Active ingredients: macrogol, Potassium, Sodium
SELG ESSE powder for oral solution
Why is Selg Esse used? What is it for?
SELG ESSE contains the active ingredients macrogol, sodium and potassium salts (anhydrous sodium sulfate, sodium bicarbonate, sodium chloride, potassium chloride) and simethicone.
SELG ESSE is a drug belonging to the class of osmotic laxatives which act by drawing water into the intestine, favoring the formation of soft stools.
SELG ESSE is used in clinical conditions that require a complete emptying of the intestine (for example: pre-operative preparation, diagnostic investigations, etc.).
Contraindications When Selg Esse should not be used
DO NOT use SELG ESSE
- if you are allergic to macrogol, sodium and potassium salts and simethicone or any of the other ingredients of this medicine (listed in section 6)
- in case of gastrointestinal perforation
- if you suffer from severe inflammatory bowel diseases (such as ulcerative colitis, Crohn's disease) in the acute phase and toxic megacolon
- in case of blockage or slowdown of food in the gastrointestinal tract (occlusive, subocclusive or stenotic forms of the intestine, gastric stasis, dynamic ileus, paralytic ileus)
- in case of severe dehydration
- in children under 8 years of age and weighing less than 20 kg
SELG ESSE is generally contraindicated in pregnancy (see section "Pregnancy and lactation").
Precautions for use What you need to know before taking Selg Esse
Talk to your doctor or pharmacist before using SELG ESSE Use SELG ESSE with special caution:
- if you suffer from heart or kidney disease (heart disease or kidney disease)
- if you have abdominal distension or pain. In this case, the dosing frequency should be reduced or the dosing temporarily stopped until these symptoms disappear
- if you suffer from inflammation of the esophagus due to rising acidic fluids from the stomach (reflux esophagitis)
- if you have abdominal pain of unknown origin, acute colitis, nausea, vomiting, marked accentuation or reduction of bowel movements, rectal bleeding. In such cases it is advisable to consult your doctor before using the medicine
- if after taking the drug you feel like you are vomiting (retching)
Due to the risk of aspiration of gastric contents by the lungs (regurgitation aspiration) the medicinal product should be administered with particular caution in patients with difficulty in swallowing or with impaired mental status.
Patients who are in an unconscious or semi-conscious state, or patients for whom regurgitation or regurgitation aspiration may occur, should be monitored during administration, especially if it is nasogastric administration.
Children
SELG ESSE should not be used in children under 8 years of age and weighing less than 20 kg.
Interactions Which drugs or foods can modify the effect of Selg Esse
Other medicines and SELG ESSE
Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines. SELG ESSE, like other laxatives, can reduce the residence time in the intestine, and therefore the absorption, of other drugs administered simultaneously orally. Therefore, do not take any other medicines immediately before or during the administration of SELG ESSE. Leave an interval of at least 2 hours after taking a medicine before taking SELG ESSE.
SELG ESSE with food and drink
Do not take SELG ESSE together with licorice. The use of licorice increases the risk of low blood potassium levels (hypokalaemia).
Warnings It is important to know that:
Pregnancy and breastfeeding
If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.
Since there are no adequate studies on the use of the drug in pregnancy or lactation, SELG ESSE should be used only in case of need, under the direct supervision of the doctor, after having evaluated with him the relationship between the expected benefit for the mother and the possible risk to the fetus or infant (see section "DO NOT use SELG ESSE).
Driving and using machines
No studies on the ability to drive and use machines have been performed.
SELG ESSE contains sodium and potassium
SELG ESSE contains 125.5 mmol (or 2.8 g) of sodium per sachet. To be taken into consideration in people with reduced kidney function or who follow a low sodium diet. SELG ESSE contains 10.3 mmol (or 0.4 g) of potassium per sachet. To be taken into consideration in people with reduced kidney function or who follow a low potassium diet
Dosage and method of use How to use Selg Esse: Dosage
Always use this medicine exactly as your doctor or pharmacist has told you. If in doubt, consult your doctor or pharmacist.
The recommended dose in adults is: 4 liters (4 sachets of 70 g each dissolved in a liter of water) to be taken, in a single dose, to be drunk preferably in a period of time ranging from 4 to 6 hours, the afternoon before the exam, or divided into two doses, 2 liters the evening before the exam and 2 liters the morning of the exam.
