Medicine Information

Green Enema

Name: Green Enema
Brand: Green Enema
Rating: 4.5 (117 reviews)

Rectal Solution (Enema)19 gm (as Monobasic Sodium Phosphate)Laxatives, Bowel PreparationsATC: A06AG01

Generic Name

Sodium Phosphate Rectal Saline Enema

Manufacturer

Generic Manufacturer (Example)

Country

Various Countries

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Price Details

Current market pricing information

Variant	Unit Price	Strip Price
green enema 19 gm rectal saline	৳ 249.00	N/A

Description

Overview of the medicine

Green Enema is an osmotic laxative used for the relief of occasional constipation or for bowel cleansing prior to rectal examinations or other medical procedures.

Uses & Indications

Relief of occasional constipation

Bowel preparation for rectal examinations

Bowel preparation for other medical procedures

Dosage

Adults

Typically a single dose of one enema bottle (e.g., 133 mL) as directed by a healthcare professional or package instructions.

Elderly

Adult dosage, but use with caution and under medical supervision due to increased risk of electrolyte imbalance.

Renal_impairment

Contraindicated in patients with severe renal impairment due to the risk of hyperphosphatemia.

How to Take

Administer rectally. Position the patient on their left side with knees bent, or in a knee-chest position. Gently insert the enema nozzle into the rectum and squeeze the bottle until nearly all the liquid is expelled. Maintain the position until the urge to defecate is strong, usually within 2-5 minutes.

Mechanism of Action

It works by drawing water into the colon, which softens the stool and promotes bowel movement by increasing fecal bulk and distension.

Pharmacokinetics

Onset

Within 2-5 minutes.

Excretion

Excreted via feces.

Half life

Not applicable due to minimal systemic absorption.

Absorption

Minimal systemic absorption; acts locally in the colon.

Metabolism

Not applicable due to minimal systemic absorption.

Side Effects

Contraindications

Abdominal pain, nausea, vomiting, or other symptoms of appendicitis or inflamed bowel
Intestinal obstruction
Congenital megacolon
Heart failure
Severe renal impairment
Dehydration
Children under 2 years of age

Drug Interactions

Diuretics

May increase the risk of electrolyte imbalances (e.g., hypernatremia, hyperphosphatemia).

ACE Inhibitors

May increase the risk of electrolyte imbalances.

Calcium Channel Blockers

Use with caution due to potential for electrolyte disturbances.

Storage

Store at room temperature (15-30°C). Do not freeze. Keep away from excessive heat and direct sunlight.

Overdose

Symptoms of overdose include severe dehydration, electrolyte disturbances (hyperphosphatemia, hypocalcemia, hypernatremia), and metabolic acidosis. Management involves supportive care, correction of fluid and electrolyte imbalances.

Pregnancy & Lactation

Use with caution and only if clearly needed after consulting a healthcare professional.

Frequently Asked Questions

Common questions about this medicine

Pack Sizes

133 mL bottleOther volumes may vary by manufacturer

Shelf Life

Refer to the manufacturer's expiry date on the packaging, typically 2-3 years from manufacturing.

Availability

Pharmacies, Supermarkets

Approval Status

Generally approved as Over-The-Counter (OTC)

Patent Status

Generic

Clinical Trials

As a well-established and widely used OTC product, new extensive clinical trials are generally not conducted for efficacy; safety studies and post-market surveillance ensure its profile.

Lab Monitoring

Electrolyte monitoring (especially phosphate, calcium, sodium) may be necessary in high-risk patients (e.g., elderly, renal impairment, heart failure) or with repeated use.

Doctor Notes

Counsel patients on proper administration technique.
Emphasize that this is for occasional use only.
Assess patient's renal function and cardiac status, especially in the elderly, before recommending.
Advise patients to report any severe abdominal pain or rectal bleeding.