Using bisacodyl solutions safely - safe duration?

I'm currently looking to "add arrows to the quiver" for treatment options, and one thing I saw here several times was using bisacodyl in an enema. That looks like it would get around the significant unpredictability and possibility of ongoing cramps from oral use, but I'm not sure on dose/duration safety for it.

There's been a fair amount of discussion on the 30-60mg dosing range, including Switchablesusie's very potent brew, and LisaK's recommendation of 1x/quarter seems very applicable there. What I'm not so sure about is using the 10-20mg range in a 1 quart or so enema when things grind to a halt. I can see adding them (along with 15%-30% glycerine and water enemas) in with my current arsenal of light SSE or tap water enemas, especially on days when the bowels really aren't cooperating or I need things done fast. What I don't want to do is make things worse. What do you think? max 1-3 times and then a week or two off with something else (oral Mirilax, different enema solution) OK? Something else? They aren't very specific.

BTW - I do take fiber all the time, but it doesn't always work. My intestines are not the most cooperative.

Are you doing this for genuine medical need or for the fun of it?

My responses will be different.

I suppose that the effects in taking an enema of 1 quart with 30-60 mg Bisacodyl will be too harsh.

Straight glycerin (no water at all) in about a 10ml dose, using a lube shooter inserted as deep as it will go usually delivers the goods for me in under five minutes. Very difficult to hold, so stay close to the bathroom.

I use 3 X 10 mg. Dulcolax tabs dissolved in water of about 2 qts.. The chemical brings a good cleanout in about 10 min. I learned this here on Zity from Stephen S. and Mattheww55. It's one of many things I've learned on Zity

From what I understand about Bisacodyl dosage, you can get results, and then you can get RESULTS.

Are you doing this for genuine medical need or for the fun of it?

Possibly a difficult question. At this point not fun. My bowels and I don't have fun together yet. Perhaps some day.

Genuine medical need - a grey area. Could I take care of it other ways? Perhaps. Did a doctor say "do this?" No. I do take enemas because of constipation (IBS-C) on weeks when I'm off the Mirilax and things aren't functioning, and if I don't my mood goes sour and I stop eating enough after a couple of days. There are some times when water or light SSEs are very slow, and I would like something faster (oral laxatives are very unpredictable, so anything more powerful than Mirilax is out).

I'm thinking a likely worst-case scenario would be 3-4 in a month with 15-20 mg (haven't worked out minimum working dose yet). Don't want to tie my large intestine into knots.

I have found basically 3 ways to safely take bisacodyl with an enema.

Best way: Buy a Fleet Bisacodyl mini enema. Inject it when you first get into position, before you do any nozzle insertions or anything. At least a good 10 minutes before you crack the valve on the enema. This WILL add some "kick" to an Epsom Salt and Soapsuds enema.

A good way remembering that I'm no fan of suppositories 2 bisacodyl suppositories inserted high late in the mixing of the enema, before getting into position. Should be inside you 20-30 minutes by the time you crack the valve on the enema.

An OK way, especially if you want a "higher than label" dose: About 2-3 hours before starting the enema take your chosen dose of bisacodyl tablets with plenty of water DO NOT CHEW!!

In a nutshell the easier-to-get form you use, the earlier you have to take it.