Ultracarbon

Ultracarbon

charcoal, activated

Manufacturer:

P&G Health

Distributor:

Zuellig Pharma
Full Prescribing Info
Contents
Medicinal charcoal.
Description
One tablet contains 250 mg of medicinal charcoal.
Excipients/Inactive Ingredients: Bentonite, corn starch.
Action
Pharmacotherapeutic group: Medicinal charcoal/adsorbent.
Pharmacology: Pharmacodynamics: Medicinal charcoal adsorbs particles dissolved in liquids and gases as well as bacteria, bacteria toxins and other poisonous substances. This is due to the porous, highly active carbon skeleton whose large surface area allows a significant binding capacity.
Pharmacokinetics: Medicinal charcoal adsorbs toxins within a very short time until a balance between adsorption and desorption is reached. Medicinal charcoal remains in the intestine after oral administration, is inert, and is not absorbed. The noxious substances bound to the charcoal are excreted with the stool.
Indications/Uses
Acute diarrhoea.
Prevention of absorption in oral intoxications.
Acceleration of elimination in intoxication with substances subject to enterohepatic circulation (eg. Carbamazepine, phenobarbital, phenylbutazone, theophylline).
Symptomatic treatment of flatulence.
Dosage/Direction for Use
Diarrhoea: Depending on the severity of the case, 2-4 Ultracarbon tablets are administered 3-4 times daily.
Half this dose is recommended for children.
Ultracarbon tablets should be taken on an empty stomach with plenty of liquid. Allow Ultracarbon tablets to disintegrate in water with stirring, or take whole with liquid. Milk or milk products are not suitable.
Ultracarbon tablets should be used until the stools have returned to normal. If the patient has not responded to treatment after about 3 days, other therapeutic or diagnostic measures must be taken.
Intoxications: In acute intoxications, depending on the severity of the case, medicinal charcoal must be administered in higher doses (0.5-1 g/kg body weight). Adults receive 2-4 Ultracarbon tablets per kg body weight, children 3-4 Ultracarbon tablets per kg body weight. This corresponds to the following regimen: (See Table 1.)

Click on icon to see table/diagram/image

Stir Ultracarbon tablets in water to make a paste and administer in small quantities. Milk or milk products are not suitable. In unconscious patients a doctor, or a nurse under medical supervision, should administer the suspension of Ultracarbon tablets in water by gastric tube. Administration may be repeated at intervals of 2-4 hours. Due to the risk of hypochloraemia the suspension should be given in isotonic saline or full electrolyte solution when multiple doses are administered. It is recommended to additionally administer 1 tablespoonful (adults) or 1/2 -1 tablespoonful (children) of sodium sulfate (Glauber's salt) in 1 glass of water 30-60 minutes later. This saline laxative induces rapid intestinal passage. By this measure the poison, which is bound to the charcoal, is removed from the intestinal tract before part of the poisonous substances can be liberated.
The sooner the charcoal is administered after intoxication, the stronger the effect. Ultracarbon tablets should be administered as soon as the intoxication is detected.
Flatulence: Flatulent adults should take 1-2 tablets of Ultracarbon immediately after meal and repeat it every 2 hours.
Overdosage
Medicinal charcoal is well tolerated and due to its lack of toxicity, overdose requiring treatment is unlikely. Should symptoms of overdose like constipation and intestinal obstruction (mechanical ileus) occur, a saline laxative may be administered to enhance the elimination of Ultracarbon.
Contraindications
Febrile diarrhoea.
Special Precautions
Several poisons and drugs require different or additional measures.
Medicinal charcoal is not effective in intoxications with organic and inorganic salts as well as solvents like, for instance, lithium, thallium, cyanide, iron salts, methanol, ethanol and ethylene glycol.
Different measures are in these cases indicated to eliminate the poison (e.g. gastric lavage). The following table lists important poisons in which medicinal charcoal is ineffective and for which a suitable oral therapy is known: (See Table 2.)

Click on icon to see table/diagram/image

In many intoxications, a specific antidote must be administered additionally to medicinal charcoal (e.g.acetylcysteine in paracetamol poisoning).
To avoid aspiration in unconscious patients, a doctor should administer these patients the suspension of Ultracarbon in water by gastric tube.
In patients undergoing multiple dose activated charcoal therapy after intoxication, gastrointestinal sounds should be monitored frequently to assess peristaltic action.
Medicinal charcoal should not be taken in the case of intoxication with corrosive substances (strong acids and alkalis) as this would complicate diagnostic measures like oesophagoscopy and gastroscopy.
Effects on ability to drive and use machines: Ultracarbon has no influence on the ability to drive and use machines.
Use In Pregnancy & Lactation
No restrictions.
Side Effects
No adverse reactions to Ultracarbon tablets are known to occur if the product is taken in the recommended dosage to treat the diarrhoea. After high doses, as taken in the case of intoxications, constipation and intestinal obstruction (mechanical ileus) may occur. This can be prevented by administering saline laxatives (e.g. sodium sulfate). As medicinal charcoal is excreted in unchanged form, stool turns black (discoloured faeces) after intake of medicinal charcoal.
Drug Interactions
Ultracarbon should not be administered together with other drugs as the efficacy of the latter may be reduced.
Storage
Do not store above 30° Celsius.
MIMS Class
ATC Classification
A07BA01 - medicinal charcoal ; Belongs to the class of charcoal preparations. Used as intestinal adsorbents.
Presentation/Packing
Tab 250 mg (black, round, flat on both sides) x 5 x 10's.
Register or sign in to continue
Asia's one-stop resource for medical news, clinical reference and education
Sign up for free
Already a member? Sign in