Fleet Phospho-Soda - effective bowel preparation for colonoscopy

Some people are intimidated by a colonoscopy, a procedure that examines the rectum. The very understanding that an endoscope penetrates 1.5 meters into the body is terrifying. But if your doctor has prescribed such an examination for you, then it is necessary. You cannot refuse or hesitate. Modern techniques make the procedure as comfortable and painless as possible. And also informative if you use the drug Fleet Phospho-soda for preparation.

During a screening examination, 30% of patients after 40 years of age are found to have precancerous changes in the rectum. These are cysts, adenomas, fissures, hemorrhoids and cancer at an early stage. Many of them can be removed even during examination, without making additional surgical interventions.

Release form

“Fleet Phospho-soda” is a saline laxative, but despite the fact that the drug’s name contains the word “soda,” its composition is in no way related to sodium bicarbonate.

The effect of the drug is based on an increase in water retention in the small intestine (osmotic processes). The accumulation of fluid causes acceleration of peristaltic movement in the intestines and thereby contributes to its high-quality cleaning.

The drug is characterized by a local effect and is intended for oral administration. “Fleet Phospho-soda” is a solution that has a transparent appearance and a lemon-ginger smell, available in transparent bottles made of polyethylene. Each package contains 2 such vials, each of which has a volume of 45 ml.

pharmachologic effect

The drug is characterized by an osmotic effect and promotes fluid retention in the lumen of the small intestine. What happens, in turn, enhances peristalsis and has a positive effect on feces, softening them and ensuring further unhindered removal of these wastes.

Since Fleet Phospho-soda acts only locally, there is no need to study its pharmacokinetic properties. Thanks to some research in this area, it was found that sodium phosphate is absorbed quite poorly in the intestines and stomach, although depending on the dosage of the drug, absorption of phosphates and sodium ions is allowed.

How long does it take to work?

Fleet Phospho-soda begins to act within half an hour after the first dose, the latest effect occurs after six hours.

After taking the medicine, a person should normally begin to have frequent, large, loose stools. If a bowel movement has not occurred within six hours, then you need to start actively drinking water and not take the medicine and inform your doctor about this. The liquid must be drunk well to avoid dehydration, which is a side effect of taking the drug.

Preparing for the FCC

In medicine, the abbreviation FKS refers to fibrocolonoscopy, a procedure performed to examine the intestines. Its essence lies in the introduction of a special device into the rectum - a colonoscope, which is a hollow flexible tube, the end of which is equipped with a miniature video camera and lighting. The image obtained during the examination of the intestines is transmitted to the monitor screen in real time, which allows specialists to see the condition of the organ, assess the color of the mucous membrane, study its blood vessels and, in general, study the appearance of the internal walls.

This diagnostic method makes it possible to detect cracks and ulcers, scars and erosions, hematomas and foreign objects, polyps and malignant tumors. The advantage of this method is that when it is implemented, other necessary instruments and devices can be inserted into the colonoscope tube: for example, an air supply tube, which ensures straightening of the folds of the hollow organ and thereby facilitates its examination. But the most important thing is that even forceps can be inserted into the colonoscope, thanks to which it is possible to take material from the most suspicious place for further histological analysis.

In order for the procedure to be as informative as possible and its results to be authentic, it is necessary to carefully prepare for it. Doctors advise starting preparations 3 days before the FCS, and therefore recommend sticking to a special diet during this entire time: giving up fatty and spicy foods, legumes and nuts, fresh fruits and vegetables, baked goods and pasta, cow’s milk and soda. , coffee and strong tea. But diet alone is usually not enough, so experts strongly recommend performing a cleansing enema or using modern drugs aimed at cleansing the intestines before the colonoscopy itself. This is the drug “Fleet Phospho-soda”.

You must start taking the drug the day before the procedure. One bottle of the substance is dissolved in 120-130 ml of boiled water and the resulting liquid is taken orally. “Fleet Phospho-soda” must be washed down with an additional 250 ml of cold water.

This medicine is also suitable for bowel cleansing, which is necessary before taking x-rays or performing surgery on any part of the intestine.

Indications for use

Do not confuse the drug "Fleet Phospho-soda" with sodium bicarbonate, since both substances have nothing in common. You should also pay attention to the fact that the drug should not be used for preventive or therapeutic purposes to relieve constipation. The main task of the drug is to provide a one-time laxative effect before conducting a diagnostic examination.

Indications for admission are:

• bowel cleansing before radiography;
• elimination of waste, necessary for high-quality performance of colonoscopy, sigmoidoscopy or balloon enteroscopy;
• cleansing measures, which are a prerequisite in preparation for surgery performed on one of the intestinal sections.

Self-prescription of the drug, as well as its use without appropriate consultation with a specialist, is strictly prohibited.

Contraindications

Despite the fact that Fleet Phospho-soda is widely popular, the medicine is not suitable for everyone. There are a number of circumstances under which purification through the use of this substance cannot be carried out. These include:

1. partial or absolute intestinal obstruction;
2. acute inflammatory processes developing in any part of the intestine;
3. violation of the integrity of the organ;
4. renal or heart failure;
5. the presence of nausea or vomiting, as well as severe pain in the abdominal area;
6. congenital or acquired megacolon - pathological enlargement of the large intestine;
7. individual intolerance to one of the components included in the drug;
8. period of pregnancy and breastfeeding.

Important! “Fleet Phospho-soda” is contraindicated for children under 15 years of age, and is used with extreme caution between the ages of 15 and 18 years.

