KLEAN-PREP Plastic Shaker Plv.Z.H.E.L.Z.einn., 4 pcs

Instructions for use for KLEAN-PREP Plastic Shaker Plv.Z.H.E.L.Z.einn., 4 pcs

Application notes

Application areas

Mode of action

How do the ingredients of the drug work?

By combining several salts, a lot of water is drawn into the intestine in a short time and thus achieved thorough removal and intestinal emptying.

Composition

Contradictions

What speaks against an application?

Always:
- Hypersensitivity to the ingredients
- Heart failure
- Ulcers in the digestive tract, also in the history
- Gastric or intestinal breakthrough or risk of a breakthrough
- Narrowing in the digestive tract, e.g. on the esophagus, on the stomach or on the thin or large intestine
- Intestinal closure
- Gastric emptying disorders
- Toxic megacolon (dangerous longing of the colon, which is accompanied by fever etc. and can occur as a complication, for example in inflammatory bowel diseases such as ulcerative colitis))

Under certain circumstances - speak to your doctor or pharmacist:
- Consciousness disorders up to the unconsciousness
- Reflux esophagitis (reflection disease with inflammation of the esophagus)
- Disturbed swallowing reflex
- Tendency to aspiration, that is, to get danger vomit in the airways and lungs, often in the event of consciousness disorders
- Limited kidney function
- Inflammatory bowel diseases such as:
- Ulcerosa colitis
- Crohn's disease
- Liver diseases

Which age group must be observed?
- Children and adolescents under the age of 18: The drug must not be used.

What about pregnancy and lactation?
- Pregnancy: Contact your doctor. Various considerations play a role in whether and how the medicine can be used during pregnancy.
- Still -time: Contact your doctor or pharmacist. He will check your special starting position and advise you accordingly whether and how you can continue with breastfeeding.

If the medicine has been prescribed to you despite a counter -notification, speak to your doctor or pharmacist. The therapeuticismhE use can be higher than the risk that contains the application in the event of a counter -notification.

Side effects

What adverse effects may occur?

- Disruptions of the salt balance, in particular:
- Reduced potassium content in the blood (hypocalaemia)
- Headache
- Vomiting
- Nausea
- Pain in the upper abdomen
- Fullness
- Flatulence
- Allergic skin reaction, including:
- Skin rash
- Muscle twitching
- Schüttelfrost

If you notice a disorder or change during treatment, contact your doctor or pharmacist.

For information at this point, side effects are taken into account that occurs in at least one of 1,000 patients treated.

Hints

What should you consider?
- Aspartame/phenylalanine can be harmful to patients with phenylketonuria.
- There can be medicinal products with which interactions occur. Therefore, you should generally provide the doctor or pharmacist before treatment with a new medicine. This also applies to medicines that you buy yourself, only apply occasionally or that the application has been available for some time.

Detailed instructions for KLEAN-PREP Plastic Shaker Plv.Z.H.E.L.Z.einn., 4 pcs

Field of use

• The preparationist a powder for the production of a colon lash solution for intestinal cleaning before diagnostic examinations, e.g. B. Colonoscopy, and before surgery on the intestine.

Active ingredients / ingredients / ingredients

0.743 g potassium chloride
10 mmol potassium ion
10 mmol chloride ion
59 g Macrogol 3350
17.6 mmol Macrogol 3350
1,465 g sodium chloride
25 mmol sodium ion
25 mmol chloride ion
1,685 g sodium hydrogen carbonate
20 mmol sodium ion
20 mmol hydrogen carbonate ion
5.685 g sodium sulfate, water -free
40 mmol sulfate ion
80 mmol sodium ion
49.4 mg aspartam auxiliary material (+)
Phenylalanine auxiliary substance (+)
35 mmol total chloride ion helper (+)
125 mmol total sodium ion helper (+)
2.9 g Total sodium Ion Hedge substance (+)
Vanilla aroma hedge material (+)

Contradictions

• The medicine must not be used if you or your doctor suspect that:
  • They are hypersensitive to the active ingredients or one of the other components
  • They suffer from heart failure in the advanced stage
  • Your intestine is not completely continuous, or if you suffer from a blockade (obstruction) in the digestive tract or from an intestinal obstruction (ileus)
  • They have a breakthrough (perforation) in the digestive tract
  • They suffer from a disturbance of gastric emptying
  • They suffer from a toxic colon expansion or toxic intestinal inflammation

 

dosage

• Always apply the preparation exactly according to the doctor's instruction. Please ask your doctor or pharmacist if you are not quite sure. Unless otherwise prescribed by the doctor, the usual dose is:
• Adult:
  • 4 x 1 bag
  • 1 Bag is dissolved and drunk in 1 liter of water each.
  • In the case of nasogastral administration (intake via a tube in the stomach introduced by the nose), 20-30 ml per minute is fed.
• Patients with restricted kidney function:
  • In patients with restricted kidney function (renal failure), no dose changes are required.

