Polyethylene Glycol 3350 236000 Mg / K+ Chloride 2970 Mg / Nahco3 6740 Mg / Nacl 5860 Mg / Sodium Sulfate 22740 Mg Powder For Oral Solution
- RECENT MAJOR CHANGES
- 1 INDICATIONS AND USAGE
- 2 DOSAGE AND ADMINISTRATION
- 3 DOSAGE FORMS AND STRENGTHS
- 4 CONTRAINDICATIONS
- 5 WARNINGS AND PRECAUTIONS
- 6 ADVERSE REACTIONS
- 7 DRUG INTERACTIONS
- 8 USE IN SPECIFIC POPULATIONS
- 11 DESCRIPTION
- 12 CLINICAL PHARMACOLOGY
- 16 HOW SUPPLIED/STORAGE AND HANDLING
- 17 PATIENT COUNSELING INFORMATION
RECENT MAJOR CHANGES
1 INDICATIONS AND USAGE
2 DOSAGE AND ADMINISTRATION
2.1 Important Preparation and Administration Instructions
- Correct fluid and electrolyte abnormalities before treatment with PEG-3350 and electrolytes for oral solution [see Warnings and Precautions (5.1)].
- Reconstitute PEG-3350 and electrolytes for oral solutionwith water prior to ingestion, do not take undissolved PEG-3350 and electrolytes for oral solution [see Dosage and Administration (2.2)].
- Do not take oral medications within 1 hour before the start of or during administration of PEG-3350 and electrolytes for oral solution [see Drug Interactions (7.2)].
- Do not take other laxatives while taking PEG-3350 and electrolytes for oral solution [see Drug Interactions (7.3)].
- Consume only clear liquids, avoid red and purple liquids.
- Patients may consume water or other clear liquids during the bowel preparation and after completion of the bowel preparation up until 2 hours before the time of the colonoscopy.
- The solution is more palatable if chilled prior to administration.
- Do not consume solid food within 2 hours before starting PEG-3350 and electrolytes for oral solution. For the best results, do not consume solid food for 3 to 4 hours before drinking the solution.
- If severe bloating, distention or abdominal pain occurs, slow or temporarily discontinue PEG-3350 and electrolytes for oral solution until the symptoms abate.
2.2 Dosage Regimen
Instruct patients to take PEG-3350 and electrolytes for oral solution in conjunction with clear liquids as follows:
This preparation can be used with or without the lemon flavor pack. The pharmacist will add the lemon flavor pack prior to dispensing (see packet instructions)
4 Liter Jug
- Fill the supplied container containing the PEG-3350 and electrolytes for oral solution powder with lukewarm drinking water to the 4-liter fill line
- Do not add any other ingredients, flavors, etc
- After capping the container, shake vigorously several times to ensure that the ingredients are dissolved.
- Drink at a rate of 8 ounces every 10 minutes until the entire contents are consumed or the rectal effluent is clear. A loose watery bowel movement should result in approximately one hour.
- After reconstitution, keep solution refrigerated 2° to 8°C (36° to 46°F). Do not freeze. Use within 48 hours, discard unused portion.
For patients with a nasogastric tube, administer the reconstituted PEG-3350 and electrolytes for oral solution solution at a rate of 20 to 30 mL per minute (1.2 to 1.8 liters per hour).
3 DOSAGE FORMS AND STRENGTHS
4 CONTRAINDICATIONS
- Gastrointestinal (GI) obstruction (
5.6 ) - Bowel perforation (
5.6 ) - Toxic colitis or toxic megacolon
- Gastric retention
- Ileus
- Hypersensitivity to components of PEG-3350 and electrolytes for oral solution (
5.8 )
5 WARNINGS AND PRECAUTIONS
5.1 Serious Fluid and Serum Chemistry Abnormalities
In addition, use caution when prescribing PEG-3350 and electrolytes for oral solution for patients who have conditions, or who are using medications, that increase the risk for fluid and electrolyte disturbances or may increase the risk of adverse events of seizure, arrhythmias, and renal impairment [see
5.2 Cardiac Arrhythmias
5.3 Seizures
Use caution when prescribing PEG-3350 and electrolytes for oral solution for patients with a history of seizures and in patients at increased risk of seizure, such as patients taking medications that lower the seizure threshold (e.g., tricyclic antidepressants), patients withdrawing from alcohol or benzodiazepines, or patients with known or suspected hyponatremia [see Drug Interactions (
5.4 Renal Impairment
5.5 Colonic Mucosal Ulcerations and Ischemic Colitis
5.6 Use in Patients with Significant Gastrointestinal Disease
Use with caution in patients with severe active ulcerative colitis.