Description of the drug

“Fleet Phospho-soda” is a laxative drug with a hyperosmotic effect. This is a clear solution with a pleasant ginger and lemon scent for oral use. The product is produced in a cardboard package of 2 transparent polyethylene bottles with a volume of 45 ml.

To prepare for the examination, it is enough to consume 1 package of the drug.

1 ml of “Fleet Phospho-soda” contains:

• main active ingredients: 240 mg of sodium hydrogen phosphate dodecahydrate and sodium dihydrogen phosphate dihydrate 542 mg;
• additional components: saccharin, purified water, glycerol, sodium benzoate, ginger and lemon flavor.

The drug is used for bowel and colon emptying, which are necessary before diagnostic examination (endoscopy, X-ray examination, colonoscopy) or surgery.

Pharmacodynamics and pharmacokinetics

“Fleet Phospho-soda” is a saline laxative. Due to osmotic effects, it retains water in the lumen of the small intestine. This enhances peristalsis, helps soften stool and facilitate its removal. The process of cleansing the intestines is facilitated.

The medicine has a local effect, so there is no need to study the pharmacokinetics of the drug. It is known that sodium phosphate is poorly absorbed in the stomach and intestines, although absorption of sodium and phosphate ions is allowed depending on the dose of the drug.

Indications and contraindications for use

The main function of the drug “Fleet Phospho-soda” is to provide a laxative effect once, before important medical procedures. It is not prescribed for medicinal purposes. Main indications for use:

• cleanse the intestines before the upcoming x-ray examination;
• preparing the rectum for colonoscopy;
• cleansing measures before surgical intervention in a certain part of the intestine.

Despite the popularity of Fleet Phospho-soda, it is not suitable for everyone.

Like any other drug, it has its contraindications. Here are the cases in which the drug is strictly prohibited from use:

• there is an allergy or hypersensitivity to the components of the drug;
• intestinal obstruction (partial or complete) is diagnosed;
• the integrity of the intestine is compromised, an inflammatory process is observed in it;
• abdominal pain, vomiting, nausea are observed;
• have kidney or heart failure;
• the presence of acquired or congenital megacolon;
• the child's age is less than 15 years;
• pregnancy, lactation period.

While taking the drug, be sure to monitor blood pressure, especially in patients with arrhythmia or vascular problems

“Cleaning” before colonoscopy

A diagnostic procedure in which the condition of the inner surface of the colon is examined in detail is a colonoscopy. It is carried out with strict adherence to the rules of preparing the body - cleansing the intestines, which requires a certain time. If you neglect the “cleaning” procedure, the examination will be biased, and incorrect or inaccurate diagnosis is possible.

The day before the colonoscopy, start drinking Fleet Phospho-soda, diluting one bottle of the drug with 0.5 glasses of water. Afterwards you need to drink a glass of cold water. It is important to understand that taking medication is not compatible with work, so you must stay at home on this day.

“Fleet Phospho-soda” is taken only to prepare for an examination or surgery; it cannot be used as a regular laxative.

Side effect

According to research, the laxative “Fleet Phospho-soda” is well tolerated by patients and very rarely causes side effects. But there are exceptions to any rule, so in some cases side effects may still occur. It is worth paying attention to the following factors:

• from the nervous system - headache or dizziness, much less often - loss of consciousness;
• from the cardiovascular system - low blood pressure, very rarely arrhythmia, myocardial infarction;
• from the gastrointestinal tract - often diarrhea, bloating, nausea, pain, maybe even vomiting;
• from the urinary system – nephrocalcinosis, renal failure.

Sometimes patients experience chills, chest pain, and allergic dermatitis or urticaria on the skin. If you notice the above symptoms or reactions, you should immediately stop taking the medicine and consult a doctor.

Mode of application

The method of using the drug directly depends on the time at which it is planned to perform the necessary diagnostic procedure. If the examination is scheduled for the first half of the day, you should follow the morning regimen; if the procedure is to be performed in the afternoon, you should rely on the instructions for the evening cleansing method. Let's consider both options.

Morning dosing method

It is necessary to start taking Flit Phosphosoda on the day before diagnosis or surgery. The scheme for using the solution is as follows:

• instead of breakfast, at 7 am, you should drink a glass of water, and then take the first dose of the cleansing solution;
• instead of lunch, at 13.00, the volume of water should be increased and 3 glasses of liquid should be drunk, in addition, it is allowed to take juice without pulp, low-fat broth or weak tea;
• in the evening, at 19.00, we follow the morning scheme: first you need to drink 250 ml of clean boiled water, and then a second dose of Fleet Phospho-soda solution.

It should be remembered: the more water is consumed the day before a surgical or diagnostic event, the more effectively the entire intestine is cleansed of toxins.

Evening dosing method

If the examination is planned the next day after lunch, then you should start taking the drug from 13:00 on the previous day. Instructions for use are as follows:

• at 13.00 it is allowed to have a light snack, with the exception of foods such as fatty and spicy foods, nuts and legumes, fresh vegetables and fruits, baked goods and pasta: it is also not recommended to drink certain drinks: soda, coffee and strong tea, alcohol; After this meal, eating for the remaining time is prohibited;
• at 7 pm you need to drink 250 ml of water and the first dose of Fleet Phospho-soda solution, do not forget to wash down the medicine with cold water;
• the next morning you need to take a glass of water again, then a second dose of the drug and another 250 ml of cold liquid.

“Fleet Phospho-soda” begins to work after a few hours, however, in some cases, the first laxative effect appears after 30 minutes, but a delayed effect is also possible, in which the result occurs 5-6 hours after taking the solution.

