DOCSLIB.ORG

Docusate Sodium

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Docusate Sodium HEAD 03150148P00290148L03-M045UWASS FRONT 1ST BAR 1ST BAR >> READ DIRECTION >> READ DIRECTION 100 mg Capsules docusate sodium LAST BAR LAST BAR Package Leaflet: Information for the user Read all of this leaflet carefully before you • Constipation is an occasional problem for start taking this medicine because it some people - for others, it may happen contains important information for you. more often Always take this medicine exactly as described • Constipation happens when the normal in this leaflet or as your doctor or pharmacist muscle actions in the bowel slow down has told you. The cause of constipation is often not known. • Keep this leaflet. You may need to read it It can be linked with: again • Pregnancy • Ask your pharmacist if you need more • Lack of exercise information or advice • Sudden change of diet • If you get any side effects, talk to your • A diet with not enough fibre doctor or pharmacist. This includes any • Having to stay in bed for a long time possible side effects not listed in this leaflet. • Medicines such as morphine or codeine See section 4 • Loss of ‘tone’ of the bowel muscles in older • You must talk to a doctor or pharmacist if people you do not feel better or you feel worse • The full name of your medicine is DulcoEase Whatever the cause, constipation can be 100 mg Capsules. In this leaflet the shorter uncomfortable. It may make you feel bloated name DulcoEase is used and heavy or generally ‘off colour’. Sometimes it causes headaches. What is in this leaflet: Try these healthy tips to help prevent 1. What DulcoEase Capsules is and what it is constipation happening: used for • Eat a balanced diet including fresh fruit and 2. What you need to know before you take vegetables DulcoEase Capsules • Drink enough water so that you do not 3. How to take DulcoEase Capsules become dehydrated 4. Possible side effects • Keep up your exercise and stay fit 5. How to store DulcoEase Capsules • Make time to empty your bowels when your 6. Contents of the pack and other information body tells you 1. What DulcoEase Capsules is and what 2. What you need to know before you take it is used for DulcoEase Capsules What DulcoEase is Do not take DulcoEase if: DulcoEase contains the active substance • You have stomach pains docusate sodium. This medicine is a laxative. • You feel sick or have been sick in the last It belongs to a group of medicines called 24 hours ‘stool softeners’. • You have a blockage in your intestine • DulcoEase is used to treat constipation in (intestinal obstruction) adults and children 12 years and over • You are allergic to docusate sodium or any How DulcoEase works of the other ingredients of this medicine DulcoEase softens the stools (faeces). (listed in Section 6) • It does this by increasing the amount of • You are intolerant to any sugars such as water within the stools (faeces) fructose or sorbitol. DulcoEase contains a • This makes your bowel movements easier small amount of sorbitol • You are taking a mineral oil laxative such as It helps you when: liquid paraffin • You are constipated Do not take this medicine if any of the above • You have piles applies to you. If you are not sure, talk to your • You have a tear in the lining of your anus pharmacist or doctor before taking this (anal fissure) medicine. What is constipation? Warnings and precautions Normal and regular bowel movement is As with all laxatives, do not take DulcoEase important for most people. However, what is every day for a long time. ‘normal and regular’ varies from person to person. Some may have a bowel movement Talk to your pharmacist or doctor if: every day, others less often. Whatever it is like • You end up taking DulcoEase every day for you, it is best that your bowel movement • You get stomach pain which does not go has a regular pattern. away If any of the above applies to you (or you are not sure), talk to your pharmacist or doctor. BANLT003-8 File information GMID code: 653009/755144/766631 Plant PM code: 1060031012 Second Plant PM code: BANLT003-8 Version of artwork: V3 PM type: PI Market: GB Format: 148 x 315 mm Issue date of artwork: 05/Oct/2020 Print colors: Pan 357 Number of print colors: 1 Used font: Bliss Pro Min. font size: 9 pt p2e number: 931579-U10 Technical colors Diecut-Legendcase Free area Glue points Other medicines and DulcoEase Talk