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Regulax Oral Drops 20ml – For Short-term Treatment of Constipation

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11.99

Bowel sluggishness and constipation are widespread complaints. However, they are only  rarely caused by serious illness. In fact, they are mostly caused by aspects of everyday life,  such as stress, lack of exercise, unfamiliar toilets and poor nutrition. Therefore, a good  laxative should simply help you, without any stress.  

With Regulax® Picosulfate Oral Drops, you have chosen a medicine that regulates bowel  activity by increasing the volume of stools and stimulating peristalsis (natural, rhythmic  movement of the bowel). In this way, bowel evacuation is regular yet gentle.  

Regulax Picosulfate Oral Drops 

7.23 mg/ml  

Oral drops, solution  

Active substance: sodium picosulfate  

Read all of this leaflet carefully before you start taking this medicine because it contains  important information for you. 

Always take this medicine exactly as described in this leaflet or as your doctor or pharmacist  has told you.  

– Keep this leaflet. You may need to read it again.  

– Ask your pharmacist if you need more information or advice.  

– If you get any side effects, talk to your doctor or pharmacist. This includes any possible  side effects not listed in this leaflet. See section 4.  

– You must talk to a doctor if you do not feel better or if you feel worse. 

What is in this leaflet  

  1. What Regulax Picosulfate Oral Drops are and what they are used for
  2. What you need to know before you take Regulax Picosulfate Oral Drops 
  3. How to take Regulax Picosulfate Oral Drops  
  4. Possible side effects  
  5. How to store Regulax Picosulfate Oral Drops  
  6. Contents of the pack and other information

 

  1. What is the purpose and usage of Regulax Picosulfate Oral Drops?

 Regulax Picosulfate Oral Drops are a laxative.  

 Regulax Picosulfate Oral Drops are used for constipation and disorders which require  easier passage of stools.  

 Like other laxatives, Regulax Picosulfate Oral Drops should not be taken daily or  over a prolonged period without a medical assessment of the cause of constipation.  

  1. WHAT YOU NEED TO KNOW BEFORE YOU TAKE REGULAX PICOSULFATE ORAL DROPS 
 Do not take Regulax Picosulfate Oral Drops  

 – if you are allergic to sodium picosulfate, related active substances from the  triarylmethane group or any of the other ingredients of this medicine (listed in  section 6); 

  • if you have narrowing of the intestines with impaired bowel passage, bowel  obstruction, acute abdominal complaints such as appendicitis, severe abdominal pain  associated with nausea and vomiting;  
  • if you have an acute inflammatory disease of the gastrointestinal tract;  
  • if you are severely dehydrated.  

 Children below 4 years of age must not take Regulax Picosulfate Oral Drops.  

 Constipation associated with other complaints, such as abdominal pain, vomiting and  fever may be a sign of serious illness (bowel obstruction, acute abdominal  inflammation). If such complaints occur, you must not take Regulax Picosulfate Oral  Drops or other medicines and you should consult your doctor immediately.  

 If you have an illness associated with fluid and electrolyte imbalance (e.g. severely  impaired kidney function), you may only use Regulax Picosulfate Oral Drops under  medical supervision.  

 Warnings and precautions 

 Talk to your doctor or pharmacist before taking Regulax Picosulfate Oral Drops.  

  • Children aged 4 years and older should take Regulax Picosulfate Oral Drops only if  their doctor tells them to.  

 – if your symptoms have occurred spontaneously, persist over a prolonged period of  time and/or are accompanied by symptoms such as bloody stools or fever. In this case  you should seek advice from your doctor before starting treatment with Regulax Picosulfate Oral Drops and have yourself examined, as disorders or impaired bowel  movement may be signs of a serious disease.  

 Regulax Picosulfate Oral Drops should not be taken daily on a continuous basis or  over prolonged periods without being evaluated by a doctor first.  