Instructions for use

pharmachologic effect

The action of the drug is based on increasing fluid retention in the lumen of the small intestine due to osmotic processes. Water accumulates in the ileum, promoting increased peristalsis and subsequent bowel movement.

Fleet Phospho-soda has an exclusively local effect, so no thorough pharmacokinetic studies have been conducted.

Sodium phosphate is poorly absorbed from the gastrointestinal tract, but small absorption of phosphates and sodium ions is present and is dose-dependent.

Indications for use

Flit Phospho-soda is prescribed in the following cases:

• preparation for examination of the colon (x-ray or endoscopic);
• preparation for colon surgery.

Application procedure

The medicine is prescribed to adults and adolescents over 15. Elderly patients do not require dose adjustment.

The drug should be taken on the day before the X-ray or endoscopic procedure. If the appointment is scheduled before noon, please follow the instructions for the morning appointment.

If the procedure is performed in the afternoon, you must follow the instructions for scheduling a daytime appointment.

Morning appointment

Day before the procedure

At 7 a.m., replace your usual breakfast with a glass of light liquid (water or soups freed from solid particles, coffee and tea without milk, fruit juices, clear still and carbonated soft drinks, etc.).

The first dose of Fleet Phospho-soda is taken immediately after breakfast. To do this, the contents of the bottle are dissolved in 1/2 cup of chilled water. Drink the prepared solution immediately and wash it down with a glass of cold water.

• Lunch at 13.00 is replaced with three glasses of light liquid.
• Dinner at 19.00 is replaced with one glass of light liquid.

The second dose is taken immediately after dinner. The solution is prepared and taken exactly the same as last time.

If desired, you can drink more liquid. In this case, light liquids are allowed to be drunk until midnight.

Daytime appointment

Day before the procedure

During lunch at 13.00 a light snack is allowed. Eating solid food after lunch is completely avoided.

At 19.00 you should replace dinner with a glass or large volume of light liquid.

The first dose of Fleet Phospho-soda is taken after dinner.

You should drink light liquids (at least three glasses) throughout the evening.

Day of procedure

Instead of breakfast at 7 am, drink a glass of light liquid.

The second dose is taken immediately after breakfast.

Light liquids are allowed up to 8 hours.

Typically, Fleet Phospho-soda causes bowel movements within 30 minutes to 6 hours.

Release form, composition

The drug is sold as a clear, colorless solution for oral use with a ginger-lemon aroma. The medicine is supplied to pharmacies in bottles packed in cardboard boxes.

The solution consists of sodium hydrogen phosphate dodecahydrate, sodium dihydrogen phosphate dihydrate and additional ingredients - glycerol 99%, sodium benzoate, sodium saccharin, purified water, lemon and ginger flavor (partially stabilized lemon oil, alcohol, water, ginger oil, citric acid, lemon oil) .

Interaction with other drugs

Patients taking lithium-based drugs, diuretics, CCBs and any drugs that can affect electrolyte levels should use Fleet Phospho-soda with caution. This is associated with the likelihood of developing hypocalcemia, acidosis, hypokalemia, hyperphosphatemia and dehydration against the background of hypernatremia.

During therapy with the use of Flit Phosphosoda, the absorption of other drugs in the gastrointestinal tract may be stopped or delayed. As for the effect of regularly taken medications (including oral contraceptives, antibiotics, hypoglycemic and antiepileptic drugs), it may be reduced or absent altogether.

Side effects

An undesirable reaction of the body in response to the use of the drug “Fleet Phospho-soda” occurs quite rarely. Patients who have cleansed the intestines with this drug note that it is well tolerated. However, the manufacturer warns that minor side effects may still occur. This group includes the following manifestations:

1. pain in the abdomen, flatulence, diarrhea, nausea and vomiting - from the digestive system; in rare cases, numerous aphthous-like formations or lymphoid follicles may appear on the surface of the mucous membrane of the rectum and sigmoid colon, which are determined by endoscopy and, as a rule, pass on their own;
2. low blood pressure and tachycardia - from the cardiovascular system;
3. dizziness and headache, asthenia, general weakness, extremely rarely fainting - from the central nervous system;
4. acidosis, dehydration, hypokalemia, hypernatremia, hyperphosphatemia, hypocalcemia - from the metabolic side;
5. allergic reactions.

If one or more side effects occur to a significant degree, for example, severe and persistent vomiting or dehydration, you should urgently call an ambulance.

Adverse reactions

The drug is well tolerated and rarely provokes undesirable effects, but in some cases the following adverse reactions were observed:

• nausea, vomiting;
• flatulence, headaches;
• weakness, dizziness;
• itching, redness of the skin, rash;
• labored breathing.

The latter symptoms are a sign of an allergic reaction. In case of intolerance, further use of the drug is contraindicated. To eliminate symptoms, it is recommended to take activated carbon or another enterosorbent. To prepare, you need to consult a doctor so that he can recommend another drug.

special instructions

The drug should not be used as a laxative for regular constipation; it is especially dangerous to take it frequently. The effect of the drug can provoke serious negative consequences if it is used unreasonably, without the appropriate prescription of a specialist.

Fleet Phospho-soda should be prescribed with caution to patients who are at risk: this includes people who suffer from renal failure, cardiovascular diseases, as well as those who are simultaneously taking lithium preparations, calcium channel blockers, diuretics or any other medications, capable of having a direct impact on electrolyte levels.

Use for pregnant women and during breastfeeding

Due to the fact that the effect of the drug on the condition and development of the fetus has not been studied, there is no information about how it affects the unborn child. For this reason, the drug is not recommended for use by pregnant women.

