Active substance: SODIUM PHOSPHATE

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® Ready-to-Use 21.4g / 9.4g Enema
Sodium Dihydrogen Phosphate Dihydrate / Disodium Phosphate Dodecahydrate
Take special care with Fleet Ready-to-Use Enema if:

Read all of this leaflet carefully because it contains
important information for you.
This medicine is available without prescription. However,
you need to use Fleet Ready-to-Use Enema carefully to
get the best results from it.
• Keep this leaflet. You may need to read it again.
• Ask your pharmacist or doctor if you need more
information or advice.
• You must contact a doctor if your symptoms worsen
or do not improve after 14 days.
• If any side effect gets serious, or if you notice any side
effects not listed in this leaflet, please tell your doctor
or pharmacist.

You are frail or elderly.
You have uncontrolled blood pressure.
You have a heart or kidney condition.
You suffer from ascites (excess fluid in the peritoneal
• You suffer from rectal ulceration (ulceration of the back
passage) or fissures (tears in the skin of the back passage).
• You have had a colostomy.
• You suffer from electrolyte disturbances (changes in the
salt levels in the body such as low calcium, low potassium,
high phosphate or high sodium levels).
Please consult your doctor, even if these statements were
applicable to you at any time in the past. You may need to
be more closely supervised during treatment.
Taking/Using other medicines

Information in this leaflet:
1. What Fleet Ready-to-Use Enema is
and what it is used for.
2. Before you use Fleet Ready-to-Use Enema.
3. How to use Fleet Ready-to-Use Enema.
4. Possible side effects.
5. How to store Fleet Ready-to-Use Enema.
6. Further information.

Fleet Ready-to-Use Enema is a bowel cleanser that acts by
increasing the water content of your stools and in this way
helps to relieve constipation and clear the bowel.
It can be used in the relief of occasional constipation and
where bowel cleansing is required, such as prior to your
endoscopy, bowel surgery or X-ray examination.
Do not use Fleet Ready-to-Use Enema and tell your
doctor if you:
• Are allergic (hypersensitive) to sodium dihydrogen phosphate
dihydrate, disodium phosphate dodecahydrate or any of
the other ingredients of Fleet Ready-to-Use Enema.
• Have a swollen large bowel (also known as megacolon).
• Have a narrowing or incomplete opening of the anus or
• Have a blockage of the lower colon (Hirschsprung’s disease).
• Have a suspected blockage of the gut.
• Have blockage of the gut or failure of normal bowel
movements (sometimes called paralytic ileus).
• Have been told by your doctor that you may have:
- appendicitis
- a pierced/damaged or blocked gut
- an active inflammatory bowel disease
(such as Crohn’s disease or ulcerative colitis).
• Have undiagnosed bleeding of the back passage.
• Have kidney problems.
• Have congestive heart failure (your heart is unable to
properly pump blood around the body).
• Have recently been sick or feel sick or thirsty.
• Have a pain in your stomach (abdominal pain).
• The patient is under 3 years of age.

Please tell your doctor or pharmacist if you are taking or
have recently taken any other medicines, with or without a
prescription, especially:
• medicines for the treatment of high blood pressure
(hypertension) or angina (calcium channel blockers).
• medicines to empty the bladder (diuretics).
• certain medicines for mental disorders (lithium).
• any other medicines that could make you dehydrated or
alter the salt levels (potassium, sodium, phosphate or
water) in your body, known as your electrolyte balance.
If you are pregnant or may be pregnant inform your doctor
before using Fleet Ready-to-Use Enema.
As the main ingredients contained in Fleet Ready-to-Use
Enema may pass into breast milk, it is advised that breast
milk is expressed and discarded for up to 24 hours after
receiving the Fleet Ready-to-Use Enema.
Driving and using machines
Whilst there are no direct effects of Fleet Ready-to-Use
Enema on your ability to drive or use machinery, you should
remain near toilet facilities after using this medicine.
Important information about some of the ingredients of
Fleet Ready-to-Use Enema.
This medicinal product contains benzalkonium chloride
which is an irritant and may cause skin reactions.
Adults and children 12 years old and over:
one bottle (118ml delivered dose) no more than once daily
or as directed by your doctor.
Children over 3 years to under 12 years old:
as directed by your doctor.
Do not administer to children under 3 years of age.
For rectal use only.
Unless directed by your doctor, Fleet Ready-to-Use Enema
should not be used for more than 14 days.



1. Lie on your left side with both knees bent and your arms
at rest in front of you (Fig. 1, below).
Fig. 1

2. Remove the orange protective shield. Pull the shield
gently while holding the bottle upright and grasping the
grooved bottle cap with your fingers (Fig. 2, below).

