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 Wellmex Atomic
Enema
ACTIVE INGREDIENT
Each 100ml contains:
Sodium chloride
...................................................... 15g
Preservative :
3-methyl-6-isopropylphenol .......... 0.001g
PHARMACODYNAMICS
Sodium salt act by retaining
fluid in the bowel by osmosis or by changing the pattern of water
distribution in faeces.
PHARMACOKINETICS
Sodium chloride is readily
absorbed from the gastrointestinal tract. It is present in all the body
fluids and is mainly found in the extra cellular fluid. The amount of sodium
chloride lost in sweat is small and the osmotic equilibrium is maintained by
the excretion of surplus amounts in the urine.
ADVERSE EFFECTS
Enema can cause rectal
irritations, which are characterized by rectal bleeding, blistering,
burning, itching or pain. There can also be skin irritation surrounding the
rectal area.
WARNINGS/PRECAUTION
Enemas should be used with
caution in the elderly and should not be used by people with acute
gastrointestinal conditions or inflammatory bowel disease. Enemas should not
be used in patients with congenital megacolon, bowel obstruction,
imperforate anus or congestive heart failure. Use with caution in patients
with impaired renal function, pre-existing electrolyte disturbances or in
patients on diuretics or other medications which may affect electrolyte
levels or where colostomy exists. Since enema contains sodium chloride,
there is a risk of elevated serum levels of sodium and decreased levels of
potassium and consequent hypernatremia. This is of particular concern in
children with megacolon or any other condition where there is retention of
enema solution.
CONTRAINDICATIONS
It is contraindicated in patients
with ileus, gastric retention, gastrointestinal obstruction, bowel
perforation, toxic colitis and toxic magacolon.
DRUG INTERACTION
Not known.
DOSAGE & ADMINISTRATION
Rectally used
Adults : 20-40ml, once daily.
Children : 10-20ml once daily
SYMPTOMS OF OVERDOSAGE &
TREATMENT
The sign and symptoms would be
the exaggeration of the side effects, especially rectal irritation. The
frequency of bowel movement would also be increased. Treatment would be the
cessation of use of the medication. If symptoms continue, professional
medical advise should be obtained.
STORAGE
Store below 25°C in a cool dry
place and protected from sunlight. keep out of reach of children.
SHELF LIFE
3 years
PACK SIZE
10ml/bottle & 20ml/bottle
PRODUCT DESCRIPTION
A colorless, clear and
transparent solution
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