Since sodium phosphate has the ability to penetrate into breast milk, lactation must be stopped while taking Fleet Phospho-soda: to abstain from breastfeeding, one day after taking the second dose of the drug is enough - as a rule, during this time the active substance is completely eliminated from the mother's body milk.

Application for children

The drug "Fleet Phospho-soda" is intended only for adults, therefore it is not permissible for children to cleanse the intestines through its use. The age limit is as follows: the drug is contraindicated under the age of 15 years.

Use for dysfunction of the liver and kidneys

Another serious contraindication to the use of the drug is renal failure or reduced renal function. Patients with these deviations should not take Fleet Phospho-soda.

Use in old age

The drug is prescribed with extreme caution to elderly patients, as they are at high risk. Despite the fact that adverse reactions when taking Fleet Phospho-soda occur quite rarely, the development of side effects cannot be completely ruled out.

In rare cases, older people may experience an electrolyte imbalance - a dangerous condition that includes several types: hypokalemia and hypocalcemia - a critical decrease in potassium and calcium ions in the blood, as well as hypernatremia and hyperphosphatemia - an excessive increase in sodium and phosphate.

Impact on vehicle control

According to the instructions, it does not have a negative effect on the ability to concentrate and the speed of reactions, so when using it there is no need to give up driving or refrain from potentially dangerous work.

Fleet Phospho-soda and alcohol

The instructions for the drug do not contain any information as to whether the active substance included in the drug can be combined with alcoholic beverages. However, if you consider that during the preparatory stage for colonoscopy, radiography or surgery, a few days before the procedure itself, you should adhere to a competent eating and drinking regime, alcohol will need to be excluded. The Fleet Phospho-soda solution is not intended for systematic use, but is used only once as a means necessary to prepare for an intestinal examination, so giving up alcohol for several days will not be difficult.

How to prepare the intestines for examination

In order for a colonoscopy to be successful and of high quality, an important step is preparation for it. If you are conscientious about cleansing your intestines, the tests will be reliable.

The walls of the human intestine are extremely elastic. If a cancerous process begins in them, it is very difficult to notice it. After all, a small, still pathological problem can easily get lost in a fold or hide behind feces. As a rule, intestinal cancer reveals itself already at stages 3 or 4.

That is why colonoscopy has been and remains an effective method for detecting intestinal problems in the early stages. But only if it is absolutely clean. The slightest piece of feces can cover the tumor, and the diagnostician will not see it.

Description of the drug Fleet Phospho-soda

Previously, preparation for a colonoscopy consisted of performing a series of deep cleansing enemas on the eve of diagnosis. Now there are special drugs for this. Health care professionals recommend that patients use the drug Fleet Phospho-soda. It is a mild laxative with an osmotic effect.

The drug is a saline solution for oral use. Transparent, colorless, with a ginger-lemon scent. It is produced in 45 ml polyethylene bottles, 2 bottles in one cardboard package. Just enough for a full course of cleaning.

The main active ingredients of the drug are disodium phosphate dodecahydrate and sodium dihydrogen phosphate dihydrate. In 1 ml of the drug they contain 240 and 542 mg, respectively. There are also some additional ingredients.

Phospho-soda

Fleet Phospho-soda

The pharmacy chain can offer you 2 drugs: Phospho-soda (Phospho-soda)

and Fleet Phospho-soda. There is no fundamental difference between them. These are essentially 2 medicines that are identical in composition and action, but different ones - the name of the brand.

The main purpose of Fleet Phospho-soda is therapeutic bowel cleansing on the eve of surgery or colonoscopy. If you need to empty your bowels and colon before an upcoming surgery or diagnostic exam (x-ray, endoscopy), the easiest and gentlest method is to take oral laxatives.

How it works

Medicinal substances - laxative salts. The principle of operation of Flit Phosphosoda is to increase the volume of intestinal fluid, which in turn leads to softening of the stool. As a result, the colon cleansing process is stimulated and facilitated. An increase in fluid volume in the ileum stimulates intestinal motility. Defecation after administration occurs quickly, softly and abundantly.

Phosphosoda has only a local effect. It is not absorbed into the bloodstream and is practically not absorbed from the gastrointestinal tract (absorption of a small amount of sodium and phosphate ions, depending on the dose of the drug).

Laboratory studies confirm a small change in the electrolyte characteristics of the plasma. But it is not clinically significant and disappears after 12-24 hours on its own.

Who should not take the medicine - contraindications

Every medicine has contraindications. Fleet Phospho-soda is no exception. The instructions for use of this drug warn that there are certain conditions under which the drug should not be used.

• First of all, this is increased sensitivity to major and minor components. Fleet phosphosoda is not prescribed to patients with individual intolerance to the ingredients.
• The use of the drug is not allowed in patients who have been diagnosed with incomplete or complete intestinal obstruction.
• The drug is not prescribed for dysfunction and disruption of the integrity of the intestine, or any inflammatory diseases of this organ.
• Nausea, vomiting and abdominal pain are sufficient grounds for discontinuation.
• In addition, the instructions for using Fleet Phospho-soda prohibit people with heart failure and kidney failure from taking it.
• Take especially carefully in elderly patients suffering from unstable angina after acute myocardial infarction.
• It is very undesirable to prescribe this medicine to patients under the age of 15 years and to women during pregnancy and lactation. During lactation, there is a provision for a break in feeding.
• It is prescribed with caution to patients who have been on a salt-free diet for a long time.