5.7 Aspiration
Do not combine PEG-3350 and electrolytes for oral solution with starch-based thickeners [see Dosage and Administration (
5.8 Hypersensitivity Reactions
6 ADVERSE REACTIONS
- Renal impairment [see Warnings and Precautions (
5.4 )] - Colonic mucosal ulcerations and ischemic colitis [see Warnings and Precautions (
5.5 )] - Patients with significant gastrointestinal disease [see Warnings and Precautions (
5.6 )] - Aspiration [see Warnings and Precautions (
5.7 )]
- Cardiovascular: arrhythmia, atrial fibrillation, peripheral edema, asystole, and acute pulmonary edema after aspiration [see Warnings and Precautions (
5.2 )]. - Nervous system: tremor, seizure [see Warnings and Precautions (
5.3 )] - Hypersensitivity: Urticaria/rash, pruritus, dermatitis, rhinorrhea, dyspnea, chest and throat tightness, fever, angioedema, anaphylaxis and anaphylactic shock[see Contraindications (4), Warnings and Precautions (
5.8 )] - Gastrointestinal: Nausea, abdominal fullness and bloating are the most common adverse reactions (occurred in up to 50% of patients). Other less common adverse reactions include: abdominal cramps, vomiting, "butterfly-like" infiltrates on chest X-ray after vomiting and aspirating PEG, anal irritation, and upper GI bleeding from Mallory-Weiss Tear, esophageal perforation [usually with gastroesophageal reflux disease (GERD)].
7 DRUG INTERACTIONS
7.1 Drugs that May Increase Risks Due to Fluid and Electrolyte Abnormalities
7.2 Potential for Reduced Drug Absorption
7.3 Stimulant Laxatives
8 USE IN SPECIFIC POPULATIONS
8.1 Pregnancy
8.3 Nursing Mothers
8.4 Pediatric Use
8.5 Geriatric Use
8.6 Renal Impairment
11 DESCRIPTION
The chemical name is Na2SO4. The average Molecular Weight is 142.04. The structural formula is:
The chemical name is NaHCO3. The average Molecular Weight is 84.01. The structural formula is:
The chemical name is NaCl. The average Molecular Weight: 58.44. The structural formula is:
Na+ Cl-
Potassium Chloride, USP
The chemical name is KCl. The average Molecular Weight: 74.55. The structural formula is:
K-Cl
12 CLINICAL PHARMACOLOGY
12.1 Mechanism of Action
12.2 Pharmacodynamics
12.3 Pharmacokinetics
16 HOW SUPPLIED/STORAGE AND HANDLING
6.74 g sodium bicarbonate, 5.86 g sodium chloride and 2.97 g potassium chloride as a white to off white powder.
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• When reconstituted with water to a volume of 4 liters, the solution contains 59 g/L PEG3350, 5.69 g/L sodium sulfate, 1.69 g/L sodium bicarbonate, 1.47 g/L sodium chloride and 0.743 g/L potassium chloride.
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Polyethylene glycol 3350 and electrolytes for oral solution 4 Liter Disposable Jug NDC 40032-090-19
Storage:
Store in sealed container at 15° to 30°C (59° to 86°F). Store reconstituted solution of PEG-3350 and electrolytes for oral solution at 2° to 8°C (36° to 46°F). Do not freeze [see Dosage and Administration (
17 PATIENT COUNSELING INFORMATION
- To reconstitute PEG-3350 and electrolyte for oral solution with water prior to ingestion.
- Not to take other laxatives while they are taking PEG-3350 and electrolyte for oral solution.
- Not to take oral medications within 1 hour before the start or during the administration of PEG-3350 and electrolyte for oral solution.
- To take only clear liquids but avoid red and purple liquids.
- To consume water or other clear liquids during the bowel preparation and after completion of the bowel preparation up until 2 hours before the time of the colonoscopy.
- To follow the directions in the Instructions for Use on how to prepare and administer the product.
- If they experience severe bloating, distention or abdominal pain, to slow or temporarily discontinue drinking the solution and to contact their healthcare provider.
