Norgalax - description of the drug, instructions for use, reviews

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Manufacturers: Norgine Pharma

Active ingredients

• Docusate sodium

Disease class

• Constipation
• Surgical practice

Clinical and pharmacological group

• Not indicated. See instructions

Pharmacological action

• Laxative

Pharmacological group

• Laxatives

Questions, answers, reviews about the drug Norgalax

You can look at questions about the drug, as well as ask your question to a specialist, using a free consultation with a pharmacist or pharmacist.
The information provided is intended for medical and pharmaceutical professionals. The most accurate information about the drug is contained in the instructions supplied with the packaging by the manufacturer. No information posted on this or any other page of our website can serve as a substitute for personal contact with a specialist.

Side effects

Long-term use of micro-enemas sometimes causes discomfort and provokes negative manifestations:

• 
  rectal pain;

• itching, burning in the anus;
• bowel movements become more frequent;
• glycerin causes digestive disorders;
• some patients experience allergic reactions (urticaria);
• flatulence;
• Oral administration of rectal gel has a negative effect on the stomach and liver.

Take note:

• Norgalax is not recommended for frequent use;
• under the influence of docusate sodium, the composition of the intestinal microflora is disrupted and peristalsis worsens;
• the recovery period is long, it is quite difficult to normalize the number of beneficial bacteria;
• if after one or two procedures the stool does not return to normal, stop administering micro-enemas;
• Avoid choosing a new laxative on your own: consult a doctor to change the drug.

Contraindications

It is prohibited to use an effective laxative for certain problems in the body. Under the influence of sodium docusate, water actively accumulates and the volume of hardened feces increases. For some intestinal diseases, the use of micro-enemas can be life-threatening.

Restrictions on use:

• haemorrhoids;
• anal fissures;
• intestinal obstruction;
• bleeding in the anal area;
• ulcerative colitis;
• excessive sensitivity to the components of the laxative.

The drug is approved for use in patients over 15 years of age. Other types of micro-enemas are recommended for children, for example, Microlax, Normacol.

During pregnancy

When carrying a child, the hormone progesterone slows down intestinal motility. Relaxed muscles do not perform their functions fully. Consequences: problems with bowel movements, intestinal atony.

During pregnancy, the Norgalax micro-enema can be used only as directed by a doctor . The expected result should be higher than the possible risks to the fetus.

Note! A single dose of rectal gel with a laxative effect is allowed before childbirth. Proper execution of the procedure promotes rapid emptying. After cleansing the intestines, the fear of defecation disappears during the passage of the child through the birth canal at the final stage of the process.

Norgalax

Name: Norgalax Pharmacological action: Norgalax is a drug from a group of laxatives. The drug contains an active component - sodium docusate - an anionic surfactant. The drug reduces the surface tension of fluid in the large intestine, helps soften stool and stimulates its movement through the intestines. Defecation usually occurs 5-20 minutes after using the drug. The drug acts locally and is practically not absorbed into the systemic circulation.

Indications for use: The drug is used for the symptomatic treatment of patients suffering from periodic constipation, which requires the use of an enema. The drug is also used to prepare patients for diagnostic procedures, in particular for endoscopic examination of the rectum.

Directions for use: The drug is intended for rectal use. Before using the drug, you should thoroughly wash your hands and clean the anal area. The drug is injected into the rectum using a cannula tube. Immediately before using the drug, you should remove the protective cap, carefully insert the thin part of the cannula tube into the rectum, gently pressing the tube and insert its contents into the rectum. After using the drug, the tube is carefully removed from the rectum, without reducing the pressure on its walls. If necessary, before using the drug, lubricate the thin part of the cannula tube with a drop of gel. The duration of the course of treatment and the dose of the drug are determined by the attending physician individually for each patient. Adults suffering from periodic constipation are usually prescribed 1 dose of the drug once. It is not recommended to use more than 1 dose of the drug per day. Adults, when preparing for diagnostic procedures, are usually prescribed 1 dose of the drug 5-20 minutes before bowel movement. If the use of the drug does not produce the required therapeutic effect, you should contact your doctor, who will reconsider the treatment tactics.

Side effects: The drug is usually well tolerated by patients, in some cases the development of the following side effects has been noted: From the gastrointestinal tract: digestive disorders, stool disorders. With prolonged use of the drug, the development of rectal bleeding, pain and burning sensation in the anal area, as well as congestive proctitis may develop. Allergic reactions: skin rash, itching, urticaria. Others: long-term use of the drug can cause potassium deficiency in the intestines. In case of accidental oral administration of the drug, patients may develop hepatotoxic effects of docusate.

Contraindications: Increased individual sensitivity to the components of the drug. The drug is not prescribed to patients suffering from intestinal obstruction, anal bleeding, inflammatory bowel disease, as well as hemorrhoids and rectal fissures. The drug is contraindicated in patients with ulcerative colitis. The drug is not used to treat children under 15 years of age due to the lack of reliable data on the safety of the drug in this age category.

