Contraindications
- individual sensitivity;
- intestinal obstruction;
- inflammatory processes in the rectum;
- fissures of the rectum, anus;
- presence of fistula tracts;
- hemorrhoids during an exacerbation of the disease;
- bleeding in the gastrointestinal tract of unknown etiology;
- abdominal pain of unknown origin;
- nausea;
- vomit;
- ulcers, inflammatory bowel diseases;
- children under 15 years of age.
The use of microenemas on a regular basis is prohibited. This is a means of emergency symptomatic treatment. Long-term use of the drug causes intestinal atony and potassium deficiency.
Children under 15 years of age are a relative contraindication. The use of the drug at an earlier age is carried out under the supervision of a doctor.
Is it always possible to use medication?
Kaleflon
In what situations is the Norgalax microenema contraindicated? The instructions indicate that the drug is not used to prevent constipation. This correction method can be addictive. You should also avoid using the medication in the following situations:
- in children under 15 years of age;
- in the presence of hemorrhoids of various types and anal fissures;
- during inflammation in the intestines and in case of obstruction of this organ;
- in the presence of hypersensitivity and the possibility of developing an allergic reaction to one or more components of the medication;
- during acute bleeding in the gastrointestinal tract.
Side effects
The drug is well tolerated. Side effects develop locally. System-wide symptoms are unlikely.
Patients presented the following complaints:
- pain at the injection site, burning;
- congestive proctitis - described in the literature, but is extremely rare;
- stool disorder;
- indigestion;
- hives;
- bleeding from the rectum.
The hepatotoxic effect occurs when the drug is accidentally ingested. Develops during treatment with other laxatives.
If symptoms develop, discontinue use. If side effects do not go away after a bowel movement, consult your doctor.
Directions for use and dosage
Norgalax is indicated for rectal use. Before using the drug, you must wash your hands with soap and thoroughly clean the anal area.
Using a cannula tube, Norgalax is injected directly into the rectum. Before insertion, it is necessary to remove the protective cap, then carefully insert the thin part of the cannula tube directly into the anus and press on the tube so that the contents enter the rectum. Next, the cannula tube should be carefully removed from the anus. You can lubricate the tip of the tube with gel before use.
The duration of therapy and dosage are determined by the doctor, in each case individually. For periodic constipation in adults, Norgalax is indicated as
single use of one tube. Before childbirth or before diagnostic operations, Norgalax is taken 5-20 minutes before bowel movement, one dose. More than one dose per day is not recommended. If there is no effect from treatment, you should visit your doctor for a possible review of the treatment regimen.
Use of the drug "Norgalax"
Microclysters are used only rectally.
Algorithm for taking the drug:
- Wash the hands.
- Remove the cap from the bottle.
- Squeeze a drop of gel onto the tip of the tip. This will make inserting the device easier.
- Insert the tip into the rectum. Press the tube and squeeze out the drug.
- Without loosening the grip with your fingers, remove the tip from the rectum.
- Wash the hands.
The drug is used once a day for the symptomatic treatment of defecation retention. To diagnose the intestines, a microenema is used 5-20 minutes before the examination.
Price for Norgalax in pharmacies
The price of Norgalax is unknown, since the drug is not available in pharmacies.
Approximate cost of analogues: Enema Klin (solution for rectal administration, 1 enema of 120 ml) – 334–402 rubles, Microlax (solution for rectal administration, 4 microenemas of 5 ml each) – 279–329 rubles.
Education: First Moscow State Medical University named after I.M. Sechenov, specialty “General Medicine”.
Information about the drug is generalized, provided for informational purposes and does not replace official instructions. Self-medication is dangerous to health!
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Storage conditions
No special conditions are required for storing Norgalax. Room temperature is sufficient. Do not freeze or leave in direct sunlight.
Use during pregnancy and breastfeeding
Studies of the effect on pregnancy were carried out only on animals. The active substance does not have a mutagenic or teratogenic effect. But the data is not enough to include the drug on the list of approved drugs during pregnancy. Therefore, microenemas are used only as prescribed by a doctor.
It has been proven that sodium docusate is excreted into breast milk when used systematically. Experiments were carried out only on animals. Therefore, it is not advisable to use the drug during lactation.
Can it be combined with other drugs?
Combining norgalax microenemas with other medications is safe. In some cases, the drug can enhance the absorption of drugs through cell membranes. Too rapid absorption can lead to an increase in the permissible concentration threshold (overdose). If you are currently being treated with other medications, rectal suppositories, consult your doctor before starting cleansing.
Norgalax microenemas enhances the effects of hepatotoxic drugs that affect the liver.
Some antibiotics, antifungal suppositories, anti-inflammatory ointments and gels
Caution should be exercised if you are taking anabolic steroids, which have a strong hepatotoxic effect. This includes such familiar and harmless drugs as citramon and aspirin, available in every home medicine cabinet and taken for a variety of reasons.
