Generic Name: Monobasic Sodium Phosphate Monohydrate + Dibasic Phosphate Heptahydrate

Brand Name: Colema

Strength: 19g / 7 / g / 118ml

Form:

Manufacturer:

Imported and Distributed by:

Classification: Cathartic

Indication/Uses:

Monobasic Sodium Phosphate Monohydrate + Dibasic Sodium Phosphate Heptahydrate (Colema) 19g/7g/118ml Rectal Solution is a cathartic agent used to cleanse the bowels. Here are the primary indications and uses:

Indications and Uses

1. Bowel Cleansing:

   • Preparation for Colonoscopy: Used as a bowel cleansing agent before a colonoscopy to ensure that the colon is clear of stool, allowing for better visualization during the procedure.
   • Preparation for Surgery: Administered before gastrointestinal surgeries to empty the bowel contents and reduce the risk of infection.

2. Constipation Relief:

   • Severe Constipation: Utilized in cases of severe constipation when other forms of treatment, such as oral laxatives, have not been effective.

Mechanism of Action

• Osmotic Effect: The solution works by drawing water into the colon, which helps to soften the stool and induce bowel movements. This osmotic action increases the volume of water in the intestine, promoting bowel evacuation.

Dosage and Administration

• Dosage: Typically, the entire contents of the 118ml bottle are administered as a single dose. The exact dosage may vary based on the individual's condition and the healthcare provider's instructions.
• Administration: Administered rectally using the provided applicator. The individual should lie on their side and insert the applicator tip into the rectum, then gently squeeze the bottle to release the solution.

Instructions for Use

1. Preparation:

   • Remove the protective cap from the applicator tip.
   • Lubricate the applicator tip if necessary to ease insertion.

2. Administration:

   • Lie on your left side with your right knee bent (Sims' position).
   • Gently insert the applicator tip into the rectum.
   • Squeeze the bottle to administer the solution slowly.
   • Remove the applicator tip and remain in the same position until you feel a strong urge to have a bowel movement, usually within 2 to 5 minutes.

3. After Administration:

   • Stay near a toilet as the urge to evacuate the bowels can be strong and sudden.
   • Ensure proper hydration before and after the procedure to prevent dehydration.

Precautions

• Hydration: It is essential to maintain adequate hydration before and after using the solution to prevent dehydration, especially for elderly individuals or those with kidney conditions.
• Electrolyte Imbalance: Use with caution in individuals with conditions that predispose them to electrolyte imbalances, such as kidney disease, heart conditions, or those taking diuretics.
• Contraindications: Not recommended for individuals with bowel obstruction, perforation, severe dehydration, or known hypersensitivity to the ingredients.

Side Effects

• Common: Abdominal bloating, cramping, nausea, and mild rectal irritation.
• Serious: Dehydration, electrolyte imbalances (e.g., hyperphosphatemia, hypocalcemia), and renal dysfunction. Seek medical attention if severe abdominal pain, prolonged diarrhea, dizziness, or muscle weakness occurs.

Monitoring

• Effectiveness: Monitor the effectiveness of bowel evacuation. The desired outcome is clear or yellow liquid stools without solid matter.
• Hydration and Electrolytes: Monitor fluid intake and electrolyte levels, especially in vulnerable populations such as the elderly or those with kidney disease.

Monobasic Sodium Phosphate Monohydrate + Dibasic Sodium Phosphate Heptahydrate (Colema) 19g/7g/118ml Rectal Solution is a useful agent for bowel cleansing before medical procedures and for relieving severe constipation. Proper usage, hydration, and monitoring are essential to ensure safety and effectiveness.