 Symptoms may reappear when Regulax Picosulfate Oral Drops are discontinued.  After long-term use in chronic constipation, the return of symptoms may also be  associated with worsening constipation.  

 In patients who have taken sodium picosulfate, dizzy spells and brief bouts of  unconsciousness (syncope) have been reported. Based on the relevant case reports,  these cases of syncope are probably due to the laxative process itself, to straining or to  circulatory reactions due to abdominal pain.  

 Other medicines and Regulax Picosulfate Oral Drops 

 Tell your doctor or pharmacist if you are taking / using, have recently taken / used or  might take / use any other medicines.  

 Antibiotics (medicines to treat bacterial infections), if taken at the same time, may  result in a loss in the laxative effect of Regulax Picosulfate Oral Drops. 

 With excessive use of Regulax Picosulfate Oral Drops there is a risk of an imbalance  of potassium and other salts in the blood. If you are also taking other medicines (e.g.  water tablets [diuretics] or adrenal cortex hormones [corticosteroids]), this risk may be  increased. This can lead to disorders of heart function and muscle weakness and may  increase sensitivity to certain medicines to strengthen heart function (cardiac  glycosides).  

 Pregnancy and breast-feeding  

 If you are pregnant or breast-feeding, think you may be pregnant or are planning to  have a baby, ask your doctor or pharmacist for advice before taking this medicine.  

 Pregnancy  

 There are no meaningful clinical studies on use during pregnancy. You should avoid  using this medicine as much as possible during pregnancy.  

 Breast-feeding  

 It has been shown that the active substance is not excreted in human milk. Regulax Picosulfate Oral Drops can therefore be used during breast-feeding.  

 Driving and using machines  

 Normally, no adverse effects are to be expected when Regulax Picosulfate Oral  Drops are used at the specified dosage. However, should symptoms such as dizziness,  brief loss of consciousness (syncope) or abdominal cramps occur, the ability to drive  and use machines may be impaired.  

 Regulax Picosulfate Oral Drops contain sorbitol  

 If you have been told by your doctor that you have an intolerance to some sugars,  contact your doctor before taking Regulax Picosulfate Oral Drops.  

  1. HOW TO TAKE REGULAX PICOSULFATE ORAL DROPS 

 Always take this medicine exactly as described in this leaflet or as your doctor or  pharmacist has told you. Check with your doctor or pharmacist if you are not sure.  

 Unless otherwise prescribed by a doctor, the recommended dose for adults and  adolescents is:  

 14 – 27 drops (equivalent to 5 – 10 mg sodium picosulfate).  

 Children aged 4 years and older should, if prescribed by a doctor, take a single dose of  7 – 14 drops (equivalent to 2.5 – 5 mg sodium picosulfate).  

Method of administration: 

 Regulax Picosulfate Oral Drops are preferably taken in the evening. The drops can be  taken with or without liquids. The laxative effect normally occurs after 10 to 12 hours.  

 Please take into account the time to onset of action and do not try to force a bowel  movement by intense straining. 

Duration of use: 

 Regulax Picosulfate Oral Drops should not be taken daily on a continuous basis or  over prolonged periods without prior medical assessment.  

 Please talk to your doctor or pharmacist if you have the impression that the effect of  Regulax Picosulfate Oral Drops is too strong or too weak.  

 If you take more Regulax Picosulfate Oral Drops than you should 

Regulax Picosulfate Oral Drops can cause acute overdose, resulting in diarrhea, abdominal discomfort, fluid loss, potassium and other mineral deficiencies. Doctors guide the treatment of an overdose based on the symptoms. Inducing vomiting or performing gastric lavage (stomach pumping) can reduce or prevent the medicine’s effects shortly after ingestion. Doctors should correct significant fluid and mineral losses as per their instructions. In some cases, the administration of antispasmodic medications may be beneficial. Furthermore, isolated reports indicate that exceeding the recommended dosage of sodium picosulfate for treating constipation can result in reduced or interrupted blood flow through the colon lining.