Consider possible side effects

In most cases, patient reviews after using Fleet Phospho-soda are positive. The drug is well tolerated, bowel cleansing occurs gently, in large portions and painlessly. However, in some cases side effects may occur.

From the cardiovascular system: chest pain, arrhythmia, and very rarely, heart attack.

The gastrointestinal tract may react with pain in the supra-abdominal cavity, vomiting, nausea, diarrhea, and bloating. Colonoscopy may be distorted.

Metabolic problems are sometimes observed:

• dehydration - a decrease in the amount of fluid in the body below the physiologically necessary norm;
• tetany - convulsions caused by calcium metabolism disorders;
• metabolic acidosis - increased acidity in the body due to the accumulation of acidic products in the tissues.

In addition, Fleet Phospho-soda can cause an increase in plasma sodium phosphate and a decrease in potassium and calcium levels.

Possible reactions from the central and peripheral nervous system may include headache, dizziness, loss of consciousness, paresthesia (tingling, numbness).

Allergic reactions can occur in the form of rash, itching and allergic dermatitis.

Sometimes patients talk about general weakness, chills, and kidney problems. Calcium deposits may accumulate in the kidneys.

Attention! If you experience any of the side effects described above or any other side effects, stop taking the medicine immediately and get medical help.

Overdose, its symptoms and treatment

Receiving too high doses of the drug in patients suffering from intestinal obstruction can cause severe electrolyte imbalance: dehydration, hypernatremia, hyperphosphatemia, hypokalemia, hypocalcemia.

Taking an unreasonably large amount of the drug Fleet Phospho-soda contributes to the development of tachycardia, a decrease in blood pressure to dangerous levels, and the appearance of abdominal pain.

There may be anxiety states for no apparent reason, emotional instability.

If the drug is not stopped and the dose is increased, it can lead to cardiac arrest, shock, convulsive muscle spasms, respiratory failure, paralysis, and intestinal obstruction.

There is currently no information about the availability of an antidote for Fleet Phospho-Soda. The main activities aimed at eliminating the consequences of exceeding the permissible dose are restoring and maintaining water balance.

All medical recovery measures must be taken on the basis of a medical institution. If the degree of intoxication is high enough, measures may be required to maintain the function of the cardiovascular and respiratory systems. You may also need to give (intravenous) calcium supplements.

Application: regimen, dosage

If the purpose of using the drug is to prepare for a colonoscopy, Phospho-soda is taken the day before going to a medical facility. The time of admission to the hospital is important (first or second half of the day), because the regimen of taking the drug depends on it.

• If your endoscopy appointment is scheduled before noon, it is recommended that you follow the instructions for the morning appointment.
• If your appointment is scheduled for the afternoon, it is recommended that you follow the instructions for an afternoon appointment.

Instructions for preparing your bowels for a morning colonoscopy

Breakfast at 7 o'clock in the morning. You can’t eat anything solid, just drink at least 1 glass of light liquid. This can be still water, strained clear vegetable broth, fruit juice without pulp, tea or coffee. You can also drink clear carbonated and non-carbonated soft drinks.

After a liquid breakfast, drink the first dose of the drug. The contents of the bottle (45 ml) are dissolved in 120 ml of cold water and drunk. Wash down with 1 glass of cold water. Lunch at 13:00. It should consist of 3 cups (720 ml) of light, clear liquid, free of pulp and solids.

At 19:00 dinner, consisting of 1 glass of any clear, light liquid. After dinner, the second dose of the drug is taken. The contents of the second bottle are dissolved in half a glass of cold water, drunk and immediately washed down with a glass of cold water.

Attention! If desired, you can drink more liquid. Light drinks can be drunk until midnight.

Bowel preparation instructions if a colonoscopy is scheduled for the afternoon

On the day before the procedure, lunch at 1 p.m. Light snack. After lunch, you can only drink clear liquids and not eat any solid food.

Dinner at 19:00. Consists of 1 glass of light transparent drink. If desired, you can drink more than 1 glass. This is followed by the first dose of laxative. The first bottle is mixed with half a glass of cold water, drunk and washed down with 1 glass of cold water. If you want to drink more water, you can drink more.

Before going to bed, you should drink at least 3 more glasses of light liquid. At 7 a.m. on the day of the procedure, drink 1 glass of light liquid. This is followed by taking a second dose of the medicine, dissolved in half a glass of cold water. Drink 1-2 glasses of cold water. You can drink water and light liquids until 8 am.

Stool may continue for 6 hours after taking phospho-soda. You can eat solid food immediately after a diagnostic colonoscopy or, as directed by your doctor, at a certain time after surgery.

Note! Fleet Phospho-soda is not used to solve problems associated with constipation.

Detection of a polyp during endoscopy

Removal of intestinal polyp

Slag-free diet

Preparation for a colonoscopy includes 2 stages:

1) adherence to the diet at least 2-3 days before the scheduled date of the study, and preferably a week;

2) cleansing the intestines with special preparations from intestinal contents.

If you know about a colonoscopy in advance, then 3 days before the screening it is best to stick to a slag-free diet. It is a properly formulated, gentle diet. Avoid foods that cause bloating, namely:

• raw vegetables, mushrooms;
• canned food;
• smoked meats;
• greenery;
• porridge - oatmeal, pearl barley, millet;
• beans, peas and beans in any form;
• fruits and berries;
• nuts;
• black bread;
• milk and dairy products;
• carbonated drinks and kvass.

It is also necessary to refuse dinner; in the afternoon, only drinks or low-fat fermented milk products are allowed. It is forbidden to take petroleum jelly, activated carbon and preparations containing iron!

