Peglec from Tablets (India) Limited is a 137.15 g pack of Polyethylene Glycol 3350 and Electrolytes for Oral Solution USP, made under licence from Roussel Morishita Co. Ltd., Osaka, and used to empty the bowel completely before a colonoscopy, barium study or bowel surgery. It is not a laxative in the ordinary sense, and the electrolytes are the reason. PEG 3350 is a large molecule that the gut cannot absorb; it holds water in the bowel by osmosis and flushes it through. Flushing two litres through the colon that way would normally strip out sodium, potassium and bicarbonate with it – so the powder is pre-balanced with sodium chloride, potassium chloride, sodium bicarbonate and sodium sulfate at concentrations that leave the body’s own levels essentially untouched. That is what makes a whole-gut washout safe to do at home rather than only on a ward. Pineapple or orange flavour sachets are supplied in the pack.

Key Features

• 137.15 g pack making 2 litres of solution for complete bowel cleansing
• Electrolyte-balanced, so a whole-gut washout does not deplete the body’s salts
• PEG 3350 is not absorbed – it works purely by holding water in the bowel
• Flavour sachets provided: pineapple or orange
• From Tablets (India) Limited, under licence from Roussel Morishita Co. Ltd., Osaka

Composition

• Polyethylene Glycol 3350 USP – 118.0 g
• Sodium Chloride IP – 2.93 g  |  Potassium Chloride IP – 1.484 g
• Sodium Bicarbonate IP – 3.370 g  |  Anhydrous Sodium Sulfate BP – 11.360 g
• Per 137.15 g pack. Dissolved in 2 litres the solution provides sodium 125, chloride 35, potassium 10, bicarbonate 20 and sulfate 80 mEq/L

Uses & Benefits

• Cleans the bowel completely before colonoscopy, barium studies or bowel surgery
• Electrolyte-balanced, so it does not deplete sodium, potassium or bicarbonate
• Works by osmosis rather than by irritating the bowel wall
• The first bowel movement usually comes 1 to 2 hours after starting
• Flavour sachets are included to make two litres easier to drink
• The standard adult dose is one whole pack

Directions for Use

• Empty one pack into 1 litre of clean drinking water and stir well to dissolve, then add another litre to make 2 litres. A flavour sachet from the pack can be mixed in
• Drink one glass (200 ml) and repeat every 10 to 15 minutes, so that 1000 ml is finished in an hour
• The first bowel movement usually occurs about 1 to 2 hours after starting
• Keep drinking until the stool becomes watery, colourless or yellowish, and free of solid matter
• Use the prepared solution immediately. Do not store it for later use. Ask your doctor about eating and drinking before the dose

Precautions

• Do not use it if you have a bowel obstruction, perforation, ileus, toxic colitis or megacolon, or if the doctor suspects any of these
• Stop and contact your doctor if you get severe abdominal pain, distension or vomiting during preparation
• Tell your doctor about heart failure, kidney disease, uncontrolled high blood pressure, or if you are elderly or frail – the fluid and salt load matters
• Do not use it in someone with impaired consciousness or swallowing difficulty because of the risk of inhaling the fluid
• Nausea, fullness, bloating and cramping are common; drinking each glass quickly rather than sipping helps
• Tell your doctor about every other medicine – anything taken within about an hour of the washout may be flushed through unabsorbed

Storage

• Store protected from light and moisture at a temperature not exceeding 30°C, as printed on the pack
• Use the prepared solution immediately; do not store it
• Keep out of reach of children

Disclaimer

Prescription product for bowel preparation – to be used only on the advice of a Registered Medical Practitioner, and generally as part of preparation for a scheduled procedure. This information is for general awareness and is not a substitute for professional medical advice, diagnosis or treatment.

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