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Enema is an enema used to exert a laxative effect.

The combination of mono- and also disodium phosphates with a small amount of vegetable glue forms a liquid, whose pH level does not lead to irritation of the intestinal mucosa. The use of a hypertonic enema causes an influx of water to the intestinal lumen. After moistening, the softened masses of feces become larger in volume, leading to stretching of the walls of the large intestine, as a result of which, after 5–20 minutes, defecation occurs.

Indications Enema

It is used during preparation for endoscopy or X-ray in the rectosigmoid region of the large intestine.

Appointed to eliminate the symptoms of obstipatsii in the lower intestinal region, especially in connection with the difficulty of emptying.

[1], [2]

Release form

The release of drugs is implemented in the form of rectal fluid, inside the bottles with a capacity of 0.15 l. In a pack - 1 bottle.

[3]

Dosing and administration

Administer the drug rectally. The flap is removed from the bottle, after which its tip is inserted into the anus and the solution is gently squeezed out. After the procedure, the patient must lie on his side or back until the urge to defecate.

To eliminate the symptoms of obstipation, a 1-ene enema is administered 5–20 minutes before the time selected for bowel emptying.

In preparation for the implementation of X-ray or endoscopy, enter 1 well enema in the evening, and then another 1 well in the morning on the day of the procedure.

During the day, you can apply a maximum of 1-enema.

[13], [14], [15], [16], [17], [18],

Use Enema during pregnancy

Treatment of obstipation during pregnancy is allowed only in case of limited use of laxatives through enemas. For a safer procedure, it is recommended to give up phosphate enemas.

It is possible to use hem during breastfeeding and pregnancy only with the permission of the doctor.

Contraindications

The main contraindications:

• increased intolerance associated with the elements of the drug;
• salt balance disorder, accompanied by a delay of Na, as well as CHF;
• intestinal blockage;
• OPN;
• megacolon, fissures in the anal region, the active phase of hemorrhoids, and, in addition, hemorrhagic reticularitis;
• disguise.

[4], [5], [6], [7], [8], [9], [10], [11], [12],

Side effects Enema

Single when using Enema such side effects appear:

• EBV disorders, including acidosis, hypocalcemia, hyperphosphatemia, and hypernatriemic dehydration, which causes convulsions. Such disturbances can occur due to intoxication, the patient's early age or the presence of agangliosis in the area of the large intestine, and also because of the lack of renal function;
• rectal use of a solution of Na phosphate may cause local irritation or necrosis in the rectal region;
• allergy symptoms accompanied by a rash or not.

Overdose

In case of an unintentional overdose, it is necessary to stimulate the excretion of phosphates, as well as to carry out procedures that strengthen the patient's condition, and correct acidosis and electrolyte indices (especially Ca) inside the serum.

Interactions with other drugs

Extremely carefully prescribed to people who use diuretic drugs, substances that block the activity of the Ca channels, lithium and other means that can change the values of electrolytes, causing hypokalemia or scalcemia, and also hyperphosphatemia, acidosis and hypernatremia dehydration.

[19], [20], [21]

Storage conditions

Enema should be kept in a place inaccessible to small children. The temperature level is maximum 25 ° С.

[22], [23], [24], [25], [26],

Shelf life

Enema can be used within a 24-month term from the time the medication is manufactured.

Application for children

Enemas with a volume of 0.15 l is prohibited to use in pediatrics.

[27]

Analogs

Analogs of drugs are substances Enema Klin, as well as Normakol enema.