to your doctor or pharmacist if you get Tell your pharmacist or doctor if you are any of the side effects listed below: taking, have recently taken or might take any Rare: affects fewer than 1 in 1,000 people other medicines. • Feeling sick (nausea) Do not take DulcoEase together with a mineral • Diarrhoea oil laxative such as liquid paraffin. • Stomach cramps Pregnancy and breast feeding Not known: frequency cannot be estimated If you are pregnant or breast feeding, think from the available data you may be pregnant or are planning to have a • Skin rash baby, ask your pharmacist or doctor for advice • Pruritus (itching) before taking this medicine. Talk to your doctor or pharmacist if you get DulcoEase contains Sorbitol, Sunset any of the side effects listed above. Yellow (E110), Propylene glycol and Sodium Reporting of side effects • This medicine contains approximately 19.3 mg If you get any side effects, talk to your doctor of sorbitol in each 100mg capsule which is or pharmacist. This includes any possible side equivalent to 1.38mg/kg. Sorbitol is a source effects not listed in this leaflet. You can also of fructose. If your doctor has told you that report side effects directly via the Yellow Card you (or your child) have an intolerance to Scheme at www.mhra.gov.uk/yellowcard or some sugars or if you have been diagnosed search for MHRA Yellow Card in the Google with hereditary fructose intolerance (HFI), Play or Apple App store. By reporting side a rare genetic disorder in which a person effects you can help provide more information cannot break down fructose, talk to your on the safety of this medicine. doctor before you (or your child) take or receive this medicine. 5. How to store DulcoEase Capsules • DulcoEase contains the colouring Sunset Yellow E110. This may cause an allergic • Keep this medicine out of the sight and reach reaction of children • This medicine contains 11.5 mg propylene • Do not use this medicine after the expiry glycol in each capsule which is equivalent to date which is stated on the carton and blister 0.49mg/kg. label after EXP. The expiry date refers to the • This medicine contains less than 1mmol last date of that month sodium per capsule, that is to say essentially • Do not store above 25°C ‘sodium free’. • Store in the original package in order to protect from moisture 3. How to take DulcoEase Capsules • Do not throw away any medicines via waste water or household waste. Ask your Always take this medicine exactly as described pharmacist how to throw away medicines in this leaflet or as your pharmacist or doctor you no longer use. These measures will help has told you. Check with your pharmacist or protect the environment doctor if you are not sure. How much to take 6. Contents of the pack and other information Adults and children 12 years and over What DulcoEase contains • The recommended dose is to start with one • The active substance is docusate sodium. Each capsule 3 times a day. Then take more or less capsule contains 100 mg of docusate sodium if you need to • The other ingredients are: macrogol 400, • Do not take more than one capsule 5 times propylene glycol, gelatin, glycerol, sorbitol a day (E420), titanium dioxide (E171), water, sunset Do not give DulcoEase to children under 12 yellow (E110), and quinoline yellow (E104) years of age. What DulcoEase Capsules look like and You should feel more comfortable within contents of the pack 1 to 2 days of treatment. DulcoEase 100 mg Capsules are yellow and white coloured soft, oval capsules. They are Talk to your pharmacist or doctor if you end up available in blister packs of 10, 30 and taking DulcoEase every day. 60 capsules. How to take The Marketing Authorisation is held by: Swallow each capsule whole with water. Sanofi If you take more DulcoEase than you should 410 Thames Valley Park Drive, If you take more DulcoEase than you should, Reading, Berkshire, RG6 1PT, drink lots of water. Then see a doctor or go to United Kingdom the nearest hospital casualty department Tel:0800 035 2525 straight away. Email: [email protected] DulcoEase Capsules are manufactured at: 4. Possible side effects Patheon Softgels B.V. Like all medicines, DulcoEase can cause side De Posthoornstraat 7 effects, although not everybody gets them. 5048 AS Tilburg, Netherlands. The following side effects may occur with this medicine: This leaflet was revised in October 2020 ® Registered trade mark BANLT003-8.
