Dr. Uday Nath Sahoo MBBS , Internal Medicine

Constipation: Evalex is non-digestible in human beings because of which, it passes as it is into the large intestine. The resident bacteria in the intestine act on it to convert it into lactic acid, acetic acid, and formic acid, drawing fluid into the stool and thus softening it. This makes it easier to pass the stool, and thus helps in relieving constipation.

Hepatic encephalopathy: In the event of liver failure, ammonia detoxification is difficult. If the level of ammonia in the bloodstream increases, it can reach the brain and damage it. Thus it is important to get rid of the excess ammonia. Evalex pulls ammonia from the bloodstream and helps in discharging it via the stool, thus preventing brain damage.

Dr Anjum Mujawar MBBS, MBBS , Emergency Medicine

Older people frequently suffer from constipation. The osmotic laxatives like Evalex find a place in their therapy, however, some of the side effects associated with these agents are abdominal pain, bloating, diarrhea and flatulence. These side effects are present because Evalex is converted to carboxylic acids like acetic acid, lactic acid and formic acid by the intestinal bacteria. Further, the patients may also develop a disliking to the sweet taste of the Evalex. 

Dr. Suhas Bhargav MBBS , General Physician

Evalex is available in the form of liquid to be taken orally. For the management of constipation, it is usually, taken once a day and for the management of a liver disease, it is usually taken 3 to 4 times a day. It is important to take the quantity exactly as prescribed by your doctor. Taking higher or the lower dose may have an adverse effect, therefore, one should always be compliant with the prescription label or doctor's recommendation.

Dr. Suhas Bhargav MBBS , General Physician

Chronic constipation is one of the very common gastrointestinal problems faced by the people suffering from diabetes. The goal of therapy should be to ease symptoms and facilitate defecation. The primary goal of treatment is to change lifestyle by incorporating physical activity, changing diet, eating more fiber, etc. to decrease constipation. The second line of treatment is to recommend an osmotic laxative and in that category, Evalex is one of the most frequently prescribed laxatives. Therefore, yes, Evalex is safe to be used in diabetics.

Dr. Gaurav MBBS , General Physician

No, it is not recommended that you use Evalex with other laxatives as this might lead to diarrhea and hence, severe dehydration. It is also recommended that you talk to your doctor before taking any other laxative.