くすりのしおり

Internal
Published: 11/2013

The information on this sheet is based on approvals granted by the Japanese regulatory authority. Approval details may vary by country. Medicines have adverse reactions (risks) as well as efficacies (benefits). It is important to minimize adverse reactions and maximize efficacy. To obtain a better therapeutic response, patients should understand their medication and cooperate with the treatment.
Brand name :
Sodium Picosulfate Suspension 0.75% "Nichiiko"
 Active ingredient:
Sodium picosulfate hydrate
 Dosage form:
colorless to slightly yellow clear liquid
 Print on wrapping:
滴剤型緩下剤・大腸検査前処置用下剤,ピコスルファートナトリウム内用液0.75%「日医工」,眼には入れないこと

Effects of this medicine

This medicine stimulates colonic mucosa to activate intestinal movement and inhibits water absorption in intestinal tract to soften stool and consequently improve bowel movement.
It is usually used for various constipation, adjunctive treatment of postoperative defecation, facilitation of defecation after taking contrast agent (barium sulfate) and elimination of intestinal contents in preoperative period or pretreatment for a colon examination (X-ray, endscope).

Before using this medicine, be sure to tell your doctor and pharmacist

  • If you have previously experienced any allergic reactions (itch, rash, etc.) to any medicines.
    If you are suspected of having acute abdomen.
    If you are a patient with intestinal tract obstruction or suspected of having it.
  • If you are pregnant or breastfeeding.
  • If you are taking any other medicinal products. (Some medicines may interact to enhance or diminish medicinal effects. Beware of over-the-counter medicines and dietary supplements as well as other prescription medicines.)

Dosing schedule (How to take this medicine)

  • Your dosing schedule prescribed by your doctor is ((        to be written by a healthcare professional))
  • Various constipation: In general, for adults, take 10 to 15 drops (0.67 to 1.0mL, 5 to 7.5mg of the active ingredient) at a time, once a day. In general, for children, take at a time, once a day in the following standard. Aged 6 months or younger: 2 drops (0.13mL), 7 to 12 months: 3 drops (0.20mL), 1 to 3 years: 6 drops (0.40mL), 4 to 6 years: 7 drops (0.46mL), 7 to 15 years: 10 drops (0.67mL).
    Adjuctive treatment of postoperative defecation: In general, for adults, take 10 to 15 drops (0.67 to 1.0mL, 5 to 7.5mg of the active ingredient) at a time, once a day.
    Facilitation of defecation after taking contrast agent (barium sulfate) : In general, for adults, take 6 to 15 drops (0.40 to 1.0mL, 3 to 7.5mg of the active ingredient) at a time.
    Elimination of intestinal contents in preoperative period: In general, for adults, take 14 drops (0.93mL, 6.975mg of the active ingredient) at a time.
    Pretreatment for a colon examination: In general, for adults, take 20mL (150 mg of the active ingredient) at a time, 10 to 15 hours before estimated time for the examination.
    The dosage may be adjusted according to age and symptoms of the patient in any case. Strictly follow the instructions.
  • For elimination of intestinal contents in pretreatment for a colon examination, make sure that you had normal defection on the previous day or before taking, and take the medicine with sufficient water. In some cases you may experience side effects which are difficult to take a measure. Avoid taking the medicine when you are alone at home.
  • Do not apply this medicine to your eyes. If you get some into eyes by mistake, wash eyes under running water well immediately. If you feel something is wrong, consult with primary doctor or ophthalmologist.
  • If you miss a dose, for constipation, skip the missed dose and follow your regular dosing schedule. In case of colon examination, follow the instruction of the doctor before the examination. You should never take two doses at one time.
  • If you accidentally take more than your prescribed dose, consult with your doctor or pharmacist.
  • Do not stop taking this medicine unless your doctor instructs you to do so.

Precautions while taking this medicine

Possible adverse reactions to this medicine

The most commonly reported adverse reactions include abdominal pain, nausea, vomiting, borborygmus (a rumbling sound), bloating, dizziness and transient loss of consciousness. If any of these symptoms occur, consult with your doctor or pharmacist..
The symptoms described below are rarely seen as initial symptoms of the adverse reactions indicated in brackets. If any of these symptoms occur, stop taking this medicine and see your doctor immediately.
  • severe abdominal pain, nausea, vomiting [ileus, intestinal perforation]
  • sudden abdominal pain, melena, fever [ischemic colitis]
The above symptoms do not describe all the adverse reactions to this medicine. Consult with your doctor or pharmacist if you notice any symptoms of concern other than those listed above.

Storage conditions and other information

  • Keep out of the reach of children. Store away from light, heat and moisture.
  • Discard the remainder. Do not store them.

For healthcare professional use only : Day Month Year

For further information, talk to your doctor or pharmacist.

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