Indicated for: constipation; rectal evacuation
Route of administration: rectal
Substance: sodium citrate + sorbitol + sodium lauryl sulfoacetate (rectal osmotic and surfactant laxative)
ATC: A06AG11 (Alimentary tract and metabolism | Drugs for constipation | Enemas)
Use caution if you have fructose intolerance.
This medicine may change blood electrolyte levels.
Sodium citrate + sorbitol + sodium lauryl sulfoacetate is a rectal combination used as a micro-enema for occasional constipation. Sodium citrate and sorbitol draw water into the stool and soften it, while sodium lauryl sulfoacetate helps wet and disperse intestinal contents. The effect usually occurs quickly.
It is administered locally into the rectum, according to the leaflet. The applicator tip should be inserted carefully and the contents released slowly. The product is intended for short-term use, not as a permanent solution for constipation. If the patient has significant abdominal pain, nausea, vomiting or suspected bowel obstruction, it should not be used without medical advice.
Side effects may include rectal irritation, burning, cramps, discomfort, soft stool or diarrhoea. Frequent use can irritate the mucosa and hide the cause of constipation. In children, older adults, pregnancy, painful haemorrhoids, anal fissures or inflammatory bowel disease, medical or pharmacist advice is prudent.
Consult a doctor if blood in the stool, severe pain, lack of effect, fever, vomiting, swollen abdomen or persistent constipation occurs. Prevention relies on fluids, fibre, activity and a regular toilet routine. A micro-enema can help occasional episodes, but it does not replace assessment when symptoms recur frequently.