Before a colonoscopy, you can consume in small portions:

• low-fat beef and chicken broths;
• boiled beef, poultry, lean fish;
• kefir;
• white bread, preferably without yeast;
• biscuits.

Remember! The day before the examination, the last time a person can eat is no later than 12 noon.

It is also necessary to gradually exit this diet. Despite the feeling of hunger, it is necessary to introduce “heavy” foods and increase the portion gradually.

During pregnancy and breastfeeding

This medicine is not recommended for use during pregnancy. There is no information on its toxic effects on the fetus. It is not known whether Fleet Phospho-soda can cause fetal abnormalities. In addition, an excessively frequent urge to defecate can provoke increased uterine tone, which is dangerous for premature birth.

If a woman is breastfeeding and there is a need to scan the intestines, you can take Fleet Phospho-soda. But for the entire period of taking the laxative and 24 hours after taking the last dose, you need to stop breastfeeding. During this period, transfer the child to donor milk or artificial formula. This is because sodium phosphate passes into breast milk.

Question answer

Gastroenterologist V.G. Alyangin, Doctor of Medical Sciences, Professor, answers the most frequently asked questions from patients.

When does Fleet Phospho-soda start to work?

Onset of action rates may fluctuate. It's different for everyone. On average, all saline laxatives cause bowel movements within 3 hours. But it is possible that even half an hour after taking it you will need to visit the toilet.

Flit phospho soda or Lavacol, which is better? The doctor prescribed phosphosoda, the pharmacy recommends Lavacol. What's the difference and which is better?

Phosphosoda is more convenient to use; you need to take it 2 times. Lavacol - every 20 minutes - half an hour. The difference between drugs in the composition of salts. Lavacol prevents the absorption of fluid from the intestines into the blood. It can be taken to treat constipation. But it is just as effective in cleansing the intestines as Phospho-soda. It is used before colonoscopy and intestinal surgery.

According to patient reviews, Lavacol is easy to drink, like mineral water. The sachet is diluted in a glass of water, cleansing begins an hour and a half after the start of administration. Lavacol is a domestic drug, its price is much lower. The choice is yours, but do not forget about the main goal of colonoscopy - to obtain reliable screening that is as informative as possible. This is only possible with a perfectly clean intestine.

The pharmacy has a large selection of drugs to cleanse the intestines. Phospho-soda or Fortrans - which is better?

It is impossible to unequivocally answer the question of which is better. These drugs have different active ingredients, both of them do not have a pleasant taste. Different dosage regimens. You need to drink 3-4 liters of Fortrans solution. The sachet dissolves in a liter of water. The taste of the drink is salty and can provoke a gag reflex, which is easily suppressed by lemon or orange juice.

Fleet Phospho-soda is drunk dissolved in half a glass of water, washed down with a glass of water, but the taste is more “vigorous” than Fortrans. The choice of the optimal drug depends on the individual characteristics of the body. It would be best to discuss this issue with an experienced professional.

I'm interested in the following question: Moviprep or Fleet Phospho-soda, which is better?

Moviprep is an analogue of Lavacol, the active substance is Macrogol. You need to drink 2 liters. Both drugs, Moviprep and Fleet Phospho-soda, have approximately the same price and have a similar effect.

Patient reviews and doctor's opinion

Like all medicines, Fleet Phospho-soda has positive and negative sides. Most negative reviews are related to the high price; some do not like the taste of the drug. In particular, in some cases nausea and intestinal pain are observed. But the number of positive opinions outweighs the negative ones.

Doctor's opinion. The drug is very effective, in most cases it does not cause any side effects or negative feelings. Patients who have previously used Fortrans prefer phospho-soda. Not everyone can drink 4-5 liters of liquid at a time. As a proctologist, I believe that Fleet Phospho-soda perfectly cleanses the intestines; patients rarely complain about side effects. If a person has carried out preparatory measures in strict accordance with the instructions for use of the drug, there are usually no problems during diagnosis. All areas of the intestine are accessible to the doctor, and the patient can receive reliable information about his health.

Overdose

Taking the drug “Fleet Phospho-soda” must be taken with full responsibility, since an overdose of the drug may cause the development of negative reactions in the body. The most common include: the occurrence of indomitable diarrhea, disturbance of water and electrolyte balance and subsequent dehydration of the body, abnormalities in the functioning of the kidneys, heart and other vital organs.

Often, patients who mistakenly or intentionally take excessive doses of a drug experience the following:

• severe pain in the abdominal area;
• dizziness;
• frequent shortness of breath;
• seizures;
• a sharp drop in blood pressure;
• bradycardia and tachycardia;
• paralytic intestinal obstruction.

An overdose of the drug requires taking appropriate measures aimed at restoring the water-salt balance and eliminating symptomatic manifestations. There are cases where side effects caused by taking irrational large doses of Fleet Phosphosoda disappeared on their own, and the body adjusted its work independently.

Video: phospho soda, preparation for colonoscopy

Drug interactions

In the case of concurrent use of diuretics, calcium channel blockers, lithium preparations, as well as some other drugs that have the ability to change the level of electrolytes, increased control must be established over the patient’s health and physical well-being. This is due to the risk of developing dangerous conditions - hypokalemia, hypocalcemia, hyperphosphatemia or hypernatremia.

When cleansing the intestines with Fleet Phosphosoda, it should be taken into account that the drug delays or completely prevents the absorption into the gastrointestinal tract of many medications simultaneously taken with this solution. For this reason, the effect of other drugs may be significantly reduced, and in some cases there is an absolute lack of therapeutic effect from regularly taken medications. Particular caution must be exercised when taking a course of antibacterial drugs, constantly using antiepileptic or hypoglycemic drugs, as well as when taking oral contraceptives.

