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Desacetyl bisacodyl (DAB) is an active metabolite of two stimulant laxatives, bisacodyl and sodium picosulfate.1,2 DAB evokes several effects at the colon or rectum, including increased mucus and chloride secretion.3,4 Oral administration of bisacodyl leads to decreased expression of aquaporin-3 in the colon of rats.5 The effects of both DAB and bisacodyl can be blocked with cyclooxygenase (COX) inhibitors, suggesting that products of the COX signaling pathway contribute to laxative effects.4,5
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1. Absence of excretion of the active moiety of bisacodyl and sodium picosulfate into human breast milk: an open-
2. Bis-
3. The influence of bisacodyl and deacetylbisacodyl on mucus secretion, mucus synthesis and electrolyte movements in the rat colon in vivo. Eur. J. Pharmacol. 117(2), 215-222 (1985).
4. Desacetyl bisacodyl-
5. The laxative effect of bisacodyl is attributable to decreased aquaporin-