Guttalax - drops

Guttalax drops are a laxative.

Application

1. What is Guttalax and what is it used for?

Guttalax - drops are a laxative. Through contact with the mucous membrane of the colon, they gently stimulate your bowel movements. Guttalax drops have no effect in the stomach and small intestine when used correctly. Therefore, you can also use the medicine if you have a sensitive stomach or suffer from stomach or intestinal ulcers. Guttalax does not affect the intestinal flora.

Guttalax drops are used

	For short-term use in constipation;
	for complaints requiring facilitated bowel evacuation.

How is it applied?

What is Guttalax and what is it used for?

Guttalax - drops are a laxative. Through contact with the mucous membrane of the colon, they gently stimulate your bowel movements. In the stomach and small intestine, Guttalax -
drops have no effect when used correctly. Therefore, you can also use the medicine if you have a sensitive stomach or suffer from stomach or intestinal ulcers. Guttalax does not affect the intestinal flora.

Guttalax - drops are used

• For short-term use in constipation,
• for complaints that require easier bowel evacuation.

What should you pay attention to before taking it?

What should you be aware of before taking Guttalax?

Guttalax must not be taken,

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• If you are allergic to sodium picosulphate, active substances of the triaryl methane group or any of the other ingredients of this medicine listed in section 6,
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• If you suffer from intestinal obstruction or disorders of gastrointestinal patency,
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• If you suffer from acute inflammatory diseases of the gastrointestinal tract,
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• If you have severe painful and/or feverish acute abdominal pain, such as appendicitis - possibly in combination with nausea and vomiting,
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• if you have a severe loss of water from the body.

Guttalax - drops must also not be taken

• of children under 4 years of age.

Warnings and precautions.
Please talk to your doctor or pharmacist before taking Guttalax,

• If you need laxatives daily or over a long period of time - in this case you must have the cause of the constipation clarified by a doctor, as prolonged
  overuse can lead to disturbances in fluid or
  electrolyte balance and to potassium deficiency.excessive use of laxatives can lead to disturbances of the fluid or
  electrolyte balance and to potassium deficiency (see also "Taking Guttalax with other medicines").

Generally, you must always pay attention to a sufficient intake of drinking water when using Guttalax - drops. Long-term daily use of laxatives should be avoided by appropriate dietary measures, such as a high-fibre diet.

Children and adolescents should not take laxatives without a doctor's advice (see "How to take Guttalax?").

Cases of dizziness and/or fainting have been reported after taking Guttalax - drops. These incidents may be due to the consequences of constipation (increase in pressure during bowel movements, pain). They are not necessarily due to the intake of Guttalax drops.

The regular intake or the intake of higher than recommended dosages of
Guttalax - drops for bulimia (binge eating disorder) is an abuse that can lead to significant overdoses and must be avoided at all costs (see "If you have taken more Guttalax than you should"). For bulimia nervosa, psychotherapeutic
Measures required.

Taking Guttalax with other medicines.
Inform your doctor or pharmacist if you are taking/using, have recently taken/used or intend to take/use any other medicines.

If you take diuretics or medicines made from adrenocortical hormones (adrenocorticosteroids) together with Guttalax drops, your body may lose more potassium. The effects and side effects of medicines for the treatment of cardiac insufficiency (so-called cardiac glycosides) can be increased by such a possible potassium deficiency if taken at the same time.

If you are being treated with antibiotics at the same time, the laxative effect of Guttalax - drops may be impaired.

Pregnancy, lactation
If you are pregnant or breast-feeding, or if you suspect you may be pregnant or intend to become pregnant, ask your doctor or pharmacist for advice before taking/using this medicine.

Guttalax - drops may only be taken during pregnancy, especially in the first three months, if prescribed by a doctor.

There is no experience on the use of Guttalax in breastfeeding mothers. Clinical
Studies show that sodium picosulphate, the active ingredient in Guttalax drops, and its metabolites do not pass into the breast milk of healthy breastfeeding women. The use of Guttalax may therefore be considered in breastfeeding women.

Driving ability and ability to operate machinery.
No studies have been carried out on the effects on the ability to drive and operate machinery.
Dizziness and/or fainting may occur as a reaction to, for example, cramps in the abdomen and the increase in pressure during defecation (see section "Warnings and precautions"). If such side effects occur, you should refrain from activities that require increased attention (e.g. participating in road traffic, operating machinery).

Guttalax - drops contain sorbitol.
Please only take Guttalax - Drops after consulting your doctor if you are known to have an intolerance to certain sugars.