Simultaneous use is not recommended.
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How to replace "Norgalax":
- Glycerin suppositories are available in 2 dosage options - for children and adults. Allowed during pregnancy and lactation. Contraindications, indications and side effects are similar to Norgalax microenemas.
- Enema is a ready-made enema with a volume of 150 ml. Saline laxative. Not recommended for children and pregnant women. During use, electrolyte imbalance may occur.
- Microlax is a drug based on sodium lauryl sulfoacetate. Available in the form of microenemas. Approved for use by newborns and women during pregnancy and lactation.
The replacement of the drug will be agreed upon with the doctor.
Norgalax for pregnant women
Constipation is a problem that almost all pregnant women face; this occurs both in the early stages and in the last period of pregnancy.
A convenient and simple means of microenemas can be dangerous while waiting for the baby to be born. Microclysters can cause uterine contractions and miscarriage in early pregnancy. In later stages, these procedures can provoke premature birth.
It is unacceptable to use microenemas for the following reasons:
- pain in the abdomen;
- risk of miscarriage;
- haemorrhoids;
- dizziness;
- toxicosis;
- the uterus is toned;
- increased blood pressure;
- feeling of heaviness in the stomach;
- other chronic diseases.
We recommend watching a video about an enema before childbirth:
Using Norgalax microenema during pregnancy is permissible only with the recommendation of a doctor who will professionally assess all possible risks. This restriction also applies to the entire period of breastfeeding.
Reviews and recommendations from doctors and patients
User reviews about the drug Norgalax are positive. Patients note the ease of use and the absence of unpleasant sensations when administering the drug.
Negative feedback is rare. Patients report no effect. Among the disadvantages is the price of the drug.
Experts consider Norgalax a worthy alternative to a cleansing enema. The drug gently stimulates bowel movements, is not addictive, does not cause rectal distension, and is not absorbed into the systemic bloodstream.
Norgalax or Microlax, which is better?
Description of the drug disflatyl
If you need to cleanse the intestines, which drug is better to choose Norgalax or Microlax? Both drugs received positive reviews.
There are not many reviews about Norgalax microenema. Most people using the drug talk about its effectiveness and the absence of side effects. Most often, the drug is used before operations and medical research.
When using Microlax, some patients complained of a slight burning sensation in the rectal area. There are cases of increased sensitivity in the anal area.
In terms of speed of action, safety and effectiveness, both drugs show the same results.
The drug Norgalax microenema is a modern medicine that will cleanse the intestines of feces within 20-30 minutes. This remedy is used for constipation and in preparing the patient for operations and laboratory tests of the rectum. Microclysters are convenient and effective. It is recommended to consult a physician before use.
We recommend watching the video:
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Indications for use of microenemas
Norgalax is intended to cleanse the stomach, therefore it is recommended for use in certain cases.
Indications for use of Norgalax:
- to relieve constipation;
- in preparation for rectal endoscopic examination.
This medicine allows you to quickly cleanse the intestines of feces.
special instructions
When used simultaneously with hepatotoxic drugs, sodium docusate enhances their toxic effect.
Norgalax may enhance the absorption of other medications, so the advisability of using any medication should be discussed with your doctor.
If this drug is ineffective after 1-2 procedures, treatment tactics should be reconsidered.
Long-term use of Norgalax and exceeding single doses can lead to potassium deficiency in the intestines, as a result of which its functioning deteriorates and the process of food digestion is disrupted. For this reason, the drug is not intended for systematic use.
Norgalax does not have a negative effect on the speed of reactions and the ability to concentrate.
Analogs
The pharmacy chain offers micro-enemas of similar action with good laxative properties. Before use, consultation with a therapist, proctologist or gastroenterologist is also required.
Effective drugs:
Normacol . A 60 ml bottle is approved for use from three years of age, 130 ml – from 15 years of age. The pharmacological effect begins no later than half an hour. The indications are the same as for the drug Norgalax.
Microlax . Active ingredients : sodium citrate (displaces water molecules), sorbitol (laxative effect). Micro-enema Microlax is approved for the treatment of constipation in patients of any age, even newborns. The laxative effect was noted no later than a third of an hour after the procedure.
Norgalax gel mini enema 6 pcs
1 cannula tube contains 120 mg of docusate sodium, the active ingredient.
Minor ingredients: glycerin, carmellose sodium, purified water.
Pharmacodynamics and pharmacokinetics
Norgalax is a laxative that softens stool in the intestines, facilitates their further movement, and also reflexively stimulates the act of defecation.
Being an anionic surfactant (surfactant), sodium docusate in the large intestine, acting on fecal masses, reduces the surface tension of their liquid component.
The use of Norgalax helps retain water in the stool, thereby increasing its total volume. The onset of a local effect in the rectum is observed within 5-20 minutes after rectal administration of the gel.
Even in the case of rectal use, minimal absorption of the drug by the mucosa and its entry into the systemic circulation cannot be ruled out.
