A powder for oral solution used for the treatment of chronic constipation

Key Benefits of Cosmocol Lemon and Lime Sachets:

• Lemon & Lime flavour
• Easy to use sachets
• Treatment for chronic constipation

CosmoCol Lemon & Lime Flavour Sachets are a laxative used for the treatment of chronic constipation and faecal impaction.

CosmoCol sachets are a treatment for constipation that can be made up into a delicious drink.

Cosmocol Lemon and Lime Sachets work by helping to clear your blockage so your digestive system can start to get back to normal.

Macrogol 3350 makes your faeces softer and easier to pass, giving you relief from constipation.

The electrolytes (salts) in Cosmocol Lemon and Lime Sachets help to maintain your body’s normal levels of sodium, potassium and water while you are being treated for constipation.

Constipation is very common and has many simple causes. Some of the most common causes of constipation include; Not getting enough fibre in your diet, not drinking enough fluids, not being active enough, a change in your daily routine ot diet, stress or anxiety, some medications, e.g. codeine, morphine and some medical conditions.

This course of treatment for constipation should not normally last longer than 2 weeks.

Patient information leaflet

Each Sachet Contains:

Macrogol 3350 13.125g

Sodium chloride 0.3507g S odium hydrogen carbonate 0.1785g

Potassium chloride 0.0466g

Colloidal anhydrous silica

Saccharin sodium

Lemon lime flavour

(Lemon lime flavour contains: flavouring preparations, maltodextrin, mannitol, gluconolactone, sorbitol (E420), acacia gum, colloidal anhydrous silica)

Adults, adolescents and the elderly:

1-3 sachets daily in divided doses, according to individual response.

Children below 12 years old:

Not recommended.

Open the sachet and pour the contents into a glass.

Add about 125ml or a quarter pint of water to the glass.

Stir well until the powder has dissolved and then drink it.

CosmoCol Lemon & Lime Flavour can be taken at any time with or without food or drink.

Taking more CosmoCol than you should can cause severe pain and swelling in your abdomen (stomach), or vomiting (sickness) or diarrhoea. If this happens, contact your doctor or pharmacist.

If you forget to take a dose, take it as soon as you remember and then continue on as before. Do not take a double dose to make up for a forgotten dose.

This course of treatment for constipation should not normally last longer than 2 weeks.

Do not take CosmoCol Lemon & Lime Flavour if:

You are allergic (hypersensitive) to any of the ingredients listed.

If you have a perforated gut (bowel) wall.

If you have a blockage in your intestine (gut obstruction, ileus).

If you have severe inflammatory bowel disease such as ulcerative colitis, Crohn’s disease or toxic megacolon.

If any of these applies to you, please talk to your doctor or pharmacist for further advice.

Some medicines, e.g. anti-epileptics, may not work as effectively during use with CosmoCol Lemon & Lime Flavour.

Please tell your doctor or pharmacist if you are taking, or have recently taken, any other medicines, including medicines obtained without a prescription.

If you are pregnant or breast-feeding talk to your doctor before taking CosmoCol Lemon & Lime Flavour.

Important information about some of the ingredients of CosmoCol Lemon & Lime Flavour:

CosmoCol Lemon & Lime Flavour contains 0.63mmol (25mg) of potassium per sachet. This should be taken into consideration if you take more than one sachet daily and you have reduced kidney function, or if you are on a controlled potassium diet.

CosmoCol Lemon & Lime Flavour contains 8.1mmol (187mg) of sodium per sachet. This should be taken into consideration if you are on a controlled sodium diet.

The lemon lime flavour in CosmoCol Lemon & Lime Flavour contains sorbitol (E420). If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking this medicinal product.

Like all medicines, CosmoCol Lemon & Lime Flavour can cause side effects, although not everybody gets them.

If you experience any of the following side effects, stop taking CosmoCol Lemon & Lime Flavour and see your doctor immediately:

Signs of an allergy, such as a rash, itching, shortness of breath or difficulty in breathing.

Signs of a change in your body’s fluid or electrolyte levels (salts levels), such as swelling (mainly in the ankles), feeling weak, increasingly tired or increased thirst with headache

Keep this medicine out of the sight and reach of children.

Do not store above 25°C.

Do not use this medicine if you notice that any of the sachets is damaged.

Potential gastro-intestinal effects that may occur include abdominal distension and pain, anal discomfort, flatulence, vomiting, borborygmi and nausea.

These reactions may occur as a consequence of expansion of the contents of the gastrointestinal tract, and an increase in motility due to the pharmacologic effects of CosmoCol Lemon and Lime Flavour powder for oral solution.

In the treatment of chronic constipation, diarrhoea or loose stools normally respond to a reduction in dose.

Diarrhoea, abdominal distension, anal discomfort and mild vomiting are more often observed during the treatment for faecal impaction. Vomiting may be resolved if the dose is reduced or delayed.