Load more

Recommended publications
  • Final Stakeholder List PDF 190 KB
    Appendix C NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE Single Technology Appraisal Naldemedine for treating opioid-induced constipation [ID1189] Matrix of consultees and commentators Consultees Commentators (no right to submit or appeal) Company General • Shionogi (naldemedine) • All Wales Therapeutics and Toxicology Centre Patient/carer groups • Allied Health Professionals Federation • Action on Pain • Board of Community Health Councils in • Black Health Agency Wales • Bladder and Bowel Community • British National Formulary • Bladder and Bowel UK • Care Quality Commission • Cancer Black Care • Department of Health, Social Services • Cancer Equality and Public Safety for Northern Ireland • Guts UK • Healthcare Improvement Scotland • HAWC • Medicines and Healthcare products • Helen Rollason Cancer Charity Regulatory Agency • IBS Network • National Association of Primary Care • Independent Cancer Patients Voice • National Pharmacy Association • Macmillan Cancer Support • NHS Alliance • Maggie’s Centres • NHS Confederation • Marie Curie • Scottish Medicines Consortium • Muslim Council of Britain • Scottish Society of Gastroenterology • Pain Concern • Welsh Health Specialised Services • Pain Relief Foundation Committee • Pain UK • South Asian Health Foundation Possible comparator companies • Specialised Healthcare Alliance • Actavis UK (glycerol suppositories, • Tenovus Cancer Care bisacodyl, lactulose, senna) • Wellbeing of Women • Cardinal Health Martindale Products • Women’s Health Concern (glycerol suppositories) • Concordia International
    [Show full text]
  • PROVERA Medroxyprogesterone Acetate Tablets 2.5Mg, 5Mg, 10Mg, 100 Mg, 200 Mg Tablets
    PROVERA Medroxyprogesterone acetate tablets 2.5mg, 5mg, 10mg, 100 mg, 200 mg tablets What is in this leaflet establish a regular menstrual breast cancer or breast lumps cycle not diagnosed by your doctor This leaflet answers some common bleeding or discharge from questions about PROVERA. It does certain types of cancer including your nipples not contain all the available cancer of the breast, kidney and information. It does not take the endometrium (the lining of the miscarriage place of talking to your doctor or womb). pharmacist. cancer of the womb or ovary PROVERA, in combination with an uncontrolled high blood estrogen containing medicine, is All medicines have risks and pressure. benefits. Your doctor has weighed used to relieve symptoms of the risks of you taking PROVERA menopause in women with an intact Do not take PROVERA if you are against the benefits it is expected to uterus. This is called hormone pregnant or intend to become have for you. replacement therapy (HRT). pregnant. PROVERA is used to protect the If you have any concerns about lining of the uterus while the PROVERA may affect your taking this medicine, ask your estrogens relieve the symptoms of developing baby if you take it doctor or pharmacist. Keep this menopause. PROVERA is not during pregnancy. leaflet with your medicine. suitable as a HRT treatment in women who have undergone a Do not take PROVERA if the You may need to read it again. hysterectomy. packaging is torn or shows signs of tampering. Do not take Your doctor may have prescribed PROVERA after the expiry date What PROVERA is PROVERA for another purpose.
    [Show full text]
  • Liquid Spray Formulations for Buccal Delivery of Cannabinoids
    (19) TZZ_¥__T (11) EP 1 361 864 B1 (12) EUROPEAN PATENT SPECIFICATION (45) Date of publication and mention (51) Int Cl.: of the grant of the patent: A61K 9/08 (2006.01) A61K 9/107 (2006.01) 04.12.2013 Bulletin 2013/49 A61K 36/185 (2006.01) (21) Application number: 02712063.3 (86) International application number: PCT/GB2002/000620 (22) Date of filing: 14.02.2002 (87) International publication number: WO 2002/064109 (22.08.2002 Gazette 2002/34) (54) LIQUID SPRAY FORMULATIONS FOR BUCCAL DELIVERY OF CANNABINOIDS FLÜSSIGE SPRAY FORMULIERUNGEN ZUR BUCCALEN VERABREICHUNG VON CANNABINOIDEN PREPARATIONS DE SPRAY LIQUIDE POUR L’ADMINISTRATION BUCCALE DE CANNABINOIDES (84) Designated Contracting States: (74) Representative: Schiller, Dominic Christopher et AT BE CH CY DE DK ES FI FR GB GR IE IT LI LU al MC NL PT SE TR Harrison Goddard Foote LLP Designated Extension States: 4th Floor, Merchant Exchange RO SI 17-19 Whitworth Street West Manchester M1 5WG (GB) (30) Priority: 14.02.2001 GB 0103638 30.03.2001 US 280044 P (56) References cited: 05.04.2001 US 827158 WO-A-00/25127 WO-A-01/66089 11.05.2001 GB 0111597 WO-A-95/25504 WO-A1-02/32420 07.09.2001 GB 0121715 WO-A1-02/069993 US-A- 3 560 625 12.09.2001 US 951022 • EITAN ALHANATY; ET AL.: "Osmotic fragility of (43) Date of publication of application: liposomes as affected by antihemolytic 19.11.2003 Bulletin 2003/47 compounds" BIOCHIMICA ET BIOPHYSICA ACTA, vol. 339, no. 1, 1974, pages 146-155, (60) Divisional application: XP008008726 10180611.5 / 2 286 793 • PATRICIA S.
