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CASENGLICOL POWDER FOR ORAL SOLUTION

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Doctor
5.0(11)

Anna Biriukova

Gastroenterology6 years of experience

Dr Anna Biriukova is an internal medicine doctor with clinical experience in cardiology, endocrinology, and gastroenterology. She provides online consultations for adults, offering expert medical support for heart health, hormonal balance, digestive issues, and general internal medicine.

Cardiology – Diagnosis and treatment of:

  • High blood pressure, blood pressure fluctuations, and cardiovascular risk prevention.
  • Chest pain, shortness of breath, arrhythmias (tachycardia, bradycardia, palpitations).
  • Leg swelling, chronic fatigue, reduced exercise tolerance.
  • EKG interpretation, lipid profile evaluation, cardiovascular risk assessment (heart attack, stroke).
  • Post-COVID-19 cardiac monitoring and care.
Endocrinology – Diabetes, thyroid, metabolism:
  • Diagnosis and management of type 1 and type 2 diabetes, and prediabetes.
  • Individual treatment plans including oral medications and insulin therapy.
  • GLP-1 therapy– modern pharmacological treatment for weight management and diabetes control, including drug selection, monitoring, and safety follow-up.
  • Thyroid disorders – hypothyroidism, hyperthyroidism, autoimmune thyroid diseases (Hashimoto’s, Graves’ disease).
  • Metabolic syndrome – obesity, lipid disorders, insulin resistance.
Gastroenterology – Digestive health:
  • Abdominal pain, nausea, heartburn, gastroesophageal reflux (GERD).
  • Stomach and intestinal conditions: gastritis, irritable bowel syndrome (IBS), indigestion.
  • Management of chronic digestive disorders and interpretation of tests (endoscopy, ultrasound, labs).
General internal medicine and preventive care:
  • Respiratory infections – cough, colds, bronchitis.
  • Lab test analysis, therapy adjustments, medication management.
  • Adult vaccinations – planning, contraindications assessment.
  • Cancer prevention – screening strategies and risk assessment.
  • Holistic approach – symptom relief, complication prevention, and quality of life improvement.
Dr Biriukova combines internal medicine with specialist insight, offering clear explanations, personalised treatment plans, and comprehensive care tailored to each patient.
Book a video appointment
€66