Guttalax - drops contain 0.6 g sorbitol in the recommended maximum daily dose (20 drops). If you have congenital fructose intolerance (a rare metabolic disorder), you should not take this medicine. Sorbitol can cause stomach upset and diarrhoea. Note for diabetics: Guttalax - drops contain 0.45 g of carbohydrates in 15 drops, corresponding to 0.04 bread units (BE).

How should the medicine be taken?

How to take Guttalax?

Always take this medicine exactly as described in this leaflet or as your doctor has told you. Check with your doctor or pharmacist if you are not sure. The recommended dose is:

For constipation

Adults: 10-20 drops (5-10 mg sodium picosulphate) per day

Start treatment with the lower dose indicated for your age group. Depending on the achieved and desired consistency of the stool, you can increase or reduce this dose drop by drop. The maximum recommended daily dose should not be exceeded.

Use in children and adolescents

Adolescents and
10-20 drops (5-10 mg sodium picosulphate) per day
Children over 10 years:
Children from 4 to 10 years: 5-10 drops (2.5-5 mg sodium picosulphate) per day

Children over 4 years of age and adolescents should only be given Guttalax - Drops on the advice of a doctor (see "Warnings and precautions"). Guttalax - drops must not be given to children under 4 years of age (see "Guttalax must not be taken").

How to use
Take Guttalax - drops once a day as needed, preferably in the evening. The effect occurs after 6-12 hours. The calculated mean onset of action is about 10 hours. If you take the drops before going to bed, an undisturbed night's sleep is guaranteed. The next morning you can expect one or two soft bowel movements.

Take the drops with the help of a spoon or in some liquid.

Guttalax - drops are tasteless and can be administered mixed with food.

Duration of use
Avoid prolonged use. After one week, you must have your doctor check whether further use is necessary and, if so, for how long.
In the case of complaints that require easier bowel emptying, Guttalax - drops may only be taken under medical supervision.

How to use

If necessary, tap the bottom of the bottle lightly to stop dripping.

If you have taken more Guttalax than you should
If you have accidentally taken more than the prescribed dose, please tell your doctor. He will decide on any measures that may be necessary.

In acute overdose, there may be increased watery stools, stomach cramps and loss of water, potassium and other electrolytes. In addition, after taking Guttalax - drops in quantities far in excess of the recommended dose, there is a risk of circulatory disorders (ischaemia) of the intestinal mucosa.

A prolonged overdose of laxatives can basically lead to persistent diarrhoea, abdominal pain, potassium deficiency, excessive production of the adrenal cortical hormone aldosterone and kidney stones. Damage to the kidneys, disturbances of the acid-base balance with hypoacidification of the blood and muscle weakness due to potassium deficiency have also been described as consequences of prolonged abuse of laxatives.

Note to the doctor: Information on the therapy of an overdose can be found at the end of thisinformation leaflet
If you forget to take Guttalax
Continue taking it at the next time. Do not take twice the amount
if you have forgotten to take it before.

If you stop taking Guttalax
Guttalax - Drops are taken only when needed and should be stopped after the symptoms have subsided.

If you have any further questions about taking this medicine, ask your doctor or pharmacist.

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What are the possible side effects?

How to storeGuttalax?

Do not store above 30 °C.

Keep this medicine out of the reach of children.

Do not use this medicine after the expiry date which is stated on the carton and bottle. The expiry date refers to the last day of the month indicated.

Usable for 1 year after opening.

Do not dispose of medicinal products in waste water or household waste. Ask your pharmacist how to dispose of the medicine when you stop using it. In doing so, they contribute to the protection of the environment.

Special instructions for storage

5 How should Guttalax be stored?

Do not store above 30°C.

Keep this medicine out of the reach of children.

Do not use this medicine after the expiry date which is stated on the carton and bottle. The expiry date refers to the last day of the month indicated.

Use for 1 year after opening.

Do not dispose of medicines in waste water or household waste. Ask your pharmacist how to dispose of the medicine when you stop using it. In this way, they contribute to the protection of the environment.

Special notes on the content

Contents of the pack and other information
What Guttalax contains

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• The active ingredient is: Sodium picosulphate (7.5 mg per ml)
• The other ingredients are: Sorbitol solution 70%, sodium benzoate, sodium citrate dihydrate, citric acid monohydrate, purified water
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What Guttalax looks like and contents of the pack
Clear, colourless to slightly yellowish-brown, slightly viscous solution.
1 ml corresponds to 15 drops

Bottle made of white polyethylene, with drip insert made of polyethylene and screw cap made of polypropylene (coloured green on the outside).
Packs of 15 and 30 ml