    [Show full text]
  • Student Members of the American Chemical Society Poster Presentation Event November 6, 2020 5:30 - 7:00 Pm Stonecipher Lecture Hall
    Student Members of the American Chemical Society Poster Presentation Event November 6, 2020 5:30 - 7:00 pm Stonecipher Lecture Hall Author: Brooke Underwood*, Courtney LaPointe, Dr. Jeffrey Boles Contact information: [email protected] Title: Liquid-liquid extraction and ultraviolet visible spectroscopy methods for distinguishing between hemp and marijuana Abstract: In December 2018, cannabis containing less than 0.3% tetrahydrocannabinol (THC), otherwise known as hemp, became legalized due to passage of the Farm Bill (1). This creates problems for law enforcement since current presumptive test kits either 1) don’t work at all or 2) work somewhat in differentiating between legal and illegal hemp crops. This problem exists because most hemp crops and hemp products contain low levels of THC and the carboxylated form, THCA. Our approach involves the advancement of an efficient, mobile, liquid-liquid extraction (LLE) that provides presumptive, qualitative forensic evidence of the chemical extract of a bud or other plant material. This research is focused on developing a kit that functions in a similar manner to NIK kits, commonly used by law enforcement, where all components of the kit are contained within a bag. The current NIK kit for Marijuana provides a false positive when Hemp is placed in the bag, thus creating the need for a more reliable test (2). The evidence would later be sent to a crime lab for definitive analysis and quantitation of THC by ultraviolet-visible spectroscopy (UV-vis). This research has focused on the utilization of liquid-liquid extraction techniques and commercially available stains. The methods presented are rapid (requiring no more than five to six minutes to complete).
    [Show full text]
  • Laxatives for the Management of Constipation in People Receiving Palliative Care (Review)
    View metadata, citation and similar papers at core.ac.uk brought to you by CORE provided by UCL Discovery Laxatives for the management of constipation in people receiving palliative care (Review) Candy B, Jones L, Larkin PJ, Vickerstaff V, Tookman A, Stone P This is a reprint of a Cochrane review, prepared and maintained by The Cochrane Collaboration and published in The Cochrane Library 2015, Issue 5 http://www.thecochranelibrary.com Laxatives for the management of constipation in people receiving palliative care (Review) Copyright © 2015 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd. TABLE OF CONTENTS HEADER....................................... 1 ABSTRACT ...................................... 1 PLAINLANGUAGESUMMARY . 2 BACKGROUND .................................... 2 OBJECTIVES ..................................... 4 METHODS ...................................... 4 RESULTS....................................... 7 Figure1. ..................................... 8 Figure2. ..................................... 9 Figure3. ..................................... 10 DISCUSSION ..................................... 13 AUTHORS’CONCLUSIONS . 14 ACKNOWLEDGEMENTS . 14 REFERENCES ..................................... 15 CHARACTERISTICSOFSTUDIES . 17 DATAANDANALYSES. 26 ADDITIONALTABLES. 26 APPENDICES ..................................... 28 WHAT’SNEW..................................... 35 HISTORY....................................... 35 CONTRIBUTIONSOFAUTHORS . 36 DECLARATIONSOFINTEREST . 36 SOURCESOFSUPPORT . 36 DIFFERENCES
    [Show full text]
  • Immediate Hypersensitivity Reactions Caused by Drug Excipients: a Literature Review Caballero ML, Quirce S
