Navigating Normacol Plus: Your Comprehensive Guide

Understanding the nuances of medication is crucial for effective treatment. In this guide, we delve into Normacol Plus, a medication designed to address specific gastrointestinal concerns. By exploring its composition, uses, dosage, precautions, and potential side effects, we aim to provide comprehensive insights for individuals considering or currently using Normacol Plus.

Unveiling Normacol Plus

Normacol Plus comes in the form of brown, coated granules containing Sterculia (BP) at 62% and Frangula (BP) at 8%. The primary purpose of this medication is its efficacy as a laxative.

Indications and Uses

Normacol Plus serves as a reliable solution for those seeking relief from constipation. Its laxative properties make it a valuable aid for promoting regular bowel movements.

For adults, including the elderly, the recommended dosage is 1 to 2 sachets taken once or twice daily after meals. Children aged 6 to 12 years may be administered a reduced amount at the discretion of a physician. The granules should be ingested without chewing or crushing, followed immediately by plenty of water or a cool drink.

When giving Normacol Plus to children, a convenient method is to mix the granules with a small amount of jam for easy administration.

Exploring Contra-Indications, Warnings, and Precautions

While Normacol Plus offers relief, certain conditions and situations warrant caution.


Normacol Plus is contraindicated in cases of intestinal obstruction, faecal impaction, and total atony of the colon. Individuals with known hypersensitivity to the ingredients should also avoid its use.


  1. Ulcerative Colitis:

    • Caution is advised in the use of Normacol Plus in cases of ulcerative colitis.
  2. Fluid Intake:

    • Adequate fluid intake is crucial. Patients should be advised to maintain hydration, especially if they are elderly.
  3. Bedtime Administration:

    • Avoid taking Normacol Plus immediately before bedtime or in a recumbent position.
  4. Bowel Movements:

    • If bowel movements do not occur within four days, individuals are advised to suspend treatment and consult their healthcare provider.
  5. Stimulant Laxatives:

    • Prolonged and excessive use of stimulant laxatives, like Normacol Plus, can cause dependence and loss of normal bowel function.
  6. Hereditary Issues:

    • Individuals with rare hereditary problems of fructose intolerance, glucose-galactose malabsorption, or sucrase-isomaltase insufficiency should refrain from taking Normacol Plus.
  7. Sodium Content:

    • Normacol Plus contains 1.25 to 2.5mmol of sodium per 7g sachet. Patients on a controlled sodium (low salt) diet should consider this.
  8. Pregnancy and Lactation:

    • Normacol Plus is not recommended during pregnancy. Consultation with a doctor or pharmacist is essential before using this product during pregnancy or breastfeeding. Sterculia alone is available as an alternative.

Potential Side Effects

Understanding potential side effects is crucial for informed decision-making.

  1. Immune System Disorders:

    • Allergic reactions may occur.
  2. Gastrointestinal Disorders:

    • Side effects include intestinal/colonic obstruction or impaction, abdominal cramps, and possible esophageal obstruction if not adequately washed down with fluid. Abdominal distention may also occur.

Dealing with Overdosage

In cases of overdosage, intestinal obstruction is possible, particularly when combined with inadequate fluid intake. Management mirrors that of intestinal obstruction from other causes. Profound diarrhea may lead to dehydration and electrolyte depletion.


Normacol Plus emerges as a valuable ally for those seeking relief from constipation. By understanding its composition, recommended dosage, precautions, and potential side effects, individuals can make informed decisions about its use. As with any medication, it is essential to follow medical advice closely, ensuring a safe and effective experience with Normacol Plus. If you have specific concerns or conditions, consulting your healthcare provider for personalized guidance is highly recommended.

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