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Active substance(s): ISPAGHULA HUSK

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Package leaflet: Information for the user

Manx Ispaghula Husk Granules
Orange for Oral Suspension 3.5g

Read all of this leaflet carefully before you start
taking this medicine because it contains important
information for you.
Always take this product exactly as described in this
leaflet or as your doctor or pharmacist has told 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 3 days.
What is in this leaflet
1. What Ispaghula Husk is and what it is used for
2. What you need to know before you take
Ispaghula Husk
3. How to take Ispaghula Husk
4. Possible side effects
5. How to store Ispaghula Husk
6. Contents of the pack and other information

1. What Ispaghula Husk is and what it is
used for
This medicine contains ispaghula husk which is a
bulking agent. This means that when it is taken with
water it increases the size of the faeces (stools) and
helps solid waste to pass through the body.
Ispaghula Husk sachets are used to treat constipation
and in conditions where it is better for the patient to
have soft stools. They are also used for patients who
require a high fibre diet.

2. What you need to know before you take
Ispaghula Husk
Do not take Ispaghula Husk if you are or have:
a blockage of the bowel (intestinal obstruction or
faecal impaction)
allergic reaction to ispaghula or any of the ingredients
in these sachets (see section 6 for more details)
severe pain, cramps or swelling in your abdomen,
vomiting (being sick). You may have a blockage in
your intestine
been told by your doctor that the muscles in the
wall of your bowel are weak or not working
a disease called phenylketonuria (an inherited
disorder of protein metabolism)
younger than 12 years of age.

Warnings and precautions
Talk to your doctor or pharmacist before taking
Ispaghula Husk.
As per the instructions, always take this medicine
with plenty of water (see section 3). Taking it with
too little water could cause it to stick in your gullet
or throat, making it difficult for you to swallow or
breath, to have pain in your chest or to be sick. If
this happens seek urgent medical help
Make sure that you drink enough fluid during the
day while you are taking this medicine (see ‘Taking
Ispaghula Husk with food and drink’ below). If you
are elderly or debilitated, you may need someone
to help you do this
If you have been informed by your doctor that you
have narrowing of the intestines or reduced bowel
motility, talk to your pharmacist or doctor before
taking Ispaghula Husk to make sure that it is
suitable for you
If your constipation is not relieved or your
symptoms persist, consult your doctor
Absorption of calcium, iron, vitamins and minerals
from your digestive system may be reduced while
taking this medicine.
Other medicines and Ispaghula Husk
Tell your doctor or pharmacist if you are taking or have
recently taken or might take any other medicines. In
particular the following:
Mineral or vitamin B 12 supplements
Medicines for heart failure (cardiac glycosides)
Medicines to thin the blood such as warfarin
Lithium for bipolar disorder.
Ispaghula Husk with food and drink
Maintain an adequate fluid intake whilst taking this
medicine by drinking enough water. You should aim
to drink at least eight large glasses of water a day
To prevent constipation it is important to eat a well
balanced diet containing fibre (whole grain breads
and cereals, bran, fruit and green leafy vegetables)
and to take daily exercise
Drinks containing caffeine (tea, coffee) or alcohol
can make constipation worse as they have a
diuretic effect, which means they cause a loss of
fluid from the body, causing dehydration.
Pregnancy and breast-feeding
Ask your doctor or pharmacist for advice before taking
any medicines.
(continued overleaf)

Driving and using machines
There are no known effects of this medicine on your
ability to drive or use machinery.
Ispaghula Husk contains aspartame (E951) and
Aspartame contains a source of phenylalanine. May be
harmful for people with phenylketonuria.
This medicine contains sucrose. If you have been told
by your doctor that you have an intolerance to some
sugars, contact your doctor before taking this product.

3. How to take Ispaghula Husk
Always take this medicine exactly as described in this
leaflet or as your doctor or pharmacist has told you.
Check with your doctor or pharmacist if you are not sure.
Adults, the elderly and children over 12 years
The recommended dose is 4 - 20g (1-5 sachets) in 1 to
3 doses.
Mix one sachet in about 150ml (quarter pint) of cool
water, stir briskly and swallow as quickly as possible.
Do not give to children under 12 years of age.
You should take it at least half to one hour before and
after a meal or taking other medicines.
You should not take it just before you go to bed.
If you take more Ispaghula Husk than you should
If you have taken more than the usual dose, you should
drink plenty of fluid. Consult a doctor if you develop
any stomach pains or start vomiting. If symptoms
persist for more than 3 days please see your doctor.
If you forget to take Ispaghula Husk
If you forget to take a dose, take one as soon as you
remember. Do not take a double dose to make up for a
forgotten dose.
If you have any further questions on the use of this
medicine ask your doctor or pharmacist.

4. Possible side effects
Like all medicines, this medicine can cause side
effects, although not everybody gets them.
If you get any of the following side effects you should
stop taking Ispaghula Husk and contact your doctor, as
these may be signs of an allergic reaction to the
a skin rash resembling hives (itchy, raised swollen
areas on the skin) or nettle rash
itchy or runny nose
shortness of breath
inflammation of the membrane that covers the inner
surface of the eyelid.
You may experience flatulence, bloating or abdominal
discomfort during the first few days of taking Ispaghula
Husk. These effects should lessen as you continue to
take Ispaghula Husk.

Reporting of side effects
If you get any 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 the Yellow Card Scheme at: By reporting side effects
you can provide more information on the safety of this

5. How to store Ispaghula Husk
Keep out of the sight and reach of children.
Do not store above 25ºC.
Store in the original package.
Do not use these sachets after the expiry date which is
printed on the packet.
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.

6. Contents of the pack and information
What Ispaghula Husk contains
Each sachet contains the active ingredient ispaghula
husk 3.5g. It also contains natural orange flavour
(maltodextrin, acacia gum, natural tocopherol extracts),
aspartame (E951), beta-carotene (maltodextrin, acacia
{E414}, hydrogentated vegetable oil, sucrose,
beta-carotene {E160a}, sodium ascorbate {E1301},
di-α-tocopherol {E307}, citric acid monohydrate and
pregelatinised starch.
What Ispaghula Husk looks like and contents of
the pack
The product is available in boxes of 7, 10, 30 and 60
sachets containing granules for oral suspension. Not
all pack sizes may be marketed.
MA Holder
Manx Healthcare Ltd, Taylor Group House
Wedgnock Lane, Warwick, CV34 5YA, United Kingdom.
Honeywood Ltd, Edmonds Close, Denington Industrial
Estate, Wellingborough, Northants, NN8 2QY,
United Kingdom.
Other formats
To request a copy of this leaflet in Braille, large
print or audio please call 01926 482511.
This leaflet was last revised in May 2017

WIP URN: 100517-FI02-PIL-04

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.