Norgalax, instructions for use
The instructions for its use recommend using microenemas with Norgalax exclusively rectally (into the rectum).
Before the insertion procedure, it is necessary to remove the protective cap from the cannula tube, guide its pointed part directly into the rectum and, by pressing on the tube itself, squeeze out all the gel contained in it.
Then, without releasing the pressure, remove the cannula tube. If necessary, you can use a drop of gel to lubricate the pointed part of the cannula.
For symptomatic treatment of periodic difficult, delayed bowel movements or constipation, 1 microenema is prescribed per 24 hours.
Interaction
The use of Norgalax may increase the absorption of other drugs.
Docusate sodium can increase the hepatotoxic effects of other drugs.
During pregnancy and lactation
It is not recommended to use the drug without a special prescription from a doctor during breastfeeding and pregnancy, although experience with the use of docusate sodium in pregnant women has not shown any disturbances in fetal development.
On the Internet, both among patients and doctors, you can find many positive reviews about Norgalax.
The drug, due to its rapid effect and the virtual absence of side effects, has proven itself in the treatment of constipation, preparation for rectal examinations and even surgical interventions on the colon and rectum.
Although the instructions for use do not recommend the use of microenemas during pregnancy, there is frequent evidence of their use in preparation for childbirth, as well as in the postpartum period, where this remedy again showed excellent results.
How to use Norgalax microenema for constipation?
Instructions for using the Norgalax microenema will give a complete understanding of this laxative. People very often turn to doctors because they have problems with normal bowel movements, that is, constipation. In such a situation, a specialist must conduct an examination, with the help of which the main cause of the pathologies is clarified and allows one to decide on the necessary treatment.
In practice, many experts give their preference to the laxative drug Norgalax.
How does the product work?
How quickly does the Norgalax microenema begin to act? The instructions for use indicate that the effect of the medicine occurs within 5-15 minutes. The medication enters the patient’s intestines and immediately begins to spread there.
Glycerin promotes irritation of the intestinal walls. As a result, intense contraction begins and peristalsis increases. Fecal masses gradually approach the anus, affecting the nerve endings.
Also, the main active ingredient of the drug promotes water retention. The result is that the stool acquires greater volume and gradually softens. Despite the large amount of intestinal contents, it is excreted easily and without much discomfort.
Side effects
With severe leakage, liver pain may appear at the anus, and proctitis may appear in varicose veins.
Unusual reactions are classified by frequency: very often (≥ 1/10); often (≥ 1/100 < 1/10); uncommon (≥ 1/1000 < 1/100); rare (≥ 1/10000 < 1/1000); very rare (<1/10000); frequency unknown (cannot be estimated based on available data).
On the side of the scolio-intestinal tract: very rarely -
proctitis;
frequency is unknown -
anal bleeding, diarrhea, liver inflammation at the anus.
On the side of the skin and pilchard tissue: frequency unknown -
contact dermatitis.
Instructions for using Norgalax microenemas
Norgalax is a microenema, the instructions for which are simple and suitable for home use.
- When administering a microenema, the patient takes a position on his left side, with his knees slightly bent.
- Break off the protective tip of the tube and squeeze out a drop of gel as a lubricant.
- Insert the long tip and squeeze out the contents of the tube.
- Remove the tip by pressing on the tube to remove any remaining gel.
Remember general safety precautions when cleaning the intestinal tract: wash your hands thoroughly with soap and do not force your child to do the procedure to avoid injury. If there is no stool, do not do the Norgalax microenema again; consult a doctor.
Correct placement of norgalax is painless and does not cause discomfort. The only possible consequence is a slight burning sensation in the anus, which goes away on its own. There is no need to additionally disinfect the tube so as not to cause more irritation.
Reviews about microenemas
Before starting treatment, you need to understand the instructions for the drug “Norgalax”. Reviews about this product are extremely positive. Patients say that the effect of the medication occurs instantly. The urge to defecate begins immediately after the administration of the composition. However, the maximum effect is observed after 10 minutes. Consumers also testify that this product does not disturb the intestinal microflora, while conventional enemas help flush out beneficial bacteria from the body.
Doctors say that only a small part of the drug is absorbed into the bloodstream. Whereas a larger volume is retained directly in the feces and excreted naturally. That is why this medication is sometimes prescribed before childbirth. Experts also indicate that the drug can be used after this difficult process. Indeed, during this period, women often encounter problems with bowel movements. However, it is necessary to first exclude the presence of hemorrhoids and anal fissures, which could appear during natural delivery. This once again confirms the need for preliminary consultation with a specialist.
Composition and release form
The medicine Norgalax is made in the form of a gel for rectal use.
Weight is 10 grams in one cannula tube. One package contains 6 tubes.
One tube (meaning 1 dose) contains 0.12 g of sodium docusate - this is an anionic surfactant.
Additional substances:
- glycerol;
- sodium carmellose;
- pure water.