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Dibasic sodium phosphate/monobasic sodium phosphate enema What Dibasic sodium phosphate/monobasic sodium phosphate is used for: It is useful as laxatives in the relief of occasional constipation and as part of a bowel cleansing regimen in preparing the colon for surgery, x-ray or endoscopic examination. When used as directed it provides thorough yet safe cleansing action and induce complete emptying of the left colon, usually within 1 to 5 minutes, without pain or spasm. Do not take Dibasic sodium phosphate/monobasic sodium phosphate if: Congestive heart failure Clinically significant impairment of renal function Known or suspected gastrointestinal obstruction Megacolon (congenital or acquired) Paralytic ileus Perforation Active inflammatory bowel disease Imperforate anus Dehydration Generally in all cases where absorption capacity is increased or elimination capacity is decreased Children under 2 years of age Hypersensitivity to active ingredients Warnings & Precautions: Use with caution if: Impaired renal function Taking medications known to affect renal perfusion or function, or hydration status With pre-existing electrolyte disturbances or who are taking diuretics or other medications which may affect electrolyte levels You are taking medications known to prolong the QT interval Ascites You had colostomy Possible Side Effects: Dehydration Diarrhea Nausea/vomiting Other medicines and Dibasic sodium phosphate/monobasic sodium phosphate: Tell your doctor or pharmacist about all medicines you take, including prescription and over-the-counter medicines, vitamins and herbal supplements. No other sodium phosphates preparations including sodium phosphates oral solution or tablets should be given concomitantly. Electrolyte disturbances and hypovolemia from purgation may be exacerbated by inadequate oral fluid intake, nausea, vomiting, loss of appetite, or use of diuretics (furosemide) , angiotensin converting enzyme inhibitors (lisinporil, ramipril), angiotensin receptor blockers (irbesartan, valsartan, candesartan), non-steroidal anti-inflammatory drugs (ibuprofen, diclofenac), and lithium or other medications that may affect electrolyte levels, and may result in metabolic acidosis, tetany, renal failure, QT prolongation and, in more severe cases, multi-organ failure, cardiac arrhythmia/arrest and death. Lithium: avoid combination because it could decrease its effectiveness. How to take Dibasic sodium phosphate/monobasic sodium phosphatedihydrate: Adult and children above 2 years: use one enema per day How To Use: Remove orange protective shield from enema before inserting. With steady pressure, gently insert enema tip into rectum with a slight side-to-side movement, with tip pointing toward navel. Insertion may be easier if person receiving enema bears down, as if having a bowel movement. This helps relax the muscles around the anus. Stop using if tip is hard to insert. Forcing the tip into the rectum can cause injury (especially if you have hemorrhoids). If enema tip causes rectal bleeding or pain, get immediate medical care. Squeeze bottle until nearly all liquid is gone. It is not necessary to empty the bottle completely, as it contains more liquid than needed. Remove from rectum and maintain position until urge to evacuate is strong (usually 1 to 5 minutes). Positions for using this enema: Left-side position: Lie on left side with knee bent, and arms resting comfortably. Knee-chest position: Kneel, then lower head and chest forward until left side of face is resting on surface with left arm folded comfortably. If no urge is felt after 5 minutes of using, try to empty bowel. Call a doctor promptly if no liquid comes out of the rectum after 30 minutes because dehydration could occur. The diaphragm at base of nozzle prevents reflux and assures controlled flow of the enema solution. Enema should be used at room temperature How to store Dibasic sodium phosphate/monobasic sodium phosphatedihydrate: Keep this medicine out of the sight and reach of children. Do not store above 30°C. Do not refrigerate or freeze. A valid prescription should be available upon delivery
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