Use in children and adolescents
In children over 8 years of age and weighing more than 20 kg and adolescents the recommended dosage is 25-40 ml / kg to be taken every hour until the stool is liquid and clear (clear rectal efflux).
Methods of preparation and use
Swallow the preparation after fasting for 3-4 hours. In any case, you must not ingest solid foods in the 2 hours preceding the intake and until the examination is performed. Instead, you can drink water freely. Normally the medicine is taken by mouth, but it can also be administered by nasogastric tube in continuous infusion under the supervision of the doctor or nurse. In this case, the amount to be administered should be 20 to 30ml per minute.
- Pour the contents of a 70 g sachet into a liter of warm water and mix until the powder is completely dissolved. The solution is more pleasant when cooled.
- Drink a full glass (250ml) of the solution every 10-15 minutes until all of the solution has been used up. It is preferable that each single dose is swallowed quickly.
- Continue this process with each sachet, one after the other, until all the solution is taken or until the liquid stools are clear. The first evacuation usually occurs approximately 90 minutes after the start of administration.
- Keep the reconstituted solution in the refrigerator.
- Use the reconstituted solution within 48 hours of its preparation.
- Do not add other ingredients to the reconstituted solution.
Overdose What to do if you have taken too much Selg Esse
Notify your doctor immediately or contact the nearest hospital in case of accidental ingestion / intake of an overdose of SELG ESSE.
Too high doses can cause abdominal pain and diarrhea which disappears within 24-48 hours after stopping treatment. The resulting loss of fluids and electrolytes must be replaced. It is generally sufficient to give plenty of fluids, especially fruit juices. Thereafter, therapy can be resumed at lower doses.
If you have any further questions on the use of this medicine, ask your doctor or pharmacist
Side Effects What are the side effects of Selg Esse
Like all medicines, this medicine can cause side effects, although not everybody gets them.
Allergic reactions such as itching, rash, hives or edema (swelling, especially in the face or hands; swelling or itching of the lips or throat), difficulty breathing.
In such cases, stop taking the medicine and consult a doctor immediately.
Other side effects are:
Common side effects (may affect up to 1 in 10 people):
- nausea
- sense of full stomach
- abdominal bloating
Uncommon side effects (may affect up to 1 in 100 people):
- abdominal pain, abdominal cramps
- He retched
- rectal irritation
Rare side effects (may affect up to 1 in 1,000 people):
- severe diarrhea
Cases of heart rhythm disturbances (hypo-hyperkinetic cardiac arrhythmias) have been reported.
Reporting of side effects
If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the national reporting system at www.agenziafarmaco.gov.it/it/responsabili. By reporting side effects you can help provide more information on the safety of this medicine.
Expiry and Retention
Keep this medicine out of the sight and reach of children.
Do not use this medicine after the expiry date which is stated on the package after EXP.
The expiry date refers to the last day of that month.
Store in the original packaging to protect the product from moisture.
The reconstituted solution must be stored in a refrigerator (between 2 ° C and 8 ° C) and used within 48 hours of preparation. The residual solution must be discarded.
Do not use this medicine if the pack has been opened or damaged.
Do not throw any medicines via wastewater or household waste. Ask your pharmacist how to throw away medicines you no longer use. This will help protect the environment.
Composition and pharmaceutical form
What does SELG ESSE
A 70 g sachet contains:
- The active ingredients are: macrogol 4000 58.30 g simethicone 0.08 g anhydrous sodium sulphate 5.68 g sodium bicarbonate 1.68 g sodium chloride 1.46 g potassium chloride 0.74 g
- The other ingredients are: sodium cyclamate, acesulfame K, sodium saccharin, mandarin flavor, maltodextrin.
Description of the appearance of SELG ESSE and contents of the package
SELG ESSE comes in the form of a powder for oral solution. Each pack contains 4 sachets of 70 g.
Source Package Leaflet: AIFA (Italian Medicines Agency). Content published in January 2016. The information present may not be up-to-date.
To have access to the most up-to-date version, it is advisable to access the AIFA (Italian Medicines Agency) website. Disclaimer and useful information.
