Pholipeg Hs 6,86 g Oral Solution

PHOLIPEG HS is a laxative for treating constipation in children.

Do not take PHOLIPEG HS :

• if your child is allergic (hypersensitive) to macrogol, sodium chloride, sodium bicarbonate, potassium chloride or any of the other ingredients of PHOLIPEG HS (listed in section 6).
• if your doctor has told you that your child has:
• a blockage in the intestine (gut)
• a hole or leak in the gut wall
• severe inflammatory bowel disease, like ulcerative colitis, Crohn's disease, or toxic megacolon
• paralysis of the bowel.

Warnings and precautions

Take special care with PHOLIPEG HS:

• if your child has abdominal pain, nausea or vomiting.
• if your child has a heart problem.

Do not give PHOLIPEG HS frequently or for long periods as this may cause dependence and a loss of normal bowel function. If your child is having difficulty in breathing, swelling, and experiencing tiredness, PHOLIPEG HS should be stopped and consult with the doctor. When giving PHOLIPEG HS you should continue to give your child plenty of fluids. The fluid content of PHOLIPEG HS should not replace your child’s regular liquid intake.

Other medicines and PHOLIPEG HS

Always tell your health care provider if you are taking any other medicine. (This includes all complementary or traditional medicines.) Some medicines, e.g. anti-epileptics, may not work as effectively during use with PHOLIPEG HS. When taking large volumes of PHOLIPEG HS (e.g. for faecal impaction), your child should not take other medicines within one hour of taking PHOLIPEG HS.

PHOLIPEG HS with, food, drink and alcohol

PHOLIPEG HS can be taken at any time with or without food or drink. It is recommended to take PHOLIPEG HS before a meal.

Pregnancy, breastfeeding and fertility

If you are pregnant or breastfeeding, think you may be pregnant or are planning to have a baby, please consult your doctor, pharmacist or other health care provider for advice before taking this medicine. PHOLIPEG HS can be given during pregnancy and whilst breastfeeding.

Driving and using machines

PHOLIPEG HS does not affect your ability to drive or use machines.

PHOLIPEG HS contains sodium PHOLIPEG HS contains 93,4 mg sodium (main component of cooking/table salt) per sachet. This is equivalent to 4,6 % of the recommended maximum daily dietary intake of sodium for an adult.

Do not share medicines prescribed for you with any other person. Always take PHOLIPEG HS exactly as your doctor or pharmacist has told you. Check with your doctor or pharmacist if you are not sure. The dose of PHOLIPEG HS depends on the age of the child and their response to treatment. As a starting dose children aged 2 to 6 years should be given one sachet each day, and children aged 7 to 11 should be given two sachets each day. Your doctor may tell you to increase the number of sachets given until your child has a soft bowel movement. This does not normally need more than 4 sachets given in one day.

It is not necessary to give all of the drink at one time, half the drink can be given in the morning and half in the evening. If the child gets very loose stools or diarrhoea the dose of PHOLIPEG HS should be reduced by one sachet (if they are given 2 or more sachets a day) or a day's treatment missed out if they are given 1 sachet a day.

Open the sachet and put the powder into a glass, which is quarter full of water (about 62,5 ml). Stir well until all the powder is dissolved and it will be a clear and colourless solution. If you like, you can add a flavour such as orange squash to the drink. Then give it to your child to drink.

If you have the impression that the effect of PHOLIPEG HS is too strong or too weak, talk to your doctor or pharmacist.

If you give more PHOLIPEG HS than you should In the event of overdosage, consult your doctor or pharmacist. If neither is available, contact the nearest hospital or poison centre.

If you forget to give PHOLIPEG HS Give the missed dose as soon as you remember, if within a few hours after missing a dose. Do not give a double dose to make up for forgotten individual doses.

PHOLIPEG HS can have side effects. Not all side effects reported for PHOLIPEG HS are included in this leaflet. Should your general health worsen or if you experience any untoward effects while taking PHOLIPEG HS, please consult your health care provider for advice.

If any of the following happens, stop taking PHOLIPEG HS and tell your doctor immediately or go to the casualty department at your nearest hospital:

• swelling of the hands, feet, ankles, face, lips, tongue and mouth or throat, which may cause difficulty in swallowing or breathing. These are all very serious side effects. If you have them, you may have had a serious reaction to PHOLIPEG HS. You may need urgent medical attention or hospitalisation.

Tell your doctor immediately or go to the casualty department at your nearest hospital if you notice any of the following:

• if you feel weak, breathless, very thirsty with a headache or get puffy ankles. These are all serious side effects. You may need urgent medical attention.

Tell your doctor if you notice any of the following:

Frequent:

• stomach pains,
• stomach rumbles,
• diarrhoea,
• vomiting (being sick),
• nausea (feeling sick),
• anal discomfort (uncomfortable sensation around the bottom).

Less frequent:

• swollen stomach,
• wind,
• allergic reactions, which may include, breathlessness or difficulty in breathing.

Frequency unknown:

• skin rash (hives), itching, reddening of the skin or a nettle rash, swollen hands, feet or ankles,
• headaches,
• indigestion,
• high or low levels of potassium in the blood.

If you notice any side effects not mentioned in this leaflet, please inform your doctor or pharmacist.

Reporting of side effects If you get side effects, talk to your doctor or pharmacist. You can also report side effects to SAHPRA via the “6.04 Adverse Drug Reaction Reporting Form”, found online under SAHPRA’s publications: https://www.sahpra.org.za/Publications/Index/8. By reporting side effects, you can help provide more information on the safety of PHOLIPEG HS.

Store all medicines out of reach of children.

• Store at or below 25 °C.
• Do not use after the expiry date stated on the sachet or carton.
• Once you have made up PHOLIPEG HS in water to form the reconstituted solution, and if your child cannot drink it straight away, keep it covered and store it in the fridge (2 – 8 °C).
• Throw away any solution not used within a 24 hour period.
• Return all unused medicine to your pharmacist.
• Do not dispose of unused medicine in drains or sewerage systems (e.g. toilets).