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> Dibasic sodium phosphate + Monobasic sodium phosphate - Oral

Dibasic sodium phosphate + Monobasic sodium phosphate - Rectal - Patient Medicine Information

> Why do I need this medicine?
> How do I use this medicine?
> When should I not use this medicine?
> What should I take note of while using this medicine?
> What side effects could I experience?
> Can I use this with other medicines?
> What special dietary instructions should I follow?
> How should I store this medicine?

 

Why do I need this medicine?

Dibasic sodium phosphate and Monobasic sodium phosphate are combined together in this medicine.

This medicine is used to relieve occasional constipation.

This medicine belongs to a group of medicines called osmotic laxatives. These laxatives work by increasing water in the bowel, which makes the stools softer so they move out of the body more easily.

This medicine may also be used for bowel cleansing before surgery or bowel examinations.

How do I use this medicine?

Use Dibasic sodium phosphate + Monobasic sodium phosphate exactly as directed by your doctor or according to the instructions on the label. Do not use more or less than instructed by your doctor.

This medicine enema is to be inserted into the rectum. Do not swallow it. Do not use it in any other way. Try to go to the toilet before you insert the enema. Follow these steps:
  1. Wash your hands thoroughly.
  2. If you are right-handed, lie on your left side and pull your right knee up to your chest. If you are left-handed, lie on your right side and pull your left knee up to your chest. Arms at rest.
  3. Remove the protective shield from rectal tip.
  4. Gently insert the enema tip into your rectum with nozzle pointing towards your navel with steady pressure.
  5. Squeeze the bottle gently, allowing the liquid to flow into the rectum slowly until nearly all the liquid is expelled. Stop if you encounter resistance.
  6. Remove tip from rectum.
  7. The liquid should be retained and if you feel the liquid slipping out, press your buttocks together until you experience lower abdominal cramping. This is generally obtained in 2 to 5 minutes.
  8. If delayed, discontinue further use and consult a doctor.
You may stop taking this medicine when you have no more constipation. This medicine is not for long-term use.

Check with your doctor or nurse on how to take this medicine if you are taking it for bowel cleansing.

When should I not use this medicine?

Alert your doctor if you have the following conditions:
  • stomach and bowel disease or disorder e.g. blocked bowel, ruptured bowel, congenital or acquired dilated colon, narrowing of anal canal, blocked or missing anal opening, abnormal accumulation of fluid in abdominal cavity, Hirschsprung’s disease (condition of the large intestine causing problem with passing stool)
  • inflamed appendix (a tube-shaped sac attached to and opening into the lower end of the large bowel)
  • inflammation of the bowels
as this medicine may not be suitable for you.

Do not give this medicine to children below 3 years old unless instructed to do so by the doctor.

Do not use Dibasic sodium phosphate + Monobasic sodium phosphate with other constipation medicines containing sodium phosphate.

What should I take note of while using this medicine?

Inform your doctor if you have the following conditions:
  • heart diseases e.g. heart attack, heart failure, irregular or abnormal heart beat, chest pain that is not well controlled
  • kidney disease
  • electrolyte imbalance (imbalance of certain ionised salts e.g. sodium, phosphate, potassium in the blood)
  • underwent colostomy (surgery where the large intestine is shortened)
  • rectal bleeding
  • dehydration
  • nausea, vomiting, abdominal pain
Let your doctor know if you are pregnant or breastfeeding.

Be sure to check with your doctor or pharmacist before giving Dibasic sodium phosphate + Monobasic sodium phosphate to the elderly or debilitated patients.

What lifestyle changes can I make to prevent constipation?

You can adopt some of the following lifestyle changes to help prevent constipation:
  1. Include high-fibre foods such as fruits, vegetables, beans, and whole-grain cereals and breads in your diet. Add fibre to your diet gradually to help reduce gas and bloating.
  2. Drink plenty of liquids. Limit caffeine intake, which may worsen symptoms of constipation by causing dehydration.
  3. Be active and exercise regularly.
  4. Do not ignore the urge to have a bowel movement. 

What side effects could I experience?

Dibasic sodium phosphate + Monobasic sodium phosphate may cause any of the following side effects: anus irritation or discomfort, and severe episodic pain in the rectum and anus.

Some side effects may be serious, although they are not common. Alert your doctor quickly if you experience.:
  • feeling thirsty, dizzy, and urinating less than normal
  • weakness, tiredness, muscle cramps, thirst, irregular heartbeat
  • confusion or memory loss, hallucinations (seeing or hearing things that are non-existent), bone fracture, and numbness and tingling in the hands, feet, and face
  • seizures, muscle twitching 
  • numbness and tingling around the mouth, rash, itchy skin, bone and joint pain 
  • rectal bleeding
Inform your doctor if any of these side effects do not go away or are severe, or if you experience other side effects.

Can I use this with other medicines?

Do not use Dibasic sodium phosphate + Monobasic sodium phosphate with other constipation medicines containing sodium phosphate.

Inform your doctor and pharmacist if you are taking any of these medicines:
  • medicines for high blood pressure or heart disease e.g. enalapril, perindopril, losartan, valsartan, amiodarone, procainamide
  • diuretics or “water pills” e.g. furosemide, cyclopenthiazide
  • medicines to treat depression e.g. amitriptyline, nortriptyline, citalopram
  • medicines for pain and inflammation or NSAIDs e.g. diclofenac, ibuprofen, mefenamic acid
  • medicine for mood disorders e.g. lithium, chlorpromazine
  • certain antibiotics e.g. azithromycin, clarithromycin, erythromycin
This list does not include all medicines that may interact with this medicine.

Always notify your doctor and pharmacist if you are taking any other medicines, including herbal tonics such as traditional Chinese medicines, supplements and medicines that you buy without a prescription.

What special dietary instructions should I follow?

Avoid alcohol.

How should I store this medicine?

Store in a cool, dry place away from the reach of children.

Medicines must not be used past the expiry data.

This information is independently developed by MIMS based on Dibasic sodium phosphate + Monobasic sodium phosphate - Rectal and is provided for your reference only. It is not a replacement for and should only be used in conjunction with full consultation with a licensed healthcare professional, the information provided by your pharmacist and/or the manufacturer of the medication. It may not contain all the available information you require and cannot substitute professional medical care, nor does it take into account all individual circumstances. Although great effort has been made to ensure content accuracy, we shall not be held responsible or liable for any claims or damages arising from the use or misuse of the information contained herein, its contents or omissions, or otherwise. Copyright © 2019 MIMS. All rights reserved. Powered by MIMS.com

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