Enema

Enema is an enema used to provide a laxative effect.

The combination of mono- and disodium phosphates with a small amount of plant glue forms a liquid whose pH level does not irritate the intestinal mucosa. The use of a hypertonic enema causes an influx of water into the intestinal lumen. After moistening, the softened fecal masses become larger in volume, leading to stretching of the colon walls, as a result of which defecation occurs after 5-20 minutes.

Indications Enemas

It is used during preparation for endoscopy or X-ray in the rectosigmoid region of the colon.

It is prescribed to eliminate the symptoms of constipation in the lower intestine, especially in connection with difficult emptying.

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Release form

The drug is released in the form of rectal liquid, inside 0.15 l bottles. There is 1 bottle in a pack.

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Dosing and administration

The medication must be administered rectally. The protective cap is removed from the bottle, after which its tip is inserted into the anus and the solution is carefully squeezed out. After the procedure, the patient must lie on his side or back until the urge to defecate appears.

To eliminate the symptoms of constipation, 1 enema is administered 5-20 minutes before the time chosen for bowel movement.

When preparing for an X-ray or endoscopy, 1 enema is administered in the evening, and then another 1 in the morning on the day of the procedure.

You can use a maximum of 1 enema per day.

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Use Enemas during pregnancy

Treatment of constipation during pregnancy is permitted only in case of limited use of laxatives via enemas. For safer procedures, it is recommended to abandon phosphate enemas.

Enema can be used during breastfeeding and pregnancy only with the permission of a doctor.

Contraindications

Main contraindications:

• increased intolerance associated with elements of the drug;
• salt imbalance disorder accompanied by Na retention, as well as CHF;
• intestinal blockage;
• OPN;
• megacolon, anal fissures, active phase of hemorrhoids, and in addition, hemorrhagic rectocolitis;
• dehydration.

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Side effects Enemas

Occasionally, when using Enema, the following side effects appear:

• EBV disorders, including acidosis, hypocalcemia, hyperphosphatemia, and hypernatremic dehydration, which cause seizures. Such disorders may occur due to intoxication, the patient's early age, or the presence of aganglionosis in the child's colon, as well as due to renal insufficiency;
• Rectal application of sodium phosphate solution may cause local irritation or necrosis in the rectal area;
• allergy symptoms, with or without a rash.

Overdose

In case of accidental overdose, it is necessary to stimulate phosphate excretion, as well as to perform procedures that strengthen the patient's condition and correct acidosis and serum electrolyte levels (especially Ca).

Interactions with other drugs

It is prescribed with extreme caution to people who use diuretic drugs, substances that block the activity of Ca channels, lithium and other agents that can change electrolyte values, causing hypokalemia or -calcemia, as well as hyperphosphatemia, acidosis and hypernatremic dehydration.

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Storage conditions

Enema should be stored in a place inaccessible to small children. Temperature level – maximum 25°C.

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Shelf life

Enema can be used within a 24-month period from the date of manufacture of the medicine.

Application for children

Enemas with a volume of 0.15 l are prohibited for use in pediatrics.

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Analogues

The analogs of the drug are Enema Klin and Normacol enema.