 

• If you have used a larger amount than you should
  • If you have taken a larger amount than you should, you can develop very strong diarrhea that can lead to an drying out of the body. Take large amounts of liquid, especially fruit juices. Please contact your doctor!

 

• If you have forgotten the application
  • If you have forgotten taking it, get it as soon as you notice. If several hours have passed since the intended time of taking, contact your doctor or pharmacist. The intestinal preparation must minone hour before the planned examination.

 

• If you cancel the application
  • Please inform your doctor or pharmacist if you have stopped the application.

 

• If you have any further questions about the application of the drug, ask your doctor or pharmacist.

Taking

• Open the bag and put the powder in a suitable measuring vessel. First fill the container up to the 500 ml measuring brand with lukewarm water. After shaking a strong shake (closing the rotation closure) or stirring, fill the liquid up to the 1-liter measuring brand. Make sure that the powder has completely loosened.
• Drink the solution (1/4 l) every 10-15 minutes, whereby the first 2 liters should be used within about 2 hours. As a rule, the bowel movement then begins. If necessary, you can take a break and then take the next 1 - 2 liters in the same way or continue the preparation of the dam the next morning. The intestinal preparation is complete if you have used up the entire 4 liters or the rectal discharge is clear.
• The solution is more pleasant in the taste.
• Dietrin solution can be taken on the evening before or on the morning or the entire amount of drinking can also be distributed over both days (e.g. 2 or 3 liters the evening before and 2 or 1 liter on the morning of the examination).
• Usually the preparation is carried out on the previous evening in surgical interventions and X -ray examinations of the colon (barium contrast presentation), in the event of endoscopic examinations (colonoscopy). In patients with drinking difficulties, it is advisable to distribute the total quantity over 2 days. However, please adhere to the instructions of the examining doctor.
• At least two hours before taking it should not be taken until after the examination. However, clear liquids (e.g. tea or coffee without milk, fruit juices) can be drunk during the preparation time.
• The preparation was developed to clean the intestine and causes diarrhea -like, aqueous bowel movements. The first of these liquid chairs should take place within 1-2 hours after the start of the intake.
• If flatulence or pain occurs, administration must be slowed down or temporarily stopped until improvement occurs.
• After taking the last liter, at least 1 hour should pass by the start of the examination to ensure complete intestinal emptying.

Patient information

• Special care in the application is required,
  • if you suffer from swallowing disorders (disorder of the swallowing reflex) or reflux disease (reflux esophagitis) and are not full of consciousness. In these situations, there is a risk of aspiration (penetration of foreign substances into the lungs during inhalation) or regurgitation (return flow of stomach content), so that careful monitoring is necessary; This applies particularly to nasoga -rate administration.
  • if you suffer from acute inflammatory bowel disease, the preparation may only be applied with caution or after consultation with the treating doctor.
  • if you are a so-called high-risk patient, the doctor should carry out close-knit monitoring of the electrolyte and fluid balance.
  • Children:
    • Children and adolescents under the age of 18 should not apply the medicine.
  • In patients with heart failure (heart failure in a slight stage), cardiovascular diseases, cardiac arrhythmias or functional disorders of the kidney (renal failure) and liver diseases, the medicine is to be applied with caution.
  • Cases of pulmonary edema after aspiration of a macrogol lavage solution were reported that required immediate treatment.
  • Although the isotonic composition of the product was not expected, risk patients were reported in rare cases of electrolyte shifts. Therefore, the preparation should be used with caution in patients who have a risk for electrolyte disorders, such as patients with renal failure, heart failure or in patients who are treated at the same time as drainage agents.
  • If a bloated stomach occurs (abdominal inflation) or pain, the intake must be slowed down or temporarily adjusted until the symptoms subside.
  • In some patients, seizures were reported in connection with very low sodium levels in the blood. Due to the low sodium level, patients may also develop confusion and disorientation.
  • In older, frail or weakened patients, the medicine should be used with caution and under medical supervision.
  • Taking the prepared solution does not replace the regular hydration; This must continue to be guaranteed.

 

• Wateriness and operating machines:
  • The preparation has no known influence on the traffic and the ability to use machines.

Pregnancy

• If you are pregnant or breastfeed, or if you suspect that you are pregnant or intend to become pregnant, ask your doctor or pharmacist for advice before using this drug.

Hints

Miscellaneous

- No quantity changes are required for kidney dysfunction.
- With increased risk, the blood values should be monitored close.

Manufacturer:  Norgine GmbH, in Westpark 14, 35435 Wettenberg