FLETCHERS PHOSPHATE ENEMA
Active substance(s): DISODIUM PHOSPHATE DODECAHYDRATE / SODIUM DIHYDROGEN PHOSPHATE DIHYDRATE
CARTON – SHORT TUBE
Fletcher’s Phosphate Enema
(sodium dihydrogen phosphate dihydrate, disodium phosphate dodecahydrate)
For single rectal use only
WHAT THIS MEDICINE IS:
Phosphates enema is a bowel cleanser which acts by drawing water into the bowel, making the stools softer
and encouraging evacuation. It is used:
to evacuate and clean the bowel before and after certain operations
before diagnostic procedures such as colonoscopy or x‐ray examination
to treat constipation.
DO NOT USE if you:
• are allergic to any of the ingredients
• have inflammation or ulcers of the large bowel (the colon), unless advised by your doctor
• have a condition of increased absorption from the colon, such as in Hirschsprung's disease
• have any unexplained stomach or intestinal (gut) problems.
Tell your doctor before using if you:
suffer from electrolyte disturbances (change of salt levels in the body)
have a blockage in the gut (bowel obstruction)
are elderly, frail (debilitated) or have a neurological disorder such as paralysis of the lower part of
the body or a stroke
are taking other medicines
are pregnant or breast‐feeding.
Important information about some of the ingredients:
sodium. Speak to your doctor or pharmacist if you are on a sodium controlled diet.
Each enema contains 3.2 g of sodium.
benzalkonium chloride. This may cause irritation.
HOW TO USE:
For rectal use only
Adults and elderly: Use one enema as required.
Children 3 to 12 years: Reduce the dose in proportion to the child's weight, i.e. for a 35 kg (5½ stone) child
give half the contents of the bottle. If unsure, check with your doctor or pharmacist.
Under 3 years: Not recommended.
1. Warm the bottle before use, in warm water.
2. Remove the cap. If required, apply a lubricant (e.g. petroleum jelly) to the nozzle.
3. Lie on the towel, on your side with both knees bent towards the chest.
4. Insert the full length of the nozzle into the rectum and squeeze the bottle gently until empty. For a
young child, the nozzle should only be inserted to half its length. Do not use force especially in
children, the elderly or frail, if the lower body is paralysed, or in stroke patients.
5. Put the used bottle back into the carton for disposal.
After using the enema. If you have not had a bowel movement (usually within 15 to 30 minutes), contact
your doctor for advice. Do NOT use another enema.
If you use too much or swallow some by mistake, seek medical advice.
STOP using the enema and seek medical help immediately if you have any of the following allergic
difficulty breathing or swallowing, swelling of the face, lips, tongue or throat
severe itching of the skin, with a red rash or raised lumps.
Tell your doctor as soon as possible if you:
faint after using the enema. This may happen to elderly patients.
Other side effects:
rectal irritation (redness, itching).
Long term use of the enema may irritate the anal passage, or the bowel may become lazy. It may also affect
the amount of salts in your blood, your doctor may check for this.
Reporting of side effects
If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects
not listed in this leaflet. You can also report side effects directly via the Yellow Card Scheme at:
By reporting side effects you can help provide more information on the safety of this medicine.
The rectal solution is a clear liquid in a plastic bottle for single dose use.
RECTAL SOLUTION CONTAINING:
sodium dihydrogen phosphate dihydrate 10 % w/v
disodium phosphate dodecahydrate 8 % w/v
NOT TO BE TAKEN BY MOUTH
FOR SINGLE RECTAL USE ONLY
HOW TO STORE:
Keep out of the reach and sight of children
Do not use after the expiry date
Do not store above 25°C
Do not throw it away with your household waste or in water. Return all the unwanted medicine to
your pharmacist. This will help to protect the environment.
Text revised: June 2015
Purna Pharmaceuticals NV,
Rijksweg 17, 2870 Puurs,
Chemidex Pharma Ltd.
Egham Business Village
Crabtree Road, Egham
Surrey TW20 8RB
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.