Enema-Sella disposable enema rectal solution 16g/6g bottle 120 ml 1 pc

100 ml of rectal solution contain (active ingredients):

• sodium dihydrogen phosphate dihydrate equivalent to sodium dihydrogen phosphate monohydrate – 16 g;
• disodium phosphate dodecahydrate is equivalent to disodium phosphate heptahydrate – 6 g

Excipients: methyl parahydroxybenzoate (E 218), propyl parahydroxybenzoate (E 216), purified water.

• hypersensitivity to the active substances or to any other substance that is part of the medicinal product;
• enlargement of the colon (megacolon);
• anorectal stenosis;
• narrowing or incomplete opening of the anus or rectum;
• Hirschsprung’s disease;
• suspected intestinal obstruction;
• suspected paralytic ileus;
• suspected: appendicitis; intestinal perforation/injury or obstruction; active inflammatory bowel disease (e.g. Crohn’s disease or ulcerative colitis);
• undiagnosed rectal bleeding;
• renal failure;
• congestive heart failure;
• recent illness or feeling weak or thirsty;
• stomach pain (abdominal pain);
• dehydration and a condition where the ability to absorb increases or the ability to empty decreases;
• childhood;
• simultaneous use with other drugs containing sodium phosphate.

The drug is intended for rectal use only.

The following recommendations should be followed unless your doctor has given you other instructions.

Adults, including elderly patients: One vial no more than once daily or as directed by a physician.

Procedure for administering an enema:

1. The patient must remove the protective plastic cap and put on the tip.
2. Lie on your left side, bending both legs at the knees.
3. With constant pressure, carefully insert the tip of the vial into the rectum so that it is directed towards the navel.
4. Squeeze the vial until all its contents are passed into the intestine. Stop the administration if any resistance is felt. Forced administration may cause harm. Note: it is not necessary to leave the vial completely empty. The vial contains more solution than is necessary to achieve the desired effect, therefore a small amount of liquid residue is acceptable.
5. Carefully remove the tip from the rectum. Some liquid may leak from the vial.
6. Remain in this position until you feel a strong urge to have a bowel movement, which usually occurs within 2-5 minutes.
7. After use, place the bottle back in the cardboard packaging for disposal.

If rectal bleeding is noticed, you should consult a doctor immediately.

You should be prepared for the urge to have a bowel movement within 5 minutes of taking the medicine. This is normal and indicates that the medicine is working. It is advisable to stay near a toilet until the effect of the medicine wears off.

If there is no urge to defecate within the specified time, you should consult a doctor. Until then, you should not use the drug any longer.

You should drink plenty of clear liquids, such as water, clear soups, herbal teas, black tea or black coffee, or drinks such as fruit juices without pulp (but not red or purple juices), to prevent dehydration. In general, you should drink 250 ml every hour until the effect of the drug has worn off. After this, you should drink clear liquids, preferably water, to quench your thirst after a clinical procedure or as directed by your doctor.

Pregnant women

There is insufficient data to assess the potential risk of embryonic defects or embryotoxic effects caused by the use of the drug, therefore the drug should not be used during pregnancy or suspected pregnancy.

The drug can be used only as prescribed by a doctor during or after childbirth.

Since the active substances contained in the drug can pass into breast milk, it is recommended to express breast milk within 24 hours after using the enema and not use it for feeding.

Children

Do not use the drug in pediatric practice.

Given that the drug is almost not absorbed, overdose can only be accidental.

With overdose or prolonged use, hyperphosphatemia, hypocalcemia, hypernatremia, hypernatremic dehydration, acidosis and tetany may occur.

Recovery from toxic effects is usually achieved by rehydration. In severe cases, correction of electrolyte changes should be achieved by administering calcium and magnesium salts (10% calcium gluconate) with increased excretion of exogenous phosphorus, and dialysis.

If more than the prescribed dose has been used or if the medicine has been accidentally swallowed, you should inform your doctor immediately. If possible, take the bottle or carton with you to show the doctor.

Very rarely (<1/10,000) the following events have been observed.

Immune system disorders: hypersensitivity reactions (e.g. urticaria).

Skin and subcutaneous tissue disorders: blisters, itching, burning.

Metabolic disorders: dehydration, hyperphosphatemia, hypocalcemia, hypokalemia, hypernatremia, metabolic acidosis.

Gastrointestinal: nausea, vomiting, abdominal pain, abdominal spasm, diarrhea, gastrointestinal pain, anal discomfort, proctalgia.

General disorders and administration site conditions: anal irritation, pain, burning, chills.

If any adverse reactions occur, treatment should be discontinued and a doctor should be consulted.

Store in the original packaging at a temperature not exceeding 25 °C, out of the reach of children.

Shelf life – 5 years.