Sodium phosphates enema
Generic Name: sodium phosphates (SOE-dee-um FOS-fates)
Brand Name: Fleet
Sodium phosphates enema is used for:
Treating constipation or cleansing the bowel before certain medical procedures. It may also be used for other conditions as determined by your doctor.
Sodium phosphates enema is a saline laxative. It works by pulling water from the body into the bowel, which helps to soften the stool and cause a bowel movement.
Do NOT use sodium phosphates enema if:
- you are allergic to any ingredient in sodium phosphates enema
- you have a blockage of the bowel or other severe bowel problems, congestive heart failure, kidney failure, or too much phosphate in the blood
Contact your doctor or health care provider right away if any of these apply to you.
Before using sodium phosphates enema:
Some medical conditions may interact with sodium phosphates enema. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:
- if you are pregnant, planning to become pregnant, or are breast-feeding
- if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
- if you have allergies to medicines, foods, or other substances
- if you have stomach pain, nausea, vomiting, bowel problems (eg, blockage, colitis), slow moving bowels, or a sudden change in bowel movements lasting longer than 2 weeks
- if you have heart problems, kidney problems, low blood volume, or fluid or electrolyte problems
- if you are dehydrated or on a low-salt (sodium) diet
- if you are older than 55 years old
- if you have already used a laxative for more than 1 week
Some MEDICINES MAY INTERACT with sodium phosphates enema. Tell your health care provider if you are taking any other medicines, especially any of the following:
- Angiotensin-converting enzyme (ACE) inhibitors (eg, lisinopril), angiotensin receptor blockers (eg, losartan), diuretics (eg, furosemide, hydrochlorothiazide), or nonsteroidal anti-inflammatory drugs (NSAIDs) (eg, aspirin, ibuprofen, naproxen) because the risk of kidney problems may be increased
- Other laxatives or bowel cleansing products (especially those containing sodium phosphate) because they may increase the risk of sodium phosphates enema's side effects
This may not be a complete list of all interactions that may occur. Ask your health care provider if sodium phosphates enema may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.
How to use sodium phosphates enema:
Use sodium phosphates enema as directed by your doctor. Check the label on the medicine for exact dosing instructions.
- Remove the protective shield from the enema tip before inserting.
- With steady pressure, gently insert the enema tip into the rectum with a slight side-to-side movement, with the tip pointing toward the navel. Insertion may be easier if you bear down, as if having a bowel movement. This helps relax the muscles around the anus.
- Do not force the enema tip into the rectum. This can cause injury.
- Squeeze the bottle until nearly all the liquid is gone. It is not necessary to empty the bottle completely. It contains more liquid than needed.
- Remove the tip from the rectum and maintain the position until the urge to evacuate is strong (usually 2 to 5 minutes).
- Do not use more than 1 enema in 24 hours.
- Do not use sodium phosphates enema within 2 hours before or after other medicines. It may affect how other drugs work. Check with your doctor or pharmacist.
- If you miss a dose of sodium phosphates enema, contact your doctor right away.
Ask your health care provider any questions you may have about how to use sodium phosphates enema.
Important safety information:
- Rarely, severe and sometimes fatal kidney and heart problems have been reported in patients who used sodium phosphate products to treat constipation. Most of these reports occurred in patients who used a larger dose than recommended or more than 1 dose in a day. Do NOT use more than 1 dose of sodium phosphates enema in 24 hours. If you do not have a bowel movement after a single dose, do not use another dose of sodium phosphates enema or another product that contains sodium phosphate within 24 hours. Call your doctor to find out what to do.
- Do NOT take more than the recommended dose or use for longer than prescribed without checking with your doctor. This may cause serious side effects.
- Do not use any other laxative products or enemas, especially those containing sodium phosphates, while you are using sodium phosphates enema.
- You will need to take care not to become dehydrated while you are using sodium phosphates enema. Contact your doctor for instructions. Tell your doctor if you experience severe or persistent vomiting or symptoms of dehydration (eg, dizziness, headache, sluggishness, unusually dry mouth or eyes, weakness) while you are using sodium phosphates enema or after you take it.
- Stop using sodium phosphates enema and contact your doctor if you have rectal bleeding or fail to have a bowel movement after using sodium phosphates enema. These symptoms may indicate a serious condition.
- Sodium phosphates enema may cause harm if it is swallowed. If you may have taken it by mouth, contact your poison control center or emergency room right away.
- Sodium phosphates enema should not be used in CHILDREN younger than 2 years old; safety and effectiveness in these children have not been confirmed.
- PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using sodium phosphates enema while you are pregnant. It is not known if this medicine is found in breast milk. If you are or will be breast-feeding while you use sodium phosphates enema, check with your doctor. Discuss any possible risks to your baby.
Possible side effects of sodium phosphates enema:
All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:
Seek medical attention right away if any of these SEVERE side effects occur:
Anal irritation; diarrhea; gas; nausea; stomach cramps.
Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); blood in the stool; irregular heartbeat; severe or persistent stomach bloating, cramping, or pain; swelling of the ankles, feet, or legs); symptoms of kidney problems (eg, decreased urination; vomiting.
This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA.
If OVERDOSE is suspected:
Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately.Proper storage of sodium phosphates enema:
Store sodium phosphates enema at room temperature, between 59 and 86 degrees F (15 and 30 degrees C). Store away from heat, moisture, and light. Keep sodium phosphates enema out of the reach of children and away from pets.
- If you have any questions about sodium phosphates enema, please talk with your doctor, pharmacist, or other health care provider.
- Sodium phosphates enema is to be used only by the patient for whom it is prescribed. Do not share it with other people.
- If your symptoms do not improve or if they become worse, check with your doctor.
- Check with your pharmacist about how to dispose of unused medicine.
This information should not be used to decide whether or not to take sodium phosphates enema or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about sodium phosphates enema. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to sodium phosphates enema. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your health care provider for complete information about the risks and benefits of using sodium phosphates enema.
Disclaimer: This information should not be used to decide whether or not to take this medicine or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about this medicine. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to this medicine. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using this medicine.