Normhydral - soluble powder

Normhydral is used to treat acute diarrhoea with or without vomiting in adolescents and adults.

Application

What is Normhydral and what is it used for?

Normhydral is used for the treatment of acute diarrhoea with and without vomiting in adolescents and adults.
Normhydral is a combination of electrolytes and dextrose (glucose) composed according to international recommendations to compensate for the electrolyte and fluid losses caused by diarrhoea and vomiting.
The ready-prepared drinking solution restores the important electrolytes sodium and potassium to the organism. Dextrose improves sodium absorption, which also increases the necessary water intake. Citrate prevents acidification of the blood, which is possible with diarrhoea.

How is it applied?

What is Normhydral and what is it used for?

Normhydral is used for the treatment of acute diarrhoea with and without vomiting in adolescents and adults.
Normhydral is a combination of electrolytes and dextrose (glucose) composed according to international recommendations to compensate for the electrolyte and fluid losses caused by diarrhoea and vomiting.
The ready-prepared drinking solution restores the important electrolytes sodium and potassium to the organism. Dextrose improves sodium absorption, which also increases the necessary water intake. Citrate prevents acidification of the blood, which is possible with diarrhoea.

What should you pay attention to before taking it?

What should you be aware of before taking Normhydral?

Normhydral must not be taken
- if you are allergic to glucose or any of the other ingredients of Normhydral
- in case of unstoppable vomiting
- in case of severe clouding of consciousness and unconsciousness
- in case of shock
- in case of excess alkaline substances in the blood
- in case of lack of urine excretion
- in case of sugar metabolismWarning and precautions
Please consult your doctor before using Normhydral

Please consult your doctor before using Normhydral
.- in case of cardiac insufficiency
- in case of severely elevated blood pressure
- in case of renal dysfunction
In these cases, the doctor will take into account the amounts of water and electrolytes supplied.

Normhydral is not suitable for diabetics because of the high sugar content. Should it nevertheless be necessary to use a glucose/salt solution, Normhydral must only be used on the express instructions of a doctor and under appropriate supervision. 1 sachet of Normhydral is equivalent to 0.8 BE (bread unit).

Any prolonged diarrhoea can be a sign of a serious illness. Therefore, please seek urgent medical advice if symptoms persist or if the expected success from the use of Normhydral does not occur.
In case of severe conditions with high fever and/or bloody diarrhoea, urgent medical attention should be sought.

Take Normhydral with other medicines
Inform your doctor or pharmacist if you are taking/using, have recently taken/used or do not intend to take/use any other medicines.

In case of concomitant treatment with cardiac glycosides (medicines to increase cardiac output), the heart function may be affected.
Therefore, consult a doctor before taking Normhydral.

Taking Normhydral with food and drink
Normhydral must not be added to drinks containing sugar, otherwise diarrhoea may even be increased again due to increased water excretion.

Pregnancy and breast-feeding
If you are pregnant or breast-feeding, or if you suspect you are pregnant or intend to become pregnant, ask your doctor or pharmacist for advice before using this medicine.
Normhydral may be used during pregnancy and breast-feeding (see also "3.

How should the medicine be taken?

How to take Normhydral? Do not drive or use machinery Taking Normhydral does not affect your ability to drive or use machinery.3. How to take Normhydral?

Always take this medicine exactly as described in this leaflet or as your doctor or pharmacist has told you. Ask your doctor or pharmacist if you are not sure.

To prepare the drinking solution, please follow the mixing ratio given exactly.

Dissolve the contents of one sachet in 500 ml (approx. 4 tea cups) of water (if necessaryboiled) or cooled, unsweetened tea and drunk.Do not take the powder undiluted.
The ready-prepared solution can be stored in the refrigerator for up to 24 hours.
In case of vomiting, the cold Normhydral drinking solution is taken by the spoon or sip at short intervals.

Basically, the treatment is divided into two phases.

Phase 1 (rehydration phase, duration 6 hours):
Normalisation of body weight by fluid and electrolyte replacement with the prepared drinking solution, no food intake.

Phase 2 (realimentation phase):
Intake of usual food and drinking solution.

Phase 1
Inthis 6-hour period, up to 50 ml of Normhydral drinking solution per kg of body weight should be provided.
This means the following maximum amounts within 6 hours:

Body weight	maximum drinking amount within 6 hours:
50 kg	5 Btl. in 2500 ml
60 kg	6 Btl. in 3000 ml
70 kg	7 Btl. in 3500 ml
80 kg	8 Btl. in 4000 ml

If the body weight has normalised within these 6 hours, the second treatment phase (food intake) should be started.
If the physical condition has not improved or even worsened after these 6 hours, urgent medical advice should be sought.

Phase2
In this phase, the intake of usual food should be started.
Longer tea breaks and special diets and healing foods are not necessary.
Please remember that even in this phase, diarrhoea and therefore fluid losses can still persist. These fluid losses can still be replaced with Normhydral drinking solution.
In total, the duration of treatment with Normhydral should not exceed 36 hours.

If infants and children need to be treated, please consult a doctor, as Diarrhoeal diseases with and without vomiting in infants and young children within. of a few hours can cause life-threatening conditions. This is what the Prescription preparation "Normolyt for children - soluble powder" with the same.
Composition (but with flavourings), but smaller bag content available. The treatment must be carried out under medical supervision.

If only "Normhydral - soluble powder" is available, up to 50 ml will also be used. Normhydral drinking solution per kg body weight used, which means:

Body weight	maximum drinking amount within 6 hours:
5 kg	1/2 Btl. in 250 ml
10 kg	1 Btl. in 500 ml
20 kg	2 Btl. in 1000 ml
30 kg	3 Btl. in 1500 ml
40 kg	4 Btl. in 2000 ml

Breastfed infants should be additionally breastfed as needed during this entire phase.

If you have taken more Normhydral than you should.
In general, larger amounts of normhydral are also well tolerated. However, if Normhydral is used for too long or in the wrong (too high) concentration - this happens when you dissolve 1 sachet of Normhydral in significantly less than 500 ml of liquid - deviations in the electrolyte concentration in the blood can occur (signs: excitability, cramps). Please call your doctor.

If you have forgotten to take Normhydral.
Do not take a double dose if you have forgotten to take it before.

If you have any further questions on the use of this medicine, ask your doctor or pharmacist.

What are the possible side effects?

How to store Normhydral?

Keep this medicine out of the reach of children.
No special storage conditions are required for this medicinal product.
You must not use this medicinal product after the expiry date which is stated on the outer carton. The expiry date refers to the last day of the month indicated.

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 doing so, they contribute to the protection of the environment.

Special instructions for storage

How to store Normhydral?

Keep this medicine out of the reach of children.
No special storage conditions are required for this medicinal product.
You must not use this medicinal product after the expiry date which is stated on the outer carton. The expiry date refers to the last day of the month indicated.

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 doing so, they contribute to the protection of the environment.

Special notes on the content

Contents of the pack and other information

What Normhydral contains
- The active ingredients are: 10.00 g anhydrous glucose, 0.875 g sodium chloride, 1.475 g sodium citrate, 0.75 g potassium chloride
- The other ingredient is: silicon dioxide
- The ready-to-drink solution contains: 111 mmol/l glucose, 60 mmol/l sodium, 20 mmol/l potassium, 10 mmol/l citrate, 50 mmol/l chloride
How Normhydral looks and contents of the pack
White to pale yellow powder for the preparation of an oral solution.
Packs of 5 or 10 sachets of paper-aluminium laminated film.