Laxsol vs Molaxole
Docusate sodium + sennoside B Also known as Laxsol or coloxyl & senna or solax | Molaxole | |
Note on names | From December 2025 the funded brand of docusate and senna changed from Laxsol to Solax | |
Active ingredients | Docusate sodium + senna | Macrogol (polyethylene glycol) + electrolytes |
Type of laxative | Stool softener (coloxyl) + stimulant laxative (senna) | Osmotic laxative |
How it works | Softens stool and stimulates bowel contractions | Draws water into the bowel to soften stool and increase stool volume |
Onset of action | Usually overnight (8–12 hours) | Usually 1–3 days |
Common use | Short-term constipation needing a bowel movement relatively quickly | Chronic constipation and ongoing bowel management |
Cramping risk | Higher due to stimulant effect | Lower, though bloating can occur |
Long-term use | Generally not recommended without medical supervision | Often suitable for longer-term use under guidance |
Opioid-induced constipation | Commonly used when regular opioids are charted, often combined with other laxatives | Frequently used as first-line treatment |
Advantages | Faster effect. Useful when constipation is due to sluggish bowel activity. | Generally gentler. Effective for hard stools and faecal impaction Can be used long term in many patients. |
Disadvantage | May cause abdominal cramps or urgency. Less suitable as a sole long-term treatment May turn urine orange / brown / pink – this is harmless | Requires adequate fluid intake and may cause bloating initially. Tends to be better tolerated than lactulose |