- To contact their healthcare provider if they develop signs and symptoms of dehydration or if they experience altered consciousness or seizures. [see Warnings and Precautions (
5.1 ,5.2 ,5.3 ,5.4 )]. - To discontinue administration of the solution and contact their healthcare provider if they develop symptoms of a hypersensitivity reaction [see Warnings and Precautions (
5.8 )].
Novel Laboratories, Inc.
Somerset, NJ 08873
SAP Code: 272706
Rev: 01/2023
MEDICATION GUIDE
Read this Medication Guide before you start taking PEG-3350 and electrolytes for oral solution. This information does not take the place of talking with your healthcare provider about your medical condition or your treatment.
PEG-3350 and electrolytes for oral solution and other osmotic bowel preparations can cause serious side effects, including:
Serious loss of body fluid (dehydration) and changes in blood salts (electrolytes) in your blood.
These changes can cause:
- abnormal heartbeats (arrhythmias) that can cause death
- seizures.This can happen even if you have never had a seizure.
- kidney problems
- have heart problems
- have kidney problems
- take water pills or non-steroidal anti-inflammatory drugs (NSAIDS)
- vomiting that prevents you from keeping down the solution
- dizziness
- urinating less often than normal
- headache
PEG-3350 and electrolytes for oral solution is a prescription medicine used by adults to clean the colon before a colonoscopy or barium enema X-ray examination. PEG-3350 and electrolytes for oral solution cleans your colon by causing you to have diarrhea (loose stools). Cleaning your colon helps your healthcare provider see the inside of your colon more clearly during your colonoscopy.
It is not known if PEG-3350 and electrolytes for oral solution is safe and effective in children.
Who should not take PEG-3350 and electrolytes for oral solution?
Do not take PEG-3350 and electrolytes for oral solution if your heathcare provider has told you that you have:
- a blockage in your bowel (obstruction)
- an opening in the wall of your stomach or intestine (bowel perforation)
- problems with food and fluid emptying from your stomach (gastric retention)
- a very dilated intestine (toxic megacolon)
- a problem with food moving too slowly through your intestines (ileus).
- an allergy to any of the ingredients in PEG-3350 and electrolytes for oral solution . See the end of this Medication Guide for a complete list of ingredients in PEG-3350 and electrolytes for oral solution.
Before you take PEG-3350 and electrolytes for oral solution, tell your healthcare provider if you:
- have heart problems
- have stomach or bowel problems
- have ulcerative colitis
- have problems with swallowing or gastric reflux
- have a history of seizures
- are withdrawing from drinking alcohol
- have a low blood salt (sodium) level
- have kidney problems
- have any other medical conditions
- are pregnant. It is not known if PEG-3350 and electrolytes for oral solution will harm your unborn baby. Talk to your doctor if you are pregnant or plan to become pregnant.
- are breastfeeding or plan to breastfeed. It is not known if PEG-3350 and electrolytes for oral solution passes into your breast milk. You and your healthcare provider should decide if you will take PEG-3350 and electrolytes for oral solution while breastfeeding.
PEG-3350 and electrolytes for oral solution may affect how other medicines work. Do not take medicines by mouth within 1 hour of starting PEG-3350 and electrolytes for oral solution or after you start taking PEG-3350 and electrolytes for oral solution.
Especially tell your healthcare provider if you take:
- medicines for blood pressure or heart problems
- medicines for kidney problems
- medicines for seizures
- water pills (diuretics)
- non-steroidal anti-inflammatory medicines (NSAID) pain medicines
- laxatives
- starch-based thickeners. For patients who have trouble swallowing, do not mix PEG-3350 and electrolytes for oral solution with starch-based thickeners.
Know the medicines you take. Keep a list of them to show your healthcare provider and pharmacist when you get a new medicine.
You must read, understand, and follow these instructions to take PEG-3350 and electrolytes for oral solution the right way.
- Take PEG-3350 and electrolytes for oral solution exactly as your healthcare provider tells you to take it.
- See the "Instructions for Use" on the bottle label for instructions on how to mix, take or give PEG-3350 and electrolytes for oral solution.
- Do not take undissolved PEG-3350 and electrolytes for oral solution powder that has not been mixed with water (diluted), it may increase your risk of nausea, vomiting and fluid loss (dehydration).
- Do not take other laxatives while taking PEG-3350 and electrolytes for oral solution.
- Drink reconstituted solution at a rate of 8 ounces (240 ml) every 10 minutes. Rapid drinking of each portion is better than drinking small amounts.
