Fleet Enema rectal

Do not use more than 1 enema in any 24-hour period. If you do not get any results within 30 minutes after using this medicine, call your doctor before using another dose.

Using too much of this medicine can cause rare but life-threatening side effects on your kidneys and heart.

Call your doctor at once if you have little or no urinating, drowsiness, or swelling in your leg, ankles, and feet.

You should not use this medication if you have severe kidney disease, congestive heart failure, a perforated bowel, paralytic ileus, megacolon, active inflammatory bowel disease, a blockage in your digestive tract (stomach or intestines), rectal obstruction, or other intestinal disorders, or if you are dehydrated.

Use exactly as directed on the label, or as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended.

Do not take the rectal enema by mouth. It is for use only in your rectum.

When using this medication in any child, use only the forms that are specially made for children.

Never use an adult-strength enema in a child younger than 12 years old.

This medication comes with patient instructions for safe and effective use. Follow these directions carefully. Ask your doctor or pharmacist if you have any questions.

To use the enema, lie down on your left side with your knees bent. Remove the cap from the applicator tip and gently insert the tip into your rectum. Slowly squeeze the bottle to empty the contents into the rectum.

For best results, stay lying down and hold in the enema until you feel the urge to have a bowel movement. This should occur within 1 to 5 minutes. Do not hold in the enema for longer than 10 minutes.

Do not use more than 1 enema in any 24-hour period. If you do not get any results within 30 minutes after using this medicine, call your doctor before using another dose.

Using too much of this medicine can cause rare but life-threatening side effects on your kidneys and heart.

To keep from getting dehydrated, drink plenty of liquids while you are using medication. Follow your doctor's instructions about the type and amount of liquids you should drink for at least 24 hours after using this medicine.

Call your doctor if you are sick with vomiting or diarrhea, or if you are sweating more than usual. You may need blood tests to check your electrolyte levels.

Do not use for longer than 1 week unless your doctor has told you to.

Store at room temperature away from moisture and heat. Throw away any leftover medicine after your treatment ends.

Call your doctor for instructions if you miss a dose or do not finish all doses required before your surgery or examination.

Do not use more than 1 enema in any 24-hour period.

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat.

Stop using sodium biphosphate and sodium phosphate and call your doctor at once if you have:

• rectal bleeding or bright red bowel movements;

• no bowel movement after use;

• dizziness, vomiting, little or no urinating; or

• if you feel very thirsty or hot, are unable to urinate, and have heavy sweating or hot and dry skin.

Common side effects may include:

• rectal pain or discomfort.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

This medication may be used to relieve occasional constipation. However, when treating constipation, you should use milder products (such as stool softeners, bulk-forming laxatives) whenever possible. Talk to your doctor or pharmacist about other treatment options. Your doctor may also prescribe this product (usually along with other products) to clean stool from the intestines before surgery or certain bowel procedures (such as colonoscopy, radiography). Use it only as directed by your doctor.

Sodium phosphate is a saline laxative that is thought to work by increasing fluid in the small intestine. It usually causes a bowel movement after 1 to 5 minutes.

Do not use this medication in children younger than 2 years of age.

How to use Fleet Enema 19 Gram-7 Gram/118 Ml

This product is for rectal use only. Follow all directions on the product package. If you are uncertain about any of the information, consult your doctor or pharmacist. Since your bowel movements can be very large/watery, drink plenty of clear liquids so that you do not lose too much body water (become dehydrated).

Wash your hands before and after using this product. Remove the protective shield from the enema. Lie on your left side with knee bent. Or if you find it more comfortable, you may kneel, then lower your head and chest forward until the left side of your face is resting on a flat surface with your left arm folded comfortably. With steady pressure, gently insert enema tip into the rectum with a slight side-to-side movement, pointing the tip toward the navel. Do not force the enema tip into the rectum because you could hurt yourself. Squeeze the bottle until the recommended amount of the drug is inside the rectum. You do not need to empty the bottle completely because it has more liquid than needed. Remove the bottle tip from the rectum. Stay in position for 1 to 5 minutes until you feel a strong urge to have a bowel movement.

If your doctor has directed you to use this product before surgery or a bowel procedure, he or she should tell you how long before the surgery/procedure you should use this product. Follow your doctor's directions closely. After using the medication, drink plenty of clear liquids as directed by your doctor. Doing so will help prevent serious side effects (such as kidney problems, dehydration). Talk with your doctor about types of liquids you can drink before your procedure.

The dosage is based on your age, medical condition, and response to treatment. Do not use more of this medication than directed, use this medication more often than once in 24 hours, or use this medication for more than 3 days unless directed by your doctor. Also, do not use any other laxative products while using this product unless directed by your doctor. Doing so may increase your risk for serious side effects.

This medication may cause a condition known as laxative dependence, especially if you use it regularly for a long time. In such cases, your bowel may stop working normally and you may have ongoing constipation. For most people with occasional constipation, a bulk-forming laxative (such as psyllium) or a stool softener (such as docusate) is a better and safer product. To prevent laxative dependence, consult your doctor if you need to use this medication or other laxative products for more than 7 days.

Tell your doctor right away if the enema tip causes rectal bleeding/pain, if you do not have a bowel movement within 30 minutes of using the product, if you have symptoms of dehydration (see Side Effects section), or if you think you may have a serious medical problem.

Mild abdominal discomfort/cramps or gas may occur. If any of these effects persist or worsen, tell your doctor or pharmacist promptly.

If your doctor has directed you to use this product, remember that he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this product do not have serious side effects.

Persistent diarrhea may result in a serious loss of body water (dehydration) and salt/minerals. This may cause serious side effects to the kidneys and heart. Contact your doctor promptly if you notice any symptoms of dehydration, such as unusual dry mouth/increased thirst, lack of tears, dizziness/lightheadedness, or pale/wrinkled skin.

Tell your doctor right away if you have any serious side effects, including: signs of kidney problems (such as change in the amount of urine), severe or persistent stomach/abdominal pain, bloody stools, rectal bleeding, mental/mood changes (such as confusion, unusual drowsiness), muscle weakness/spasm, persistent diarrhea, swelling of the hands/ankles/feet.

Get medical help right away if you have any very serious side effects, including: slow/irregular/fast heartbeat, seizures.

A very serious allergic reaction to this drug is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.

This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.

In the US -

Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.

In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.