Pregnancy: The drug does not have embryotoxic or teratogenic effects. The drug can be prescribed during pregnancy if the expected benefit to the mother is higher than the potential risks to the fetus. If it is necessary to use the drug during lactation, you should consult your doctor.

Interaction with other drugs: When used in combination, the drug may enhance the absorption of other drugs. The drug, when used simultaneously with hepatotoxic drugs, enhances their toxic effect.

Overdose: The use of excessive doses of the drug can lead to excessive cleansing of the large intestine. There is no specific antidote. In case of overdose, symptomatic therapy is carried out if necessary.

Release form: Rectal gel, 10 g in cannula tubes, 6 cannula tubes in a cardboard pack.

Storage conditions: It is recommended to store the drug in a dry place away from direct sunlight at a temperature of 15 to 25 degrees Celsius. Shelf life – 3 years.

Composition: 10g rectal gel (1 dose) contains: Sodium docusate – 0.12g; Excipients.

Attention! The description of the drug " Norgalax " on this page is a simplified and expanded version of the official instructions for use. Before purchasing or using the drug, you should consult your doctor and read the instructions approved by the manufacturer. Information about the drug is provided for informational purposes only and should not be used as a guide to self-medication. Only a doctor can decide to prescribe the drug, as well as determine the dose and methods of its use.

Directions for use and dosage

Norgalax gel, according to the instructions, is intended for rectal use. Before the procedure, you should clean the anal area and wash your hands thoroughly.

The drug is produced in convenient disposable cannula tubes - one tube is designed for 1 dose. Before using it, remove the protective cap. Then carefully insert the tip into the anus and gradually press on the tube until all its contents are inserted into the rectum. Without reducing the pressure on its walls, remove the tube and throw it away.

For ease of insertion of the gel, the tip can be lubricated with a drop of gel before insertion.

The duration of use of Norgalax in each case is determined by the doctor individually.

For periodic constipation, the drug should be used as needed, but not more than 1 time per day.

When preparing for diagnostic procedures, Norgalax is used 1 dose once.

The urge to defecate, according to patient reviews, is noted 5-20 minutes after using the gel.

If there is no desired therapeutic effect from the use of the drug, you should consult a doctor for a more detailed examination and, possibly, a revision of the therapeutic regimen.

Contraindications

The use of Norgalax, according to the instructions, is contraindicated:

• If you are hypersensitive to sodium docusate or any auxiliary component of the drug;
• With intestinal obstruction;
• Patients suffering from inflammatory bowel diseases;
• For anal bleeding;
• With hemorrhoids in the acute stage;
• For rectal fissures;
• For ulcerative colitis;
• Children and adolescents under 15 years of age (due to the lack of sufficient data on the safety of use).

According to clinical studies, the drug does not have teratogenic or embryotoxic effects. In addition, docusate acts locally and is practically not absorbed into the systemic circulation. Given these properties, Norgalax can be used during pregnancy, but strictly according to indications and for a short period.

If it is necessary to use the drug during lactation, it is recommended to consult with your doctor.

special instructions

When used simultaneously with hepatotoxic drugs, sodium docusate enhances their toxic effect.

Norgalax may enhance the absorption of other medications, so the advisability of using any medication should be discussed with your doctor.

If this drug is ineffective after 1-2 procedures, treatment tactics should be reconsidered.

Long-term use of Norgalax and exceeding single doses can lead to potassium deficiency in the intestines, as a result of which its functioning deteriorates and the process of food digestion is disrupted. For this reason, the drug is not intended for systematic use.

Norgalax does not have a negative effect on the speed of reactions and the ability to concentrate.

Analogs

The pharmacy chain offers micro-enemas of similar action with good laxative properties. Before use, consultation with a therapist, proctologist or gastroenterologist is also required.

Effective drugs:

Normacol . A 60 ml bottle is approved for use from three years of age, 130 ml – from 15 years of age. The pharmacological effect begins no later than half an hour. The indications are the same as for the drug Norgalax.

Microlax . Active ingredients : sodium citrate (displaces water molecules), sorbitol (laxative effect). Micro-enema Microlax is approved for the treatment of constipation in patients of any age, even newborns. The laxative effect was noted no later than a third of an hour after the procedure.

Price

A laxative based on sodium docusate is available to all categories of buyers. The cost of rectal gel remains virtually unchanged in different regions.

Average price in Russia

The drug is sold in pharmacies without a prescription. The estimated cost of packaging (6 containers with gel) is 410 rubles.

Average cost in Ukraine

A package of laxative from Norgin Pharma costs, on average, 185 hryvnia. The patient can buy one or two containers and see how the drug works. The low price of one soft bottle (31 hryvnia) suits all patients.