Normacol (sodium phosphate dihydrate) enema 130 ml.

Description

Normacol composition
The main active ingredients are sodium hydrogen phosphate and sodium dihydrogen phosphate.
Excipients: sodium edetate, benzalkonium chloride, purified water.

Release form
It is produced in the form of a solution for enemas, ready to use and packaged in 1 dose in  130 ml each (23.66 g sodium phosphate dihydrate / 10.4 g of sodium hydrogen phosphate dodecahydrate).

Pharmacological properties
This drug Normacol belongs to the group of osmotic drugs used in gastroenterology to normalize the functioning of the gastrointestinal tract.
The main active ingredients are sodium hydrogen phosphate and sodium dihydrogen phosphate. It is a saline laxative. It has water-retaining properties, the ability to osmotically increase the retention of fluids in the small intestine (in its lumen).
After taking the drug together with a large amount of water, it leads to the fact that fluid accumulates in the ileal part of the intestine. At the same time, the intestines are stretched. Peristalsis in the gastrointestinal tract increases many times over, and its rapid emptying occurs.
The effectiveness of the drug is so high that sodium salts are involved in almost all laxatives used to completely cleanse the large intestine, which is especially important when carrying out some surgical, research and prophylactic procedures.

Indications
Normacol is used to cleanse the colon when preparing patients for colon surgery.
Also used for endoscopic or X-ray diagnostic procedures in the colon.
For the symptomatic treatment of constipation due to difficult bowel movements.

Contraindications
The drug in question is contraindicated for use in cases where the patient has severe hypersensitivity (allergy) to the main or to one of the auxiliary components.
Use in patients is contraindicated:

• with renal or heart failure;
• with intestinal obstruction;
• with ascites, with megacolon, perforation;
• imbalance of electrolytes.

The drug should not be used together with other laxatives containing sodium phosphate and parathyroid hormone.
Use with caution in patients taking calcium channel blockers, diuretics, lithium preparations or other drugs that may affect the amount of electrolytes and cause acidosis.

Children
In pediatrics, a children’s form (60 ml) is used for children from 3 years old.

Application during pregnancy and lactation
This drug can be used in the treatment of pregnant women or during lactation.

Method of administration and dosage
Normacol is used rectally.
The drug is administered while lying on the back on the left side. Lubricate the sphincter with a fat cream or ointment. Introduce until the contents are completely displaced or until resistance appears. Forcing an enema to be administered can cause injury.
After the administration of the enema, the patient should remain in the same position or on his back until the urge to have a bowel movement.
Defecation is performed with 1 dose of the drug. Do not use more than 1 dose per day.
Defecation occurs 5-10 minutes after the administration of the enema.
Preparation for X-ray and endoscopic examinations: 1 enema the day before (in the evening) and 1 enema in the morning, on the day of the examination.

Overdose
Overdose can cause electrolyte imbalance, hyperphosphatemia, hypocalcemia, hypernatremia and acidosis.
Overdose treatment usually consists of restoring fluid loss. It may be necessary to administer a 10% calcium gluconate solution.

Side effects
Excessive or rude administration can cause:

• local irritation;
• rectal necrosis;
• rectal perforation as a result of traumatic injection.
• Possible side reactions such as:
• dehydration, electrolyte imbalance;
• hypokalemia, hypernatremia, hyponatremia, metabolic acidosis, tetany;
• dizziness, headache;
• loss of consciousness, paresthesia;
• hypotension, diarrhea, abdominal pain, bloating, nausea;
• muscle spasms.

Storage conditions and periods
Expiration date – 3 years from the production date indicated on the package.
The storage temperature should not exceed 25 ° C.