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NORMACOL PLUS GRANULES

Active substance(s): FRANGULA BARK / RHAMNUS FRANGULA / STERCULIA

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talc, hard paraffin, peppermint flavour and the colours E110, E127
and E132.
What Normacol Plus looks like and contents of the pack
Each carton contains 200 or 500 grams of light brown to
dark brown granules, or if it is a sachet pack, 60 sachets each
containing 7 grams of granules.
Marketing Authorisation Holder and Manufacturer
The Marketing Authorisation Holder is Norgine Ltd,
Moorhall Road, Harefield, Middlesex, UB9 6NS, UK.
It is made by Norgine Pharma:
29, rue Ethe Virton – 28100 Dreux - France
UK Marketing Authorisation Number:
PL 00322/5011R
The leaflet was last revised in August 2015
NORMACOL, NORGINE and the sail logo are registered trademarks
of the Norgine group of companies.

PACKAGE LEAFLET: INFORMATION FOR THE USER

NORMACOL Plus Granules
®

62% w/w Sterculia and 8% w/w Frangula Bark

Read all of this leaflet carefully before you start taking this
medicine because it contains important information for you.
- Keep this leaflet. You may need to read it again.
- Ask your pharmacist if you need more information or advice.
- If you get any side effects , talk to your doctor or pharmacist.
This includes any possible side effects not listed in this leaflet.
See section 4.
- You must talk to a doctor if you do not feel better or if you feel
worse after 4 days.
If you need the information on this leaflet in an alternative
format, such as large text, or Braille please ring from the UK:
0800 198 5000.
What is in this leaflet:
1. What Normacol Plus is and what it is used for
2. What you need to know before you take Normacol Plus
3. How to take Normacol Plus
4. Possible side effects
5. How to store Normacol Plus
6. Contents of the pack and other information
1. What Normacol Plus is and what it is used for
Normacol Plus granules contain 62% w/w sterculia and 8% w/w
frangula bark. Sterculia is a vegetable gum from the karaya tree
and frangula bark comes from the alder buckthorn plant. It is
these natural products in Normacol Plus which help to relieve
constipation and help keep you regular.
Normacol Plus is also used by people who have recently had rectal
surgery or surgery to remove piles.
2. What you need to know before you take Normacol Plus
Do not take Normacol Plus if you know or your doctor has
told you that you:
• Have a blockage in your intestine (gut).
• Have total loss of muscle tone in the colon.
• Have faecal impaction.
• Have allergy to the active substance or any of the other
ingredients of this medicine (listed in section 6).
• Are pregnant or breast-feeding.
Talk to your doctor before taking Normacol Plus if:
• You have ulcerative colitis (an inflammatory disease of the
bowel which can cause abdominal pain and bloody diarrhoea)
As with all laxatives, Normacol Plus should not be taken every day

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for long periods. If you need laxatives every day, you should see
your doctor.
If you have been told by your doctor that you have an intolerance
to some sugars, contact your doctor before taking this medicinal
product.
Normacol Plus may cause diarrhoea which may result in loss of
fluids and a loss in certain salts in your body.
Plenty of water should be taken and maintained in order to
reduce the chance of developing oesophageal obstruction
(a blockage in the food pipe/gullet).
Children and adolescents
Normacol Plus is not recommended for children under 6 years
of age.
Other medicines and Normacol Plus:
Please tell your doctor or pharmacist if you are taking, have
recently taken or might take any other medicines, including
medicines obtained without a prescription.
Normacol Plus with food and drink
Normacol Plus should be taken after meals, always drink plenty of
water or soft drinks.
Pregnancy, breast-feeding and fertility
Do not take Normacol Plus if you are pregnant or breast-feeding,
think you may be pregnant or are planning to have a baby, ask
your doctor or pharmacist for advice before taking this medicine.
Driving and using machines
Normacol Plus should not affect your ability to drive or use
machines.
Important information about some of the ingredients of
Normacol Plus
This medicine contains 1.25-2.5 mmol sodium per dose.
This should be taken into consideration by patients on a
controlled sodium (low salt) diet.
3. How to take Normacol Plus
Always take Normacol Plus exactly as described in this leaflet or
as your doctor or pharmacist has told you. You should check with
your doctor or pharmacist if you are not sure.
• The usual dose for adults and the elderly is 1 to 2 sachets, or
1 to 2 heaped 5ml spoonfuls, taken once or twice a day after
meals. Do not take Normacol Plus if you are lying down or just
before you go to bed.
• Normacol Plus can be used in children aged between 6 to 12 years
but only as directed by a doctor.
If Normacol Plus does not work after you have taken it for 4 days,
do not take anymore, and see your doctor or pharmacist.
• To take Normacol Plus, put the dry granules on your tongue
from the sachet, spoon or your hand, or just take a few at a
time if that is easier.
• Alternatively you can sprinkle Normacol Plus onto soft food such

as yoghurt.
• Swallow the granules with plenty of water or a cool drink, so
that the oesophagus (gullet) does not become blocked. Never
chew or crush the granules.
If you take more Normacol Plus than you should and do not
have bowel movements, see your doctor.
If you forget to take Normacol Plus, just take the next normal
dose at the usual time. Do not take a double dose to make up for
a forgotten dose.
If you have any further questions on the use of this product, ask
your doctor or pharmacist.
4. Possible side effects
Like all medicines, Normacol Plus can cause side effects, although
not everybody gets them:
• The bowel may become blocked and some people may experience
stomach pain .
• Occasionally Normacol Plus causes a swollen stomach.
• Flatulence
• The oesophagus (gullet) can become blocked if Normacol Plus is
not taken with enough fluid, or too much Normacol Plus is taken.
• Some people may have an allergic reaction which may include an
itchy skin, rash, or difficulty in breathing.
• Diarrhoea, which may cause a reduction in the level of salts in
the blood.
• Normacol Plus may cause you to feel sick,
• Normacol Plus can result in a discoloration of the colon lining
(a condition called melanosis coli.)
If you get any of the side effects, talk to your doctor or
pharmacist. This includes any possible side effects not listed in this
leaflet. You can also report side effects directly via
www.mhra.gov.uk/yellowcard.
By reporting side effects you can provide more information on
the safety of this medicine.
5. How to store Normacol Plus
Keep this medicine out of the sight and reach of children.
Store in a dry place below 25°C.
Do not use Normacol Plus after the expiry date which is stated on
the sachet/carton as month/year. The expiry date refers to the last
day of the month.
Do not throw away any medicines via wastewater or household
waste. Ask your pharmacist how to throw away medicines you no
longer use. These measures will help protect the environment.
6. Contents of the pack and other information
What Normacol Plus contains
The active substances are sterculia and frangula bark. The
granules contain 62% w/w sterculia and 8% w/w frangula bark.
The other ingredients are sodium hydrogen carbonate, sucrose,

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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.

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