Movicol Powder Lemon & Lime Sachets Movicol Powder Lemon & Lime Sachets

Do not take Movicol if your doctor has told you that you have: - a blockage in your intestine (gut obstruction, ileus) - a perforated gut wall - severe inflammatory bowel disease like ulcerative colitis, Crohn’s disease or toxic megacolon - an allergy to the active substances or any of the other ingredients of Movicol .

Warnings and precautions When taking Movicol you should continue to take plenty of fluids. The fluid content of Movicol should not replace your regular liquid intake. Heart conditions Follow the special instructions in section 3 if you are taking Movicol for faecal impaction

 Other medicines and Movicol Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines. Some medicines, e.g. anti-epileptics, may not work as effectively during use with Movicol

 Pregnancy and breast feeding Movicol can be taken during pregnancy and whilst breastfeeding. If you are pregnant, trying to become pregnant or breastfeeding, ask your pharmacist or doctor for advice before taking Movicol.

 Driving and using machines Movicol does not affect your ability to drive or use machines.

Movicol contains sodium Talk to your doctor or pharmacist if you need 3 or more sachets daily for a prolonged period, especially if you have been advised to follow a low salt (sodium) diet. Movicol contains 186.87 mg sodium (main component of cooking/table salt) per sachet. This is equivalent to 9.3% of the recommended maximum daily dietary intake of sodium for an adult.

Like all medicines, this medicine can cause side effects, although not everybody gets them.

 Tell your doctor immediately and stop taking Movicol if you:  Get a serious allergic reaction which causes difficulty in breathing, or swelling of the face, lips, tongue or throat.

Other side effects include: Allergic reactions which may cause a skin rash, itching, reddening of the skin or a nettle rash, swollen hands, feet or ankles, headaches and high and low levels of potassium in the blood. Sometimes you may have indigestion, stomach ache or rumbles. You may also feel bloated, suffer from wind, feel sick or vomit, may also experience soreness of the anus (bottom) and may have mild diarrhoea when starting to take Movicol. These side effects generally get better if you reduce the amount Movicol you take.

Reporting of side effects If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the Yellow Card Scheme at: www.mhra.gov.uk/yellowcard or search for MHRA Yellow Card in the Google Play or Apple App Store. By reporting side effects, you can help provide more information on the safety of this medicine

This medicine can be taken at any time with or without food.

Dissolve the content of each sachet in 125ml (1/4 pint) of water and drink.

 Constipation: A dose of Movicol is 1 sachet dissolved in 125 ml (1/4 pint) of water. Take this 1 –3 times a day according to the severity of your constipation.

Faecal impaction: Before you take Movicol for faecal impaction, it should be confirmed that you have this condition. A dose of 8 sachets a day of Movicol is needed for the treatment of faecal impaction. Each sachet dissolved in 125ml (1/4 pint) of water. The 8 sachets should be taken within 6 hours for up to 3 days if required. If you have a heart condition, do not take more than 2 sachets in any one hour.

 How to mix: Open the sachet and pour the contents into a glass. Add about 125ml or 1/4 pint of water to the glass. Stir well until all the powder has dissolved and the Movicol solution is clear or slightly hazy, then drink it. If you are taking Movicol for faecal impaction it may be easier to dissolve 8 sachets in 1 litre of water.

Duration of treatment:

Constipation: Treatment with Movicol usually lasts for about 2 weeks. If you need to take Movicol for longer, please see your doctor. If your constipation is caused by an illness such as Parkinson’s disease or multiple sclerosis (MS), or if you take medicines that cause constipation your doctor may recommend that you take Movicol for longer than 2 weeks. If you need to take Movicol for longer, please see your doctor. Usually for long term treatment the dose can be lowered to either 1 or 2 sachets a day.

Faecal impaction: Treatment with Movicol can be for up to 3 days. If you take more Movicol than you should: You may develop excessive diarrhoea, which can lead to dehydration. If this occurs, stop taking Movicol and drink plenty of fluids. If you are worried contact your doctor or pharmacist. If you forget to take Movicol: Take the dose as soon as you remember to take it.

What Movicol contain

 Each 13.8g sachet contains: 13.125g Macrogol 3350, 350.7mg Sodium chloride, 178.5mg Sodium bicarbonate and 46.6mg Potassium chloride as the active ingredients.

 When made into a drink with 125ml of water, each sachet gives the equivalent of 65mmoles/litre of sodium, 53mmoles/litre of chloride, 17mmoles/litre of bicarbonate and 5.4mmoles/litre of potassium.

Movicol also contains the following: lemon flavor (vegetable gum (E414), maltodextrin, lemon oil, lime oil, citral and citric acid) and potassium acesulfame (E950) as a sweetener.