    REVIEWS Immediate Hypersensitivity Reactions Caused by Drug Excipients: A Literature Review Caballero ML, Quirce S Department of Allergy, La Paz University Hospital, IdiPAZ, Madrid, Spain J Investig Allergol Clin Immunol 2020; Vol. 30(2): 86-100 doi: 10.18176/jiaci.0476 Abstract The European Medicines Agency defines excipients as the constituents of a pharmaceutical form apart from the active substance. Immediate hypersensitivity reactions (IHRs) caused by excipients contained in the formulation of medications have been described. However, there are no data on the prevalence of IHRs due to drug excipients. Clinical manifestations of allergy to excipients can range from skin disorders to life-threatening systemic reactions. The aim of this study was to review the literature on allergy to pharmaceutical excipients and to record the IHRs described with various types of medications, specifically reactions due to the excipients contained in their formulations. The cases reported were sorted alphabetically by type of medication and excipient in order to obtain a list of the excipients most frequently involved for each type of medication. Key words: Allergy. Drug immediate hypersensitivity reaction. Excipient. Pharmaceutical excipients. Resumen La Agencia Europea de Medicamentos define los excipientes como los componentes de una forma farmacéutica diferenciados del principio activo. Se han descrito reacciones de hipersensibilidad inmediata causadas por los excipientes contenidos en la formulación de medicamentos. Sin embargo, no hay datos sobre la prevalencia de dichas reacciones. Las manifestaciones clínicas de la alergia a los excipientes pueden ir desde trastornos de la piel hasta reacciones sistémicas que ponen en peligro la vida. El objetivo de este estudio fue realizar una revisión de la literatura sobre la alergia a los excipientes farmacéuticos y recopilar las reacciones inmediatas descritas con diferentes tipos de medicamento, debido solo a excipientes contenidos en sus formulaciones.
    [Show full text]
  • Vaginal Administration of Contraceptives
    Scientia Pharmaceutica Review Vaginal Administration of Contraceptives Esmat Jalalvandi 1,*, Hafez Jafari 2 , Christiani A. Amorim 3 , Denise Freitas Siqueira Petri 4 , Lei Nie 5,* and Amin Shavandi 2,* 1 School of Engineering and Physical Sciences, Heriot-Watt University, Edinburgh EH14 4AS, UK 2 BioMatter Unit, École Polytechnique de Bruxelles, Université Libre de Bruxelles, Avenue F.D. Roosevelt, 50-CP 165/61, 1050 Brussels, Belgium; [email protected] 3 Pôle de Recherche en Gynécologie, Institut de Recherche Expérimentale et Clinique, Université Catholique de Louvain, 1200 Brussels, Belgium; [email protected] 4 Fundamental Chemistry Department, Institute of Chemistry, University of São Paulo, Av. Prof. Lineu Prestes 748, São Paulo 05508-000, Brazil; [email protected] 5 College of Life Sciences, Xinyang Normal University, Xinyang 464000, China * Correspondence: [email protected] (E.J.); [email protected] (L.N.); [email protected] (A.S.); Tel.: +32-2-650-3681 (A.S.) Abstract: While contraceptive drugs have enabled many people to decide when they want to have a baby, more than 100 million unintended pregnancies each year in the world may indicate the contraceptive requirement of many people has not been well addressed yet. The vagina is a well- established and practical route for the delivery of various pharmacological molecules, including contraceptives. This review aims to present an overview of different contraceptive methods focusing on the vaginal route of delivery for contraceptives, including current developments, discussing the potentials and limitations of the modern methods, designs, and how well each method performs for delivering the contraceptives and preventing pregnancy.
