• Constipation
  • Bowel cleaning to prepare colon for surgery, x-ray or endoscopic examination:

Dose:

  • Adults and >12 years: PR 1 bottle (120mL) OD
    • Max 120mL/24 hours
  • 2-4 years: PR ¼ bottle (30mL) OD
    • Max: 30mL/24 hours
    • Prepare dose by unscrewing cap from bottle and removing about 90mL with a measuring spoon, replace cap and administer remaining liquid
  • 5-11 years: PR ½ bottle (60mL) OD
    • Max 60mL/24 hours
    • Prepare dose by unscrewing cap from bottle and removing about 60mL with a measuring spoon, replace cap and administer remaining liquid

Enema solution:

Monobasic Sodium Phosphate/ Dibasic Sodium Phosphate: 19.2g/7.2g per 120mL

  • Pull the tearing notch and remove seal before use
  • Unscrew the cap and remove the plug
  • Remove protective shield covering the lubricated tip before use
  • Gently insert the nozzle tip into rectum with steady pressure with tip directed towards navel
  • Insertion may be easier if person receiving enema bears down, as if having a bowel movement; this helps relax the muscles around the anus
  • Squeeze bottle until nearly all liquid is expelled
  • After squeezing, small quantity of liquid (about 15 mL) will remain
  • It is not necessary to empty the bottle as it contains some extra fluid to deliver the necessary dose easily
  • Maintain the body position till urge to evacuate is strong, which takes about 2-5 minutes

Osmotic laxative

The hyperosmotic effect of sodium draws excess water into the colon thereby promoting evacuation

  • Fecal urgency
  • Fecal incontinence
  • Abdominal distension
  • Abdominal pain
  • Nausea
  • Anal discomfort
  • Hypersensitivity to class/components
  • Patients < 2 years
  • Dehydration
  • CHF
  • GI obstruction
  • GI perforation
  • Toxic megacolon
  • Inflammatory bowel diseases
  • Imperforate anus
  • Hyperparathyroidism
  • Cidofovir
  • Sodium acid phosphate

                          Drug Status

Availability Prescription only
Pregnancy Category C; weigh risk vs benefit
Breastfeeding Use with caution
Schedule Not controlled
BRAND NAME STRENGTH FORMULATION PACK SIZE MANUFACTURER DISTRIBUTOR
Kleen Enema 19.2g/7.2g Suppository 135mL Nabiqasim Industries Harley’s Ltd