 Note:  

 In general, Regulax Picosulfate Oral Drops – like other laxatives in the event of  chronic overdose – are known to cause chronic diarrhoea, abdominal pain, low  potassium levels, excessive secretion of aldosterone and kidney stones. In association  with chronic laxative misuse, there have also been reports of damage to kidney tissue,  a metabolic increase in base concentrations in the blood, as well as muscle weakness  caused by low potassium levels.  

  1. POSSIBLE SIDE EFFECTS 

 Like all medicines, this medicine can cause side effects, although not everybody gets  them.  

 The following categories are used for stating the frequency of side effects:  

 Very common: more than 1 in 10 patients treated  

 Common: 1 to 10 patients treated out of 100  

 Uncommon: 1 to 10 patients treated out of 1,000  

 Rare: 1 to 10 patients treated out of 10,000  

 Very rare: less than 1 in 10,000 patients treated  

 Not known: cannot be estimated from the available data  

 Possible side effects: 

 Immune system disorders  

Frequency not known: allergic reactions (including skin reactions and swelling of the  skin and/or mucous membranes [angioedema], e.g. in the face and throat region,  possibly with shortness of breath). 

 Nervous system disorders  

Uncommon: dizziness.  

Frequency not known: brief loss of consciousness (syncope).  

The information available indicates that these symptoms are due to severe straining  during bowel movements or a circulatory reaction caused by pain in the lower  abdomen (see section 2 “Warnings and precautions”).  

 Gastrointestinal disorders  

Very common: diarrhoea.  

Common: flatulence, abdominal pain or abdominal cramps.  

 Uncommon: nausea, vomiting.  

Incorrect use of Regulax Picosulfate Oral Drops, such as using them for an extended period or at a high dosage, can result in a loss of water, potassium, and other electrolytes. This can potentially lead to heart dysfunction and muscle weakness, particularly when taken alongside water tablets (diuretics) or adrenal cortex hormones (corticosteroids).

 What to do if you are affected by side effects 

 If side effects occur, you should stop taking Regulax Picosulfate Oral Drops and  consult your doctor.  

 Reporting of side effects 

 If you get any side effects, talk to your doctor or pharmacist. This includes any  possible side effects not listed in this leaflet. You can also report side effects directly  via the Bundesinstitut für Arzneimittel und Medizinprodukte, Abt. Pharmakovigilanz,  Kurt-Georg-Kiesinger-Allee 3, D-53175 Bonn, Website: www.bfarm.de. By reporting  side effects you can help provide more information on the safety of this medicine.  

  1. HOW TO STORE REGULAX PICOSULFATE ORAL DROPS

  Keep this medicine out of the sight and reach of children.  

 Do not use this medicine after the expiry date which is stated on the carton and label  after “EXP”. The expiry date refers to the last day of that month.  

 Note on shelf life after opening  

 Once opened, Regulax Picosulfate Oral Drops can be used for 6 months.  

  1. CONTENTS OF THE PACK AND OTHER INFORMATION  What Regulax Picosulfate Oral Drops contain:  

 The active substance is: sodium picosulfate.  

 1 ml solution (= 20 drops) contains 7.5 mg sodium picosulfate monohydrate  (equivalent to 7.23 mg sodium picosulfate). 

 The other ingredients are:  

 Sorbitol solution 70% (non-crystallising) (Ph.Eur.), propylene glycol, purified water.  

 Advice for diabetics:  

 Suitable for diabetics: contains sugar substitutes; 1 ml is equivalent to 0.03 BU.  

What Regulax Picosulfate Oral Drops look like and contents of the pack

 Regulax Picosulfate Oral Drops are a clear, colourless oral solution.   Regulax Picosulfate Oral Drops are available in packs of 20 ml (N1) and 50 ml (N3). 

 

1 review for Regulax Oral Drops 20ml – For Short-term Treatment of Constipation

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