IF THERE IS NO BOWEL MOVEMENT AFTER SIX HOURS, CONTACT A PHYSICIAN, AS DEHYDRATION COULD OCCUR. TAKING MORE THAN THE RECOMMENDED DOSE IN 24 HOURS CAN BE HARMFUL. Treatment of electrolyte imbalance may require immediate medical intervention with appropriate electrolyte and fluid replacement. The patient who has taken an overdose should be monitored carefully. Certain severe electrolyte disturbances may lead to cardiac arrhythmia and death. Overdosage or retention may lead to severe electrolyte disturbances, including hyperphosphatemia, hypernatremia, hypocalcemia, and hypokalemia, as well as dehydration and hypovolemia, with attendant signs and symptoms of these disturbances (such as metabolic acidosis, renal failure, and tetany). No other sodium phosphate preparations should be given concomitantly. Drinking large amounts of clear liquids also helps ensure that the patient's bowel will be clean for the procedure. Nephrocalcinosis associated with transient renal insufficiency and renal failure has been very rarely reported in patients using sodium phosphates for bowel cleansing.Ĭare should be taken to prescribe Fleet® Phospho-soda® oral saline laxative as a bowel cleanser by volumes, not "by the bottle" (see WARNINGS ), per recommendations with a particular attention to known contraindications and adequate hydration (See DOSAGE AND ADMINISTRATION and INFORMATION FOR PATIENT).Īdditional fluids by mouth are recommended with all bowel cleansing dosages.Įncourage patients to drink large amounts of clear liquids to prevent dehydration. There is a risk of elevated serum levels of sodium and phosphate and decreased levels of calcium and potassium consequently, hypernatremia, hyperphosphatemia, hypocalcemia, hypokalemia, and acidosis may occur. In at-risk patients, including elderly patients, consider obtaining baseline and post-treatment sodium, potassium, calcium, chloride, bicarbonate, phosphate, blood urea nitrogen and creatinine values, and consider using the lower end of the dosage range. In patients with heart disease, acute myocardial infarction, unstable angina, pre-existing electrolyte disturbances, increased risk for electrolyte disturbances (e.g., dehydration, gastric retention, bowel perforation, colitis, ileus, inability to take adequate oral fluid, concomitant use of diuretics or other medications that affect electrolytes), with debilitated or elderly patients or with patients who are taking medications known to prolong the QT interval. In patients with clinically significant impairment of renal function, megacolon, gastrointestinal obstruction, ascites, congestive heart failure or in children under 5 years of age. PROFESSIONAL USE WARNINGS AND PRECAUTIONS. This product produces a bowel movement in Versatile in action as a laxative or purgative, according to dosage. For use as part of a bowel cleansing regimen in preparing the colon for colonoscopy, other endoscopic and radiologic examinations and surgery. Do not freeze.Īs a laxative, for the relief of occasional constipation. This product is sugar free and can be refrigerated to improve taste. Each Tablespoon (15 mL) of Unflavored or Natural Ginger-lemon flavor FLEET® Phospho-soda® oral saline laxative contains 7.2 g monobasic sodium phosphate monohydrate and 2.7 g dibasic sodium phosphate heptahydrate in a stable, buffered aqueous solution.
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