine to make up the missed dose.

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Side Effects

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Stop using psyllium and call your doctor at once if you have a serious side effect such as:

  • choking or trouble swallowing;
  • severe stomach pain, cramping, nausea or vomiting;
  • constipation that lasts longer than 7 days;
  • rectal bleeding; or
  • itchy skin rash.

Less serious side effects may include:

  • bloating; or
  • minor change in your bowel habits.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088. You may report side effects to FDA at 1-800-FDA-1088.

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Interactions

Tell your doctor about all other medications you use, especially:

  • a blood thinner such as warfarin (Coumadin); or
  • demeclocycline (Declomycin), doxycycline (Adoxa, Doryx, Oracea, Vibramycin), minocycline (Dynacin, Minocin, Solodyn, Vectrin), or tetracycline (Brodspec, Panmycin, Sumycin, Tetracap).

This list is not complete and there may be other drugs that can interact with psyllium. Tell your doctor about all your prescription and over-the-counter medications, vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start a new medication without telling your doctor.

Other Names

Cilium, Fiber Eze, Genfiber, Hydrocil, Konsyl, Konsyl-D, Konsyl-Orange, Laxative Natural, Maalox Daily Fiber Therapy, Metamucil, Modane Bulk, Natural Fiber Therapy, Perdiem Fiber Powder, Reguloid, Serutan, psyllium, Alramucil, Fiberall, Fiber Therapy, Konsyl Orange Sugar-free, Laxmar, Laxmar Orange, Laxmar Sugar Free, Metamucil Berry Burst Smooth Texture Sugar Free, Metamucil Orange Coarse Milled Original Texture, Metamucil Orange Smooth Texture, Metamucil Orange Smooth Texture Sugar Free, Metamucil Unflavored Coarse Milled Original Texture, Metamucil Unflavored Smooth Texture Sugar Free, and V-Lax

Available Strengths & Dosages


Route Form Strength
oral powder for reconstitution 3.4 g/7 g
oral capsule 500 mg
oral wafer 1.7 g
oral powder for reconstitution 3.4 g/11 g
oral powder for reconstitution 3.4 g/3.7 g
oral powder for reconstitution 3.4 g/5.2 g

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Disclaimer

Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

Copyright 1996-2004 Cerner Multum, Inc. Version 2.05. Revision date 8/23/04

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