Price

The price of the drug is determined by a fairly wide range. The cost of one package of Fleet Phospho-soda, consisting of two small 45 ml bottles, varies not only depending on the region of the country, but also on the pharmacy that dispenses the medicine.

The difference in the price of this drug in the capital and its region is quite significant: the drug can be found for 565 rubles, while some other pharmacies offer it for 1,350 rubles.

In St. Petersburg, prices for Fleet Phospho-soda are limited to a narrower range - from 580 to 900 rubles. The average cost of the drug in Rostov-on-Don is 660 rubles, in Yekaterinburg and Novosibirsk – 640 rubles, in Nizhny Novgorod – 650 rubles.

Analogues and cost

Similar drugs are:

• Kasenlax;
• Legkolaks;
• Fortrans;
• Lavacol;
• Moviprep;
• Forlax;
• Endofalk;
• Portalak;
• Dinolak.

If you are allergic to the active components of osmotic laxatives, an enema or microenema in the form of the drug Microlax is prescribed. The price of the drug Flit in Moscow pharmacies is from 200 to 1350 rubles per package. Costs in other cities may vary, please check locally.

Analogs

In the pharmaceutical market, in addition to Flit Phosphosoda, there are quite a lot of drugs that have an osmotic effect. and if previously the only way to cleanse the intestines was to perform a traditional and at the same time exhausting enema, now an excellent alternative is products designed to provide a mild laxative effect.

It is unlikely that you will be able to find cheaper medications from this group, but you can replace Fleet Phospho-soda with its analogs that have a similar composition and approximately the same cost. Let's look at some of them.

1. “Forlax” - the main active ingredient of this drug is Macrogol 4000. The drug is most often used to cleanse the intestines in children whose age exceeds 6 years. As for adults, the dosage of Forlax is based on the patient’s weight. The average cost of this medication is 280-300 rubles.
2. “Fortrans” is identical in composition to the above-mentioned product. It is available in powder form, from which it is additionally necessary to prepare a solution. The drug also has an osmotic effect, due to which it gently and painlessly frees the intestines from toxins, effectively preparing it for diagnostic measures or surgical intervention. The price for 4 bags of powder is about 520 rubles.
3. "Endofalk" - characterized by the same active component. It is used primarily for the treatment of chronic constipation, but at the same time it can also be used to cleanse the intestines before colonoscopy. The average cost of a medicine is 800 rubles.

Other drugs with an osmotic effect include Defenorm, Normacol, Lavacol, Moviprep, Flit Ready-to-use, as well as artificial Carlsbad salt.

Analogues of the drug

The pharmaceutical industry produces a large number of laxatives with osmotic effects. If previously the most popular way to cleanse the intestines before a colonoscopy was the familiar but exhausting enema, now medications have become an alternative. The following are analogues of known laxatives:

• "Fortrans"
• "Normacol"
• "Defenorm"
• “Lavacol.”

An analogue of “Fleet Phosphosoda” - “Fortrans” is also used to cleanse the colon

“Fleet Phospho-soda” or “Fortrans”: which is better

The most popular analogue of “Flit Phosphosoda” is the drug “Fortrans”. Many people ask: what is the difference and what is better?

Both drugs promote fluid retention in the intestinal lumen, which leads to natural and gentle self-cleaning of the colon. At the same time, both “Fleet Phospho-soda” and “Fortrans” are not absorbed into the blood and are easily excreted from the body. But there are certain differences:

• Release form: if “Fleet Phospho-soda” is a transparent solution, then “Fortrans” is a white powder.
• Directions for use: a bottle of Fleet Phosphosoda is diluted in 0.5 cups of water, and Fortrans powder is diluted in 1 liter of water. As you can see, you need to drink much more liquid.
• Dosage features: one sachet of Fortrans is designed for 20 kg of patient weight. It will be problematic to use this drug for people with a large weight, because they will need to drink the required volume of liquid in at least 2 sittings.
• When using Fleet Phospho-soda, you do not need to go on a complete fast.

“Fleet Phospho-soda” and “Phospho-soda”: what is the difference

Sometimes the drug “Phospho-soda” is found on pharmacy shelves. This medicine is identical to “Fleet Phospho-soda” both in pricing policy and in the scope of application and composition. The only difference is the short name and the fact that it is less common.

Difference from Lavacola

“Fleet Phospho-soda” differs from “Lavacol” in the active substance and method of application. According to patient reviews, “Fleet Phospho-soda” is more convenient to use, cleanses the intestines more gently, and does not require grueling fasting and large amounts of liquid to drink.

“Movipropen”

This drug is also prescribed if it is necessary to clear the intestines of feces before examination or surgery. It differs from “Fleet Phospho-soda” in the active substance. For Movipropen it is macrogol 3350 and sodium sulfate. There is also a difference in the method of application: to prepare one dose you will need 2 liters of Movipropen solution, which is not always convenient for drinking.

A healthy intestine is the key to a happy and fulfilling human life.

“Fleet Phospho-soda” and “Fortrans” - which is better?

Often, specialists recommend Fortrans in order to prepare the intestines for colonoscopy and other diagnostic measures, and therefore some patients knowledgeable in this area have a logical question: “why exactly Fortrans, how does it differ from Fleet Phospho-soda and Which of the two named drugs has the best effect.