Like all medicines, Fleet Ready-to-Use Enema can cause
side effects, although not everybody gets them.
Fleet Ready-to-Use Enema may occasionally cause:
• Dehydration.
• Allergic reactions (with or without rash).
• Muscle twitches and spasms due to changes in the
amounts of salts (electrolytes) in the blood.
• Abdominal pain or bloating (distension).
• Gastrointestinal pain.
• Nausea or vomiting.
• Anal itching or stinging.
• Blisters.
• Diarrhoea.
• Chills.
If any of the side effects gets serious, or if you notice any
side effect not listed in this leaflet, please tell your doctor
or pharmacist.

Fig. 2


3. With a steady pressure, gently insert the enema Comfortip
into the rectum with the tip pointing towards your navel.

Keep Fleet Ready-to-Use Enema out of the reach and
sight of children.

4. Squeeze the bottle until nearly all the liquid has been

Do not use Fleet Ready-to-Use Enema after the expiry date,
which is stated on the packaging. The expiry date refers to
the last day of that month.

Discontinue use if any resistance is encountered.
Forcing an enema can result in injury.
NOTE: It is not necessary to empty the unit completely.
The bottle contains more than the amount of liquid needed
for effective use, so a small residue will remain.
5. Gently remove the nozzle from your rectum. It is normal to
experience some leakage of the enema liquid.
6. Remain in the same position (Fig. 1, above) until the urge
to evacuate your bowels is strong - usually within 2 to 5
7. Return the used enema to the carton for disposal.
If rectal bleeding is noticed contact a doctor immediately.
Be prepared to expect frequent loose bowel movements
within 5 minutes of taking a dose of Fleet Ready-to-Use
Enema. This is normal and shows that the medicine is
working. If you have not had a bowel movement within
this time, consult your doctor. Do not use any more Fleet
Ready-to-Use Enema unless instructed to do so by your
doctor. Remain near a toilet until the effects have worn off.
Drink plenty of clear fluids e.g. water, clear soups, herbal
tea, black tea or black coffee or diluted cordials/fruit
juice without pulp (but not red or purple coloured juices)
to avoid dehydration. In general you should drink 250ml
(a small tumbler-sized glass) every hour until the effect of
the Fleet Ready-to-Use Enema has worn off. After this,
drink clear fluids, preferably water, to satisfy your thirst until
after your hospital procedure, or as directed by your doctor.
If you use more Fleet Ready-to-Use Enema than you
should, or if you accidentally ingest (drink) the medicine,
talk to a doctor or pharmacist immediately. If you use more
Fleet Ready-to-Use Enema than you should, you may feel
dehydrated, be thirsty or have muscular rigidity. If possible
take your bottle or the carton with you to show the doctor or

Do not store above 25ºC
Do not refrigerate
Medicines should not be disposed of via wastewater or
household waste. Ask your pharmacist how to dispose of
medicines no longer required. These measures will help to
protect the environment.
What Fleet Ready-to-Use Enema contains
The active substances in each 118ml delivered dose are
Sodium Dihydrogen Phosphate Dihydrate 18.1%w/v and
Disodium Phosphate Dodecahydrate 8.0%w/v.
The other ingredients are Disodium Edetate, Benzalkonium
Chloride, Purified Water. The nozzle lubricant is white soft
What Fleet Ready-to-Use Enema looks like and the
contents of the pack
Fleet Ready-to-Use Enema is a clear, colourless, odourless
solution contained in a white plastic bottle with a white cap
and orange protective shield. The bottle contains 133ml of
Fleet Ready-to-Use Enema, of which 118ml is the delivered
Marketing Authorisation Holder and Manufacturer
Marketing Authorisation Number:
PL 12695/0003
PA 1420/2/1
Marketing Authorisation Holder and Manufacturer:
Laboratorios Casen-Fleet S.L.U.
Autovia de Logroño, km 13,300,
50180 Utebo, Zaragoza, Spain.
If you have any questions or comments about this product,
please contact us on:
United Kingdom: 080 823 438 63 / enquiries@casenfleet.com
Ireland: 014 048 344 / customer.service.intraveno@united-drug.ie
This leaflet was approved in 09/2011

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Source: Medicines and Healthcare Products Regulatory Agency

Disclaimer: Every effort has been made to ensure that the information provided here is accurate, up-to-date and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. This information has been compiled for use by healthcare practitioners and consumers in the United States. The absence of a warning for a given drug or combination thereof in no way should be construed to indicate that the drug or combination is safe, effective or appropriate for any given patient. If you have questions about the substances you are taking, check with your doctor, nurse or pharmacist.