Fleet Ready-to-Use 21.4g / 9.4g Enema
Sodium Dihydrogen Phosphate Dihydrate / Disodium Phosphate Dodecahydrate
Read all of this leaflet carefully because it contains important information for you.
This medicine is available without prescription. However, you need to use Fleet Ready-to-Use Enema carefully to get the best results from it.
- Keep this leaflet. You may need to read it again.
- Ask your pharmacist or doctor if you need more information or advice.
- You must contact a doctor if your symptoms worsen or do not improve after 14 days.
- If any side effect gets serious, or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist.
Information in this leaflet:
- 1. What Fleet Ready-to-Use Enema is and what it is used for.
- 2. Before you use Fleet Ready-to-Use Enema.
- 3. How to use Fleet Ready-to-Use Enema.
- 4. Possible side effects.
- 5. How to store Fleet Ready-to-Use Enema.
- 6. Further information.
What Fleet Ready-To-Use Enema Is And What It Is Used For
Fleet Ready-to-Use Enema is a bowel cleanser that acts by increasing the water content of your stools and in this way helps to relieve constipation and clear the bowel.
It can be used in the relief of occasional constipation and where bowel cleansing is required, such as prior to your endoscopy, bowel surgery or X-ray examination.
Before You Use Fleet Ready-To-Use Enema
Do not use Fleet Ready-to-Use Enema and tell your doctor if you:
- Are allergic (hypersensitive) to sodium dihydrogen phosphate dihydrate, disodium phosphate dodecahydrate or any of the other ingredients of Fleet Ready-to-Use Enema.
- Have a swollen large bowel (also known as megacolon).
- Have a narrowing or incomplete opening of the anus or rectum.
- Have a blockage of the lower colon (Hirschsprung's disease).
- Have a suspected blockage of the gut.
- Have blockage of the gut or failure of normal bowel movements (sometimes called paralytic ileus).
- Have been told by your doctor that you may have:
- appendicitis,
- a pierced/damaged or blocked gut
- an active inflammatory bowel disease (such as Crohn's disease or ulcerative colitis).
- Have undiagnosed bleeding of the back passage.
- Have kidney problems.
- Have congestive heart failure (your heart is unable to properly pump blood around the body).
- Have recently been sick or feel sick or thirsty.
- Have a pain in your stomach (abdominal pain).
- The patient is under 3 years of age.
Take special care with Fleet Ready-to-Use Enema if:
- You are frail or elderly.
- You have uncontrolled blood pressure.
- You have a heart or kidney condition.
- You suffer from ascites (excess fluid in the peritoneal cavity).
- Your suffer from rectal ulceration or fissures.
- You have had a colostomy.
- You suffer from electrolyte disturbances (changes in the salt levels in the body).
Please consult your doctor, even if these statements were applicable to you at any time in the past. You may need to be more closely supervised during treatment.
Taking/Using other medicines
Please tell your doctor or pharmacist if you are taking or have recently taken any other medicines, with or without a prescription, especially:
- medicines for the treatment of high blood pressure (hypertension) or angina (calcium channel blockers).
- medicines to empty the bladder (diuretics).
- certain medicines for mental disorders (lithium).
- any other medicines that could make you dehydrated or alter the salt levels (potassium, sodium, phosphate or water) in your body, known as your electrolyte balance.
Pregnancy
If you are pregnant or may be pregnant inform your doctor before using Fleet Ready-to-Use Enema.
Breast-feeding
As the active substances contained in Fleet Ready-to-Use Enema may pass into breast milk, it is advised that breast milk is expressed and discarded for up to 24 hours after receiving the Fleet Ready-to-Use Enema.
Driving and using machines
Whilst there are no direct effects of Fleet Ready-to-Use Enema on your ability to drive or use machinery, you should remain near toilet facilities after using this medicine.
Important information about some of the ingredients of Fleet Ready-to-Use Enema.
This medicinal product contains benzalkonium chloride which is an irritant and may cause skin reactions.
How To Use Fleet Ready-To-Use Enema
Dosage:
Adults and children 12 years old and over:
one bottle (118ml delivered dose) no more than once daily or as directed by your doctor.