- Do not eat or drink anything colored red or purple.
- Do not eat solid foods at least 2 hours before taking PEG-3350 and electrolytes for oral solution. You may eat a light breakfast 2 hours before taking PEG-3350 and electrolytes for oral solution. For best results, do not consume solid food for 3 to 4 hours before drinking PEG-3350 and electrolytes for oral solution.
- Drink only water and clear liquids:
- $$$UnOrderedlist
- the day before your colonoscopy
- while taking PEG-3350 and electrolytes for oral solution
- after taking PEG-3350 and electrolytes for oral solution until 2 hours before your colonoscopy.
- $$$EndUnOrderedlist
- Drink clear liquids before, during, and after you take PEG-3350 and electrolytes for oral solution to avoid fluid loss (dehydrated). Examples of clear liquids are:
- $$$UnOrderedlist
- water
- clear broth
- clear fruit juices without pulp including apple, white grape, or white cranberry
- clear soda
- strained limeade or lemonade
- gelatin (without added fruit or topping)
- coffee or tea (Do not use any dairy or non-dairy creamer)
- popsicles without pieces of fruit or fruit pulp
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- You may experience some abdominal bloating and distention before the bowels start to move. If severe discomfort or distention occur, slow or temporarily stop (discontinue) drinking the solution and contact your healthcare provider.
- The first bowel movement should occur approximately one hour after you start drinking the solution.
- Continue drinking until the watery stool is clear and free of solid matter
PEG-3350 and electrolytes for oral solution can cause serious side effects, including:
- See Section "what is the most important information i should know about peg-3350 and electrolytes for oral solution ?"
- changes in certain blood tests.Your healthcare provider may do blood tests before and after you take PEG-3350 and electrolytes for oral solution to check your blood for changes. Tell your healthcare provider if you have any symptoms of too much fluid loss, including:
- vomiting
- nausea
- bloating
- dizziness
- stomach (abdominal) cramping
- headache
- urinate less than usual
- trouble drinking clear liquid
- ulcers of the bowel or bowel problems (ischemic colitis).Tell your healthcare provider right away if you have severe stomach-area (abdomen) pain or rectal bleeding.
- nausea
- stomach (abdominal) fullness
- bloating
- stomach (abdominal) cramps
- vomiting
- chest x-ray that shows water in the lungs (infiltrate) after vomiting or inhaling food or liquid (aspirate).
- anal irritation
- esophageal bleeding
These are not all the possible side effects of PEG-3350 and electrolytes for oral solution. For more information, ask your healthcare provider or pharmacist.
Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
- Store PEG-3350 and electrolytes for oral solution in a sealed container at room temperature, between 59°F to 86°F (15°C to 30°C).
- Store mixed (reconstituted) solution of PEG-3350 and electrolytes for oral solution at 36° to 46°F (2°C to 8°C). Do not freeze.
- Use mixed (reconstituted) solution of PEG-3350 and electrolytes for oral solution within 48 hours.
- After 48 hours, throw away (discard) any mixed (reconstituted) solution of PEG-3350 and electrolytes for oral solution that is not used.
General information about the safe and effective use of PEG-3350 and electrolytes for oral solution.
Medicines are sometimes prescribed for purposes other than those listed in a Medication Guide. Do not use PEG-3350 and electrolytes for oral solution for a condition for which it was not prescribed. Do not give PEG-3350 and electrolytes for oral solution to other people, even if they are going to have the same procedure you are. It may harm them.
This Medication Guide summarizes important information about PEG-3350 and electrolytes for oral solution. If you would like more information, talk with your healthcare provider. You can ask your pharmacist or healthcare provider for information that is written for healthcare professionals.
For more information call 1-866-403-7592.
PEG-3350 and electrolytes for oral solution comes in a 4-liter jug with PEG-3350 and electrolytes for oral solution powder.
Active ingredients: polyethylene glycol 3350, sodium sulfate, sodium bicarbonate, sodium chloride, and potassium chloride.
Inactive ingredients: Lemon Flavored PEG-3350 and electrolytes for oral solution only (natural lemon flavor, maltodextrin, sodium saccharin)
This Medication Guide has been approved by the U.S. Food and Drug Administration.
Manufactured by:
Novel Laboratories, Inc.
Somerset, NJ 08873
SAP Code: 272706
Rev: 01/2023
PACKAGE LABEL.PRINCIPAL DISPLAY PANEL
Container Label