Symptomatic treatment of constipation in adults and children from 8 years. Before starting treatment, the doctor should determine whether the cause of constipation is not organic. The preparation should be only temporary auxiliary treatment in addition to the treatment of constipation with a suitable lifestyle and diet. Children should not be used for more than 3 months. If, despite the use of the diet, the symptoms persist, the cause should be detected and appropriate treatment implemented.
Composition:
1 sachet contains 10 g macrogol 4000. The powder contains saccharin, sorbitol and sulfur dioxide.
Action:
Laxative preparation with osmotic effect. When given orally, it increases the volume of intestinal fluids. It is not absorbed from the digestive tract.
Contraindications:
Hypersensitivity to polyethylene glycol or other components of the preparation. Severe inflammatory bowel disease (eg ulcerative colitis, Crohn's disease), toxic dilation of the colon, associated with symptomatic intestinal stenosis. Perforation or an increased risk of gastrointestinal perforation. Intestinal obstruction or suspected intestinal mechanical obstruction. Abdominal pain of unknown etiology.
Precautions:
Patients with hereditary fructose intolerance should not take the preparation. Due to the sulfur dioxide content, severe hypersensitivity reaction and bronchospasm may occur. In the case of diarrhea, in patients prone to disorders of water and electrolyte management (eg elderly patients, with liver or kidney failure or using diuretics), the electrolyte concentration should be monitored.
Pregnancy and lactation:
No effects on pregnancy and the organism of newborns and breastfed babies should be expected, as the systemic exposure to macrogol 4000 is minimal. The preparation can be used during pregnancy and breastfeeding.
Side effects:
Common: abdominal pain, bloating, diarrhea, nausea. Uncommon: vomiting, urgent need for stool, incontinence. Very rare: hypersensitivity reactions (pruritus, rash, facial edema, Quincke's edema, urticaria, anaphylactic shock). Not known: hyponatraemia, hypokalaemia, dehydration (especially in elderly patients).
Dosage:
Orally. Adults and children from 8 years: 1-2 sachets daily, preferably in a single dose in the morning. The contents of the sachet should be dissolved in a glass of water just before taking the drug. The effect occurs within 24-48 h after administration of the preparation.
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