Substitutes For Citrucel: Natural Alternatives

Citrucel is a brand-name over-the-counter medication used to treat constipation. It contains the active ingredient methylcellulose, a type of natural, soluble fiber. While Citrucel is effective in treating constipation, some people may prefer alternative treatments. Substitutes for Citrucel include Metamucil, Miralax, Colace, and Heather's Tummy Fiber. These products work differently to Citrucel and may be preferred by those who want immediate relief from constipation.

Metamucil (psyllium fiber)

The psyllium fiber in Metamucil is derived from the Plantago ovata plant and has been used for its health benefits for centuries in ancient traditional medicine. It is the only leading fiber supplement brand that contains 100% natural psyllium fiber. This fiber is a non-digestible carbohydrate that offers multiple health benefits, including promoting digestive health, lowering cholesterol, and helping to maintain healthy blood sugar levels. The fiber forms a viscous gel that traps bile acids and carbohydrates, removing them from the body and slowing their absorption. This gel also helps individuals feel less hungry between meals and promotes a feeling of fullness.

Metamucil is available in powder, capsule, and thin forms, making it easy to incorporate into your diet. It is recommended to try Metamucil for two full weeks to make it a daily habit and experience its benefits. However, it should not be used for more than one week to treat constipation.

Miralax (osmotic laxative)

Miralax is an osmotic laxative that works by drawing water into the colon (large intestine), which softens the stool and may naturally stimulate the colon to contract. These effects help to produce a bowel movement. It is typically used for short-term treatment, but in some cases, it’s used long-term to treat chronic (long-lasting) constipation. It is also sometimes used for colonoscopy bowel preparation.

The active ingredient in Miralax is polyethylene glycol 3350 (PEG 3350). It is available as a powder in bottles and single-serve packets. You mix the powder with 4 to 8 oz of water or another beverage and consume it once daily. The typical dosage for adults is 17 grams.

Miralax can cause mild or serious side effects. More common side effects include diarrhoea or loose stools. Serious side effects include dehydration and allergic reactions.

Colace (stool softener)

Colace (docusate sodium) is a stimulant-free emollient, or stool softener, that can be used to treat occasional constipation. Unlike laxatives, Colace does not directly affect bowel movements or how the digestive system moves stool. Instead, it allows water and fats to enter the stool, softening it and making it more comfortable to pass. It is not recommended for long-term use, and should be taken for no more than one week unless directed by a doctor.

Colace is available in regular strength capsules, clear soft gels, 2-in-1 tablets, and as stool-softening gummies. Colace is also available in liquid form, which should be measured carefully with a special device or spoon. The liquid can be mixed with fruit juice, milk, or infant formula to prevent throat irritation and mask its bitter taste. Colace is usually taken at bedtime with a full glass of water or juice, or as directed by a doctor. It typically provides relief within 12 to 72 hours, although this may take up to three days.

Colace is the number one doctor-recommended stool softener brand and has been trusted by doctors and patients for nearly 60 years. It is safe and gentle enough to be used during pregnancy and after surgery. It is well tolerated, although some users may experience stomach or abdominal cramps, diarrhoea, or cramping. Serious allergic reactions are rare but may include a rash, itching or swelling, severe dizziness, or trouble breathing.

Heather's Tummy Fiber (organic acacia senegal)

Heather's Tummy Fiber is a supplement that can help with constipation and diarrhea. It is made from 100% organic acacia senegal powder, which is a natural, pure, organic, 100% soluble dietary fiber powder produced from the gum of the acacia senegal tree. It is designed to be tasteless, non-thickening, grit-free, and safe for daily, lifelong use for adults and children.

Heather's Tummy Fiber is a prebiotic that increases good gut flora and has excellent gastrointestinal tolerance. It slows down colonic fermentation, which decreases gas and bloating. It is also non-GMO, kosher, and contains no gluten or FODMAPS.

The supplement comes in a 16-ounce pouch and can be added to liquids or moist foods. It is recommended to start with a low dose of 1/2 teaspoon twice daily and gradually increase until symptoms stabilize.

Heather's Tummy Care also offers other products to help with IBS symptoms, including teas, capsules, and soluble fiber supplements.

Docusate (stool softener)

Docusate, also known as Colace, is a stool softener that can be used to treat constipation. It is often used when straining during a bowel movement should be avoided, such as after surgery or a heart attack. It is available over the counter and is typically taken orally with a full glass of water or juice. It can also be administered rectally through suppositories or enemas.

Docusate works by reducing the surface tension of the oil and water interface within the stool, allowing water and fats to enter and soften it, making it easier to pass. It typically takes effect within 12 to 72 hours of initiating treatment, with relief usually seen in 1 to 3 days. It is important to note that there is a lack of good-quality evidence supporting the use of docusate, and most trials have not found it to be effective.

The dosage of docusate depends on the form and the patient's age. For oral administration, the typical dose for adults is 100 mg twice daily. For rectal enemas, the dosage is 283 mg per 5 mL, administered 1 to 3 times a day through a disposable syringe. For children between the ages of 2 and 12, the dosage may range from 50 to 150 mg in single or divided doses.

Docusate is generally well-tolerated, and serious side effects are rare. Some possible side effects include stomach pain, diarrhoea, cramping, and throat irritation with the liquid or syrup forms. It is important to follow the directions on the package or consult a pharmacist or doctor if you have any questions. Docusate should not be used for more than 1 week unless directed by a healthcare professional.

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