Both drugs have certain similarities. Firstly, the action of both Fortrans and Fleet Phosphosoda is based on the created obstacle to the absorption of water from the intestines and the strengthening of its peristalsis. Medicines are not absorbed into the blood and are eliminated from the body quite quickly and easily. Secondly, both drugs have an age restriction that does not allow the use of either one or the other substance - these are children under 15 years of age. Also, pregnant women should avoid cleansing the intestines using both methods, but if we consider the issue of combining laxatives with breastfeeding, it is worth noting that taking Fortrans is acceptable, while Fleet Phospho-soda requires a temporary cessation of lactation.

In general, as for the differences, there are many more of them.

1. “Fleet Phospho-soda” is a liquid solution that is available in polyethylene bottles, while “Fortrans” is a powder that requires additional dilution with water.
2. “Fleet Phospho-soda” must be diluted in only half a glass of water and taken twice, but followed by liquid. On average, 2-3 liters of water per day is enough. The powder of another product, according to the instructions, is dissolved in a liter of liquid, but one sachet is calculated for 15-20 kg of weight, which indicates that an adult should drink from 3 to 5 liters per day. From this it becomes clear that the second drug involves drinking more water to prepare the intestines.
3. When using Fleet Phospho-soda, you do not need to completely give up food and drink: you can drink weak liquid broth, as well as weak tea or juice without pulp.

Difference from Lavacola

The drug "Fleet Phospho-soda" differs from its analogue in the main active ingredient. Lavacol contains sodium bicarbonate, anhydrous sodium sulfate, potassium chloride, and sodium chloride. The dosage of this product is calculated based on body weight: take 1 sachet of the substance per 4 kg of weight, respectively, if the patient’s body weight is 70 kg, he will need 17.5 sachets, but since they cannot be divided, the volume is rounded up. One sachet should be dissolved in 200 ml of water at room temperature. The total amount of solution must be drunk within 4-5 hours. Thus, it becomes obvious that Fleet Phosphosoda is much more convenient to use than Lavacol, since the first of the products is taken only in two doses and does not require additional preparation of a special laxative liquid.

Video: Phosphosoda - indications for use

How does it work?

To understand how Fleet Phospho-soda works, it is necessary to establish what it is.

Flit Phospho-soda is an osmotic laxative that promotes rapid and effective evacuation of intestinal contents from the body.

The medicine, entering the small intestine, due to its active component composition, delays the outflow of fluid from the intestine, which helps to increase peristalsis. Under the influence of fluid and intestinal muscle tone, all its contents begin to actively move towards the exit. The effect of the drug ensures complete bowel emptying within 24 hours.

Comparison with "Moviprep"

Its analogue, Moviprep, also has significant differences from Fleet Phosphosoda. The drug consists of two sachets, called “sachet A” and “sachet B”. The active component of the first sachet is macrogol 3350 100.00 g, potassium chloride and anhydrous sodium sulfate; the manufacturer used acesulfame potassium, aspartame, and a flavoring agent that gives the product a lemon taste as auxiliary ingredients. The main active ingredients of another sachet are sodium ascorbate and ascorbic acid.

Just like Fortrans, Moviprep must be additionally diluted with water. The contents of both sachets are dissolved in one liter of water, and the same is done with the second pair of sachets (the package contains 4 sachets). According to the instructions, the solution is consumed in one or two doses; in the latter case, it is recommended to drink one part (1 liter of liquid) in the evening, and the second in the morning, immediately before the diagnosis. When it comes to surgery, the manufacturer advises not to separate the solution, but to use it immediately, within 1-2 hours, in the evening, on the eve of the operation.

Proctologist specialists agree that the drug "Fleet Phospho-soda" is not just an effective laxative solution that qualitatively cleanses the intestines before important medical measures, but also a remedy that, compared to other similar medications, has a mild effect, and Taking into account strict adherence to all recommendations set out in the instructions, it does not cause the development of undesirable reactions of the body.

Reviews

Dear readers, was this article helpful? What do you think about using the drug Fleet Phospho-soda. Leave your feedback in the comments! Your opinion is important to us, and it will be useful to our readers!

Alexander

“When problems with the intestines began, I put off visiting the doctor for a long time, but then I finally got an appointment. Naturally, I was scheduled for a colonoscopy, since the problems were quite serious. Honestly, what I was most worried about was not the procedure itself and how I would endure it, but the preparation. In fact, everything turned out to be not so scary: the doctor recommended Fleet Phospho-soda to me, to which, to my own surprise, my body reacted quite normally. The drug is placed in two small bottles, they contain a colorless liquid, the taste is not very pleasant, but tolerable. The main thing is to follow the instructions and do not forget to drink the solution with water, as I understand, this is very important. In general, I give this product a solid A for its mild action.”

Elena

“An excellent drug that helps to painlessly cleanse the intestines before the examination! I didn’t experience a single, even the slightest, cramp in my stomach after drinking the Fleet Phospho-soda solution. I have no experience using another similar drug, so I can’t say anything in comparison. But I recommend this particular medicine with firm confidence. In general, of course, it is better to first consult a doctor, because side effects are everywhere, including here.”

Side effects

• digestive system: bloating, nausea, diarrhea, abdominal pain, vomiting; very rarely - the appearance of single or multiple aphthae-like formations on the mucous membrane of the sigmoid colon and rectum (they have no clinical significance and disappear spontaneously without special treatment);
• metabolism: in some patients at risk, electrolyte imbalance and/or dehydration (including hypocalcemia, hypernatremia, hyperphosphatemia, hypokalemia and acidosis);
• central nervous system: headache, asthenia, dizziness, weakness;
• other: allergic reactions.