This powder for oral solution is intended for adults to clean the bowel so that they are ready for examination. It works by emptying the contents of your bowels, so you should expect to have watery bowel movements.

• if you are allergic to the active substances or any of the other ingredients of this medicine 

• if you have an obstruction in your intestine (gut)

• if you have a perforated gut wall

• if you have a disorder of stomach emptying

• if you have paralysis of the gut (often occurs after an operation to the abdomen)

• if you suffer from phenylketonuria. 

• if your body is unable to produce enough glucose-6-phosphate dehydrogenase

• if you have toxic megacolon.

Talk to your doctor or pharmacist before taking this powder if you have any of the following:

• you need to thicken fluids in order to swallow them safely.

• a tendency to regurgitate swallowed drink, food or acid from the stomach.

• kidney disease.

• heart failure or heart disease including high blood pressure, irregular heartbeats or palpitations.

• thyroid disease

• dehydration.

• acute flare of inflammatory bowel disease

These include abdominal pain, abdominal distension, tiredness, feeling generally unwell, soreness of the anus, nausea, fever, hunger, problems sleeping, dizziness, headache, vomiting, indigestion, thirst and chills.

Other medicines and Macrogol 3350, Sodium sulfate anhydrous, Sodium chloride, Potassium chloride, Ascorbic acid and Sodium ascorbate powder for oral solution

If you are taking other medicines take them at least one hour before taking this powder for oral solution or at least one hour afterwards because they may be flushed through your digestive system and not work so well.

How to take Macrogol 3350, Sodium sulfate anhydrous, Sodium chloride, Potassium chloride, Ascorbic acid and Sodium ascorbate powder for oral solution

This pack contains two clear bags each containing one pair of sachets: sachet A and sachet B. Each pair of sachets (A and B) is to be dissolved in water to make a one litre solution. This pack is therefore sufficient to make up two litres of this powder for oral solution.

Divided doses: one litre of this powder for oral solution in the evening before and one litre of this powder in the early morning of the day of the examination. Ensure consumption of this powder as well as any other clear fluids has finished at least two hours before the start of the examination.

Single dose: two litres of this powder in the evening before the examination or two litres of this powder in the morning of the examination. Ensure consumption of this powder as well as any other clear fluids has finished at least two hours before the start of the examination.

Divided doses:

one litre of this powder in the evening before and one litre of this powder in the early morning of the day of the examination.

Ensure consumption of this powder as well as any other clear fluids has finished at least one hour before the start of the examination.

Single dose:

two litres of this powder in the evening before the examination or two litres of this powder in the morning of the examination. Ensure consumption of this powder has finished at least two hours before the start of the examination. Ensure consumption of any clear fluids has finished at least one hour before the examination.

• Open one clear bag and remove the sachets A and B.

• Add the contents of BOTH sachet A and sachet B to a measuring jug that holds 1 litre.

• Add water to make up to the one litre mark of the container and stir until all the powder has dissolved. This may take up to 5 minutes.

• Drink the first litre of this powder over one to two hours. Try to drink a glassful every 10 - 15 minutes.

• When you are ready, make up and drink the second litre of this solution made up with the contents of the sachets A and B from the remaining bag.

• During the course of this treatment, you are recommended to drink a further one litre of clear liquid to prevent you feeling very thirsty and becoming dehydrated. 

When you start drinking this solution, it is important that you stay close to a toilet.

At some point, you will start to experience watery bowel movements.

This is quite normal and indicates that the solution is working.

The bowel movements will stop soon after you have finished drinking.

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 after “EXP”. Please note that the expiry dates may be different for the different sachets. The expiry date refers to the last day of the month.

• Keep this powder for oral solution sachets at room temperature (below 25°C).

• After you have dissolved it in the water, the solution may be stored (keeping covered) at room temperature (below 25°C). It may also be stored in the fridge (2°C -8°C). Do not keep it for more than 24 hours.

• Do not throw away any medicines via wastewater or household waste. Ask your pharmacist how to throw away medicines you no longer use. These measures will help protect the environment.