    [Show full text]
  • Prucalopride for the Treatment of Chronic Constipation in Women
    Prucalopride for the Treatment of Chronic Constipation in Women: Single Technology Appraisal Response to consultation from Norgine Pharmaceuticals Ltd Comments on clinical assessment 1. The ICER for prucalopride of around £15,000 to £17,000 per QALY gained, whilst probably acceptable for an innovative medicine for a serious or life- threatening condition, is far in excess of what should be considered as acceptable for a laxative. As far as providing value for the NHS is concerned the ICER for Norgine‟s macrogol laxative Movicol is estimated at £250 per QALY gained1, which clearly provides much better value for money. Norgine would therefore question whether prucalopride should be recommended at all by NICE for use in the NHS in England and Wales. 2. If it is considered that prucalopride is cost-effective for use in the NHS in England and Wales, then the preliminary recommendations of the Advisory Committee are not sufficiently precise to avoid doubt as to what the guidance is intended to recommend. For example: (i) It is not clear what is meant by “a clinician with experience of treating chronic constipation.” Many clinicians treat chronic constipation and in numerical terms, nurses probably are involved to a greater extent in managing this condition in primary care than are doctors, and as a result probably have more experience in treating chronic constipation than do primary care physicians. Not all gastroenterologists in secondary care would necessarily qualify as experienced in treating chronic constipation, unless they specialise in the functional bowel disorders. Therefore we would suggest that initially at least the guidance should state that prucalopride therapy should only be initiated by a secondary care physician specialising in the treatment of the functional bowel disorders.
    [Show full text]
  • And Dietary Measures Literature Review on the Effect of Laxative Treatment
    Downloaded from adc.bmj.com on 28 August 2008 Currently recommended treatments of childhood constipation are not evidence based. A systematic literature review on the effect of laxative treatment and dietary measures Maaike A. M. Pijpers, Merit Tabbers, Marc A. Benninga and Marjolein Y. Berger Arch. Dis. Child. published online 19 Aug 2008; doi:10.1136/adc.2007.127233 Updated information and services can be found at: http://adc.bmj.com/cgi/content/abstract/adc.2007.127233v1 These include: Rapid responses You can respond to this article at: http://adc.bmj.com/cgi/eletter-submit/adc.2007.127233v1 Email alerting Receive free email alerts when new articles cite this article - sign up in the box at the service top right corner of the article Notes Online First contains unedited articles in manuscript form that have been peer reviewed and accepted for publication but have not yet appeared in the paper journal (edited, typeset versions may be posted when available prior to final publication). Online First articles are citable and establish publication priority; they are indexed by PubMed from initial publication. Citations to Online First articles must include the digital object identifier (DOIs) and date of initial publication. To order reprints of this article go to: http://journals.bmj.com/cgi/reprintform To subscribe to Archives of Disease in Childhood go to: http://journals.bmj.com/subscriptions/ Downloaded from adc.bmj.com on 28 August 2008 ADC Online First, published on August 19, 2008 as 10.1136/adc.2007.127233 Currently recommended treatments of childhood constipation are not evidence based. A systematic literature review on the effect of laxative treatment and dietary measures.
    [Show full text]
  • Assessment Report on Cassia Senna L
    European Medicines Agency Evaluation of Medicines for Human Use London, 27 April 2007 Doc. Ref. EMEA/HMPC/51868/2006 Corr. COMMITTEE ON HERBAL MEDICINAL PRODUCTS (HMPC) ASSESSMENT REPORT ON CASSIA SENNA L. AND CASSIA ANGUSTIFOLIA VAHL, FOLIUM Herbal substance Cassia senna L. (C. acutifolia Delile) [Alexandrian or Khartoum senna] or Cassia angustifolia Vahl [Tinnevelly senna], folium (senna leaf) or a mixture of the two species Herbal preparation dried leaflets, standardised; standardised herbal preparations thereof Pharmaceutical forms Herbal substance for oral preparation Rapporteur Dr C. Werner Assessor Dr B. Merz Superseded 7 Westferry Circus, Canary Wharf, London, E14 4HB, UK Tel. (44-20) 74 18 84 00 Fax (44-20) 75 23 70 51 E-mail: [email protected] http://www.emea.europa.eu ©EMEA 2007 Reproduction and/or distribution of this document is authorised for non commercial purposes only provided the EMEA is acknowledged TABLE OF CONTENTS I. Introduction 3 II. Clinical Pharmacology 3 II.1 Pharmacokinetics 3 II.1.1 Phytochemical characterisation 3 II.1.2 Absorption, metabolism and excretion 4 II.1.3 Progress of action 5 II.2 Pharmacodynamics 5 II.2.1 Mode of action 5 • Laxative effect 5 II.2.2 Interactions 7 III. Clinical Efficacy 7 III.1 Dosage 7 III.2 Clinical studies 8 III.2.1 Constipation 8 III.2.2 Irritable bowel syndrome 10 III.2.3 Bowel cleansing 11 III.3 Clinical studies in special populations 15 III.3.1 Use in children 15 III.3.2 Use during pregnancy and lactation 16 III.4 Traditional use 17 IV.
