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Wellmex Atomic Enema

ACTIVE INGREDIENT

Each 100ml contains:

Sodium chloride : 15g

3-methyl-6-isopropylphenol ( preservative ) : 0.001g

PHARMACODYNAMICS

Sodium salt act by retaining fluid in the bowel by osmosis or by changing the pattern of water distribution in faeces.

PHARMACOKINETICS

Sodium chloride is readily absorbed from the gastrointestinal tract. It is present in all the body fluids and is mainly found in the extra cellular fluid. The amount of sodium chloride lost in sweat is small and the osmotic equilibrium is maintained by the excretion of surplus amounts in the urine.

ADVERSE EFFECTS

Enema can cause rectal irritations, which are characterized by rectal bleeding, blistering, burning, itching or pain. There can also be skin irritation surrounding the rectal area.

WARNINGS/PRECAUTION

Enemas should be used with caution in the elderly and should not be used by people with acute gastrointestinal conditions or inflammatory bowel disease. Enemas should not be used in patients with congenital megacolon, bowel obstruction, imperforate anus or congestive heart failure. Use with caution in patients with impaired renal function, pre-existing electrolyte disturbances or in patients on diuretics or other medications which may affect electrolyte levels or where colostomy exists. Since enema contains sodium chloride, there is a risk of elevated serum levels of sodium and decreased levels of potassium and consequent hypernatremia. This is of particular concern in children with megacolon or any other condition where there is retention of enema solution.

CONTRAINDICATIONS

It is contraindicated in patients with ileus, gastric retention, gastrointestinal obstruction, bowel perforation, toxic colitis and toxic magacolon.

DRUG INTERACTION

Not known.

DOSAGE & ADMINISTRATION

Rectally used

Adults : 20-40ml, once daily.

Children : 10-20ml once daily

SYMPTOMS OF OVERDOSAGE & TREATMENT

The sign and symptoms would be the exaggeration of the side effects, especially rectal irritation. The frequency of bowel movement would also be increased. Treatment would be the cessation of use of the medication. If symptoms continue, professional medical advise should be obtained.

STORAGE

Store below 25°C in a cool dry place and protected from sunlight. keep out of reach of children.

SHELF LIFE

3 years

PACK SIZE

10ml/bottle & 20ml/bottle

PRODUCT DESCRIPTION

A colorless, clear and transparent solution

Allergen

The body’s immune system keeps us healthy by fighting off infections and other dangers to good health. A food allergy reaction occurs when our immune system overreacts to a food or a substance in a food, identifying it as a danger and triggering a protective response.

While allergies tend to run in families, it is impossible to predict whether a child will inherit a parent’s food allergy or whether siblings will have a similar condition.

Symptoms of a food allergy can range from mild to severe. Just because an initial reaction causes few problems doesn’t mean that all reactions will be similar; a food that triggered only mild symptoms on one occasion may cause more severe symptoms at another time.

The most severe allergic reaction is anaphylaxis — a life-threatening whole-body allergic reaction that can impair breathing, cause a dramatic drop in blood pressure and affect heart rate. Anaphylaxis can come on within minutes of exposure to the trigger food. It can be fatal and must be treated promptly with an injection of epinephrine (adrenaline).

While any food can cause an adverse reaction, eight types of food account for about 90 percent of all reactions:

•  Eggs

•  Milk

•  Peanuts

•  Tree nuts

•  Fish

•  Shellfish

•  Wheat

•  Soy

Certain seeds, including sesame and mustard seeds, also are common food allergy triggers and considered a major allergen in some countries.

Symptoms of an allergic reaction may involve the skin, the gastrointestinal tract, the cardiovascular system and the respiratory tract. They can surface in one or more of the following ways:

•  Vomiting and/or stomach cramps

•  Hives

•  Shortness of breath

•  Wheezing

•  Repetitive cough

•  Shock or circulatory collapse

•  Tight, hoarse throat; trouble swallowing

•  Swelling of the tongue, affecting the ability to talk or breathe

•  Weak pulse

•  Pale or blue coloring of skin

•  Dizziness or feeling faint

Anaphylaxis, a potentially life-threatening reaction that can impair breathing and send the body into shock; reactions may simultaneously affect different parts of the body (for example, a stomachache accompanied by a rash)

Most food-related symptoms occur within two hours of ingestion; often they start within minutes. In some very rare cases, the reaction may be delayed by four to six hours or even longer. Delayed reactions are most typically seen in children who develop eczema as a symptom of food allergy and in people with a rare allergy to red meat caused by the bite of a lone star tick.

source : 

American College of Allergy, Asthma & Immunology   http://acaai.org/allergies/types/food-allergies