Children over 3 years to under 12 years old:
as directed by your doctor.
Do not administer to children under 3 years of age.
For rectal use only.
Unless directed by your doctor, Fleet Ready-to-Use Enema should not be used for more than 14 days.
Administration:
- 1. Lie on your left side with both knees bent and your arms at rest in front of you (Fig. 1, below).
- 2. Remove the orange protective shield. Pull the shield gently while holding the bottle upright and grasping the grooved bottle cap with your fingers (Fig. 2, below).
- 3. With a steady pressure, gently insert the enema Comfortip into the rectum with the tip pointing towards your navel.
- 4. Squeeze the bottle until nearly all the liquid has been emptied.
Discontinue use if any resistance is encountered.
Forcing an enema can result in injury.
NOTE: It is not necessary to empty the unit completely.
The bottle contains more than the amount of liquid needed for effective use, so a small residue will remain.
- 5. Gently remove the nozzle from your rectum. It is normal to experience some leakage of the enema liquid.
- 6. Remain in the same position (Fig. 1, above) until the urge to evacuate your bowels is strong - usually within 2 to 5 minutes.
- 7. Return the used enema to the carton for disposal.
If rectal bleeding is noticed contact a doctor immediately.
Be prepared to expect frequent loose bowel movements within 5 minutes of taking a dose of Fleet Ready-to-Use Enema. This is normal and shows that the medicine is working. If you have not had a bowel movement within this time, consult your doctor. Do not use any more Fleet Ready-to-Use Enema unless instructed to do so by your doctor. Remain near a toilet until the effects have worn off.
Drink plenty of clear fluids e.g. water, clear soups, herbal tea, black tea or black coffee or diluted cordials/fruit juice without pulp (but not red or purple coloured juices) to avoid dehydration. In general you should drink 250ml (a small tumbler-sized glass) every hour until the effect of the Fleet Ready-to-Use Enema has worn off. After this, drink clear fluids, preferably water, to satisfy your thirst until after your hospital procedure, or as directed by your doctor.
If you use more Fleet Ready-to-Use Enema than you should, or if you accidentally ingest (drink) the medicine, talk to a doctor or pharmacist immediately. If possible take your bottle or the carton with you to show the doctor or pharmacist.
Possible Side Effects
Like all medicines, Fleet Ready-to-Use Enema can cause side effects, although not everybody gets them.
Fleet Ready-to-Use Enema may occasionally cause:
- Dehydration.
- Allergic reactions (with or without rash).
- Muscle twitches and spasms due to changes in the amounts of salts (electrolytes) in the blood.
- Abdominal pain or bloating (distension).
- Gastrointestinal pain.
- Nausea or vomiting.
- Anal itching or stinging.
- Blisters.
- Diarrhoea.
- Chills.
If any of the side effects gets serious, or if you notice any side effect not listed in this leaflet, please tell your doctor or pharmacist.
How To Store Fleet Ready-To-Use Enema
Keep Fleet Ready-to-Use Enema out of the reach and sight of children.
Do not use Fleet Ready-to-Use Enema after the expiry date, which is stated on the packaging.
Do not store above 25°C
Do not refrigerate
Medicines should not be disposed of via wastewater of household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help to protect the environment.
Further Information
What Fleet Ready-to-Use Enema contains
The active substances in each 118ml delivered dose are Sodium Dihydrogen Phosphate Dihydrate 18.1 %w/v and Disodium Phosphate Dodecahydrate 8.0%w/v.
The other ingredients are Disodium Edetate, Benzalkonium Chloride, Purified Water. The nozzle lubricant is white soft paraffin.
What Ready-to-Use Enema looks like and the contents of the pack
Fleet Ready-to-Use Enema is a clear, colourless, odourless solution contained in a white plastic bottle with a white cap and orange protective shield. The bottle contains 133ml of Fleet Ready-to-Use Enema, of which 118ml is the delivered dose.
Marketing Authorisation Holder and Manufacturer
Marketing Authorisation Number:
PL 12695/0003
PA 1420/2/1
Marketing Authorisation Holder and Manufacturer:
Representative in UK and ROI:
This leaflet was approved in June 2008
A076011/04/uk
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