    [Show full text]
  • Protocol for Look-Alike and Sound-Alike Drugs
    Community Mental Health for Central Michigan PROTOCOL FOR LOOK-ALIKE AND SOUND-ALIKE DRUGS This protocol should be posted in all licensed residential group homes who contract with Community Mental Health for Central Michigan ADMINISTRATIVE GUIDELINE In an effort to improve medication safety and to meet The Joint Commission’s National Patient Safety Goal Number 3, Community Mental Health for Central Michigan (CMHCM) has identified a process to address sound-alike and look-alike drugs. The Performance Improvement Team that developed this guideline will continue to monitor new drugs on the market as they are released, review the list included with this guideline on an annual basis, and provide appropriate updates. Appropriate action to prevent errors involving the interchange of these drugs will be taken. Each CMHCM site (including direct and provider network sites) where medication is distributed or administered will post the attached lists and implement a plan for preventing drug mix-ups. This plan may consist of but not be limited to: Listing both the brand and generic names on medication records. Storing products with look-alike or sound-alike names in different locations. Employing double checks in the distribution process. Affixing “name alert” stickers to areas where look-alike or sound-alike products are stored. Changing the appearance of look-alike product names on pharmacy labels, computer screens, shelf labels and bins, and medication records by highlighting, through bold face, color, and/or tall man letters, the parts of the names that are different (e.g. hydrOXYzine, hydrALAzine). Having physicians write prescriptions using both the brand and generic names.
    [Show full text]
  • Drugs Used in Treating Constipation and IBS
    Drugs used in treating constipation and IBS Define constipation Know the different symptoms of constipation Know the different lines of treatment of constipation Identify the different types of laxatives Discuss the pharmacokinetics, dynamics, side effects and uses of laxatives Discuss the difference between different treatment including bulk forming laxatives, osmotic laxatives, stimulant laxatives And stool softeners (lubricants). Define bowel syndrome (IBS). Identify the pharmacokinetics, dynamics, side effects and uses of drugs used for IBS. extra information and further explanation important doctors notes Drugs names Mnemonics Kindly check the editing file before studying this document constipation and IBS Very useful. Don’t miss it Infrequent defecation, often with straining and the passage of hard, uncomfortable stools. - May be accompanied by other symptoms: Abdominal discomfort and rectal pain, Flatulence, Loss of appetite, Lethargy & Depression. Decreased motility in colon: Decrease in water and fiber Difficulty in evacuation: Drug-induced: contents of diet. 1. Local painful conditions: 1. Anticholinergic agents “Unbalanced diet” anal fissures, piles. 2. Opioids 2. Lack of muscular 3. Iron exercise. 4. Antipsychotics. 5. Anti-depressant, anti- histamine, has anticholinergic effect Adequate fluid intake High fiber contents in diet Use drugs (laxatives or Regulation of bowel habit. purgatives more watery effect) Regular exercise Avoid drugs causing constipation. • Drugs that hasten the transit of food through the gastrointestinal tract are called (Or we say the drugs that increase GI motility) (محركات) or purgatives(ملينات) laxatives • Loosen stools and increase bowel movement Bulk forming laxatives (increase the size of stool ) • Increase volume of non-absorbable solid residue. Osmotic laxatives (cause water withdrawal by sugar or salt) • Increase water content in large intestine.
    [Show full text]