Directions for use

1. Wash your hands and, if possible, empty your bladder before use.
2. Shake the bottle gently if instructed on the pack.
3. Remove the protective cap from the applicator tip. If desired, add extra water-based lubricant.
4. Lie on your left side with knees bent, or kneel and lower your head and chest forward.
5. Gently insert the applicator tip into the rectum.
6. Slowly squeeze the bottle until most of the liquid has been expelled.
7. Remove the tip while still squeezing to prevent the liquid from flowing back.
8. Remain in position for a few minutes, or until the urge to evacuate is strong.

Discard after single use. Do not reuse the bottle or tip.

Dosage

Adults and adolescents (12 years and over):

• Use 1 bottle (133ml) rectally as a single dose.
• Do not use more than 1 enema in 24 hours unless advised by a doctor.

Children under 12 years:

• Do not use unless directed by a doctor or pharmacist.
• Paediatric formulations and smaller-volume enemas are usually recommended.

Older adults / those with kidney, heart, or electrolyte problems:

• Use only on medical advice, as phosphate enemas can affect fluid and electrolyte balance.

Ingredients

Typically contains a sodium phosphate-based solution (sodium dihydrogen phosphate and disodium hydrogen
phosphate) plus purified water and excipients. Always check the actual pack for the full and current ingredient list.

Warnings & Precautions

• Do not use if you are allergic to any of the ingredients.
• Do not use if you have abdominal pain of unknown cause, nausea, vomiting, intestinal obstruction, ileus, or inflammatory bowel disease flare unless a doctor tells you to.
• Do not use in patients with severe kidney (renal) problems, uncontrolled heart failure, or conditions predisposing to high phosphate/low calcium levels unless clearly directed by a doctor.
• Do not exceed the recommended dose. Overuse of phosphate enemas can cause serious fluid and electrolyte disturbances (including hyperphosphataemia, hypocalcaemia, dehydration), which may be life-threatening, especially in the elderly or frail.
• Use with caution if you are elderly, dehydrated, on diuretics, ACE inhibitors, ARBs, or have conditions affecting the heart, liver, or kidneys.
• Stop use and seek medical advice immediately if you experience rectal bleeding, no bowel movement after the enema, persistent abdominal pain, dizziness, or symptoms of dehydration.
• Not for long-term use. If constipation lasts more than a few days, consult a doctor.
• Pregnancy & breastfeeding: speak to a doctor or midwife before use.
• For rectal use only. Do not swallow.
• Keep out of the reach and sight of children.

Storage

• Store in a cool, dry place below 25°C, away from direct sunlight.
• Do not use after the expiry date shown on the pack.
• Single use – dispose of safely after use.