Phospho-soda, 45 ml 2 pcs.

How to take, the dosage

Fleet Phospho Soda is prescribed for adults and adolescents over 15 years of age. Doses similar to those for adults are used for older patients.

The drug should be started the day before the scheduled procedure.
If the procedure is scheduled before noon, the instructions for the morning appointment must be followed. If the procedure is scheduled for the time after noon, the instructions for the afternoon appointment must be followed.

Morning appointment.
The day before the procedure.

• 7:00 AM Drink at least one glass (or more) of “light fluid” or water instead of breakfast.
• “Light liquids” are water, solids-free soups, fruit juices without pulp, tea, coffee, clear carbonated and non-carbonated soft drinks.
• The first dose of the drug is taken immediately after breakfast. To do this, the contents of one bottle (45 ml) is dissolved in half a glass (120 ml) of cold water. The solution should then be drunk and drunk with one (or more) glass (240 ml) of cold water.
• 13:00 PM At least three glasses (720 ml) of “light fluid” or water should be drunk instead of lunch, the volume can be increased if desired.
• 19:00 One glass of “light fluid” or water in place of dinner, volume may be increased if desired.

The second dose is taken immediately after dinner. Dissolve the contents of the second bottle (45 ml) in half a glass (120 ml) of cold water. Then drink the solution and drink one glass (240 ml) of cold water. If desired, you can drink more fluids.
If necessary, you can drink “light liquids” and water until midnight.

Day appointment.
The day before the procedure.

• 13:00 at lunchtime you can have a light snack. No solid food should be consumed after lunch.
• 19:00 Drink one glass of “light liquids” or water instead of dinner, the volume can be increased if desired.
• The first dose of the drug is taken immediately after breakfast. To do this, the contents of one bottle (45 ml) is dissolved in half a glass (120 ml) of cold water. You should then drink the solution and drink one (or more) glass (240 ml) of cold water.
• Day of treatment.
• 7:00 drink at least one glass (or more) of “light fluid” or water in place of breakfast, volume may be increased if desired.

The second dose is taken immediately after breakfast. Dissolve the contents of the second bottle (45 ml) in half a glass (120 ml) of cold water. Then drink the solution and drink one glass (240 ml) of cold water. If desired, you can drink more fluids.
“Light liquids” and water can be consumed until 8:00.

The drug usually causes stools within half an hour to 6 hours.

Special Instructions

Fleet Phospho Soda is not used for the treatment of constipation.

With caution in elderly and frail patients, patients with reduced renal function, heart disease, colostomy, and patients on a low-salt diet because of the potential for hyperphosphatemia, hypocalcemia, hypokalemia, dehydration due to hypernatriemia and acidosis.

The patient should be warned about the expected frequent liquid stools. Very rarely, single or multiple aphtho-like changes were observed on endoscopy on the mucosa of the sigmoid and rectum. These were either lymphoid follicles, or discrete formations of inflammatory nature, or epithelium changes caused by the preparation performed. These abnormalities are not clinically significant and disappear spontaneously without treatment. Rarely, prolongation of the QT interval on ECG as a result of electrolyte imbalance of the type of hypocalcemia or hypokalemia is observed.

Perhaps use with caution in persons taking calcium channel blockers, diuretics, lithium-based agents, and other drugs that can affect electrolyte levels because there is a possibility of developing hyperphosphatemia, hypocalcemia, hypokalemia, dehydration with hypernatriemia, and acidosis.

The absorption of drugs in the gastrointestinal tract may be delayed or even completely stopped while taking the drug. The effect of regularly taken drugs (e.g., oral contraceptives, antiepileptics, anti-diabetics, antibiotics) may be reduced or absent altogether.

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Contraindications

• high sensitivity to the components of the drug;
• partial or complete bowel obstruction;
• intestinal integrity disorder;
• megacolon (congenital or acquired);

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• acute inflammatory bowel disease;
• heart failure;
• renal failure;
• nausea, vomiting, abdominal pain;
• child and adolescent age under 15 years.

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Side effects

Digestive system disorders: nausea, vomiting, abdominal pain, abdominal distension, diarrhea; very rarely – during endoscopy on the mucosa of the sigmoid and rectum – single or multiple aphthous formations may be observed (clinically insignificant, spontaneously disappear without treatment).

CNS disorders: asthenia, weakness, headache, dizziness.

Metabolism disorders: in some patients from risk groups – dehydration and/or electrolyte imbalance (including hyperphosphatemia, hypocalcemia, hypokalcemia, hypernatriemia, acidosis).

Others: allergic reactions.

Pregnancy use

Phlit Phospho Soda should not be used in pregnancy because there is insufficient reliable data on the ability of the drug to have toxic effects on the fetus and/or to cause abnormal fetal development.

Because sodium phosphate is excreted with breast milk, you should stop breastfeeding immediately after the first dose of the drug and for the next 24 hours after the last dose.