Digestive health · Bulk-forming laxative / dietary fibre supplement

Psyllium husk (Isabgol / Ispaghula)

Isabgol is a natural bulk-forming fibre used to soften stools, promote regular bowel movements, and support digestive health.

OTCKidney warningSenior precaution
IsabgolMetamucilFybogel
Overview & typical uses

Isabgol is a natural bulk-forming fibre used to soften stools, promote regular bowel movements, and support digestive health.

Primary uses

  • Gentle relief of constipation
  • Support for fibre intake in low-fibre diets
  • Symptom relief in some bowel conditions (under clinical guidance)
How it works

Absorbs water in the intestine to form a soft, bulky stool. Encourages natural bowel movement without strong stimulation.

Available forms & strengths
  • Husk powder (Oral)
  • Effervescent granules (Oral)
General precautions & contraindications

Do not use if

  • Bowel obstruction or difficulty swallowing
  • Severe strictures of the digestive tract

Pregnancy

Generally considered safe. Not absorbed; considered safe.

Breastfeeding

Generally considered safe. Not absorbed; safe during breastfeeding.

Kidney considerations

  • No dose adjustment needed for routine use.

Paediatric use

Suitable from about 6 years with full fluid intake.

Older adults

Watch for choking or blockage if taken with too little water.

Common side effects
  • Bloating and gas (settles as your body adjusts)
  • Mild abdominal discomfort
Serious warnings — seek help if these appear
  • Bowel or oesophageal blockage if taken with too little fluid
  • Serious allergic reaction (very rare)
Drug interactions
Levothyroxine, iron supplements, digoxincaution

Fibre may reduce absorption — take other medicines 1 to 2 hours apart.

Food & alcohol precautions
Water

Always take with a full glass of water (about 250 mL) to avoid blockage.

Storage, missed dose & overdose

Storage

Store in a dry place below 25 °C, out of reach of children.

If a dose is missed

Take when remembered — no fixed schedule.

Overdose

Excessive use can cause bloating, gas, and blockage. Increase fluids and seek help if severe.

Frequently asked questions
When should I take isabgol?

Many people take it in the morning or before bed with a full glass of water.

Medical references
  • British National Formulary — Ispaghula huskBNF (NICE)

Content last reviewed: 2025-01-01

Medical disclaimer

This information is for educational purposes only and should not replace professional medical advice. Please consult a licensed pharmacist or clinician for advice tailored to your personal circumstances.