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NORMAX SUSPENSION

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Patient Information Leaflet : Normax Suspension
Sodium Docusate and Danthron

Read all of this leaflet carefully before you
start taking this medicine.
• Keep this leaflet. You may need to read
it again.
• If you have any further questions, ask
your doctor or pharmacist.
• This medicine has been prescribed for
you. Do not pass it on to others. It may
harm them, even if their symptoms are
the same as yours.
In this leaflet:
1. What Normax Suspension is for
2. Before you take Normax Suspension
3. How to take Normax Suspension
4. Possible side effects
5. How to store Normax Suspension
6. Further information.

1. What Normax Suspension is for
Normax Suspension is used to treat
constipation in terminally ill patients.
It contains two active ingredients,
danthron and docusate sodium. Danthron
is a laxative which stimulates the lower
bowel and encourages normal bowel
movement. Docusate sodium helps to
produce soft stools which are easier to
pass. Together they encourage normal
bowel movement.

2. Before you take Normax Suspension
Do not take Normax Suspension if:
• You are allergic to danthron or docusate
sodium
• You are allergic to any of the other
ingredients in Normax suspension (listed
in section 6)
• You have stomach pain which the
doctor has been unable to diagnose
• Your doctor suspects you have an
obstruction in your intestines
• You are pregnant or breastfeeding.
If any of the above applies to you talk to
your doctor or pharmacist.
Check with your doctor before taking
Normax Suspension if:
• You are incontinent
• You are on a low-sodium diet
• You are intolerant to Sorbitol.
Taking other medicines
Tell your doctor if you are taking any
other medicine, including medicines
obtained without a prescription.
Pregnancy and breast-feeding
Do not take Normax suspension if you are
pregnant, trying to become pregnant or
breast-feeding.

Warnings about some of the ingredients
If you have been told that you have an
intolerance to some sugars, contact your
doctor before taking this medicine because
it contains sorbitol
The suspension contains the preservatives
methyl and propyl parahydroxybenzoate.
These can sometimes cause allergic
reactions (possibly delayed).
The suspension contains 13.28 mg of
sodium in 5 ml. This may be harmful to
people on a low sodium diet.
If any of the above applies to you, talk to
your doctor

3. How to take Normax Suspension
Always take Normax Suspension exactly
as your doctor has told you.
Important:
Your doctor will choose the dose that is
right for you. Your dose will be shown
clearly on the label that your pharmacist
puts on your medicine. If it does not, or
you are not sure, ask your doctor or
pharmacist.
Remember to shake the bottle before
taking this medicine.

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Adults
• Take one to three 5 ml spoonfuls at bedtime.
Children
• Take one 5 ml spoonful at bedtime.
Normax Suspension normally works 8 hours
after a dose is taken.
Do not take more than your doctor has
recommended. If you are still constipated after
a few days, tell the doctor. Long term use of
laxatives is not recommended.
If you take more Normax Suspension than
you should
If you accidentally take too much, drink
plenty of water and tell your doctor.
If you forget to take a dose
If you forget to take a dose one night, take it
the next night. Never double-up on the next
dose to make-up for the one missed.
If you have any other questions about taking
this medicine, ask your doctor or pharmacist.

4. Possible side effects
Like all medicines Normax suspension can
cause side effects, although not everybody gets
them.
• A few people will find that they get an
orange colour in their urine. This is due to
the danthron in Normax and is not a cause
for concern.
• If you are incontinent you might find that
the skin around your bottom gets red.
• At higher doses the sorbitol in the medicine
may cause stomach upset and diarrhoea.

• Danthron may cause growths in the bowel
and liver. This may make you bleed from
the back passage, have stomach pains or
diarrhoea. There is a possible, but very
small, risk of this happening.
• With prolonged use or high doses of this
medicine you may have a discolouration of
the lining of your bowel.
If any of the side effects gets serious, or if you
notice any side effects not listed in this leaflet,
please tell your doctor or pharmacist.
Also you can help to make sure that medicines
remain as safe as possible by reporting
any unwanted side effects via the internet at
www.mhra.gov.uk/yellowcard. Alternatively
you can call Freephone 0808 100 3352
(available from 10 a.m. to 2 p.m. Mondays to
Fridays) or fill in a paper form available from
your local pharmacy.

5. How to store Normax Suspension
Keep out of the reach and sight of children.
Do not use Normax Suspension after the
expiry date on the pack. The expiry date
refers to the last day of that month.
Store below 25°C. Keep the suspension in its
original pack to protect it from light.
Medicines should not be disposed of via
wastewater or household waste. Return any
medicine you no longer need to your
pharmacist.

6. Further information
What Normax Suspension contains
The suspension contains two active substances.
Each 5 ml contains 50 mg of danthron and 60
mg of docusate sodium.
The other ingredients are methylcellulose,
xanthan gum, glycerol, methyl and propyl
parahydroxy benzoates, sorbitol, saccharin
sodium, disodium hydrogen orthophosphate,
sodium dihydrogen orthophosphate,
peppermint oil and purified water.
What Normax Suspension looks like
Normax Suspension is an orange yellow
colour with a smell of peppermint. It comes in
either a 30 ml or a 200ml bottle. Not all pack
sizes may be marketed.
Marketing Authorisation Holder
RPH Pharmaceuticals AB, Lagervägen 7,
136 50 Haninge, Sweden.
Manufacturer
Pinewood Healthcare, Ballymacarbry,
Clonmel, Co. Tipperary, Ireland.
Distributed by Focus Pharmaceuticals Ltd.
The leaflet was last revised 05/2013.

If this leaflet is difficult to see or read or
you would like it in a different format,
please contact

RPH Pharmaceuticals AB,
Lagervägen 7,
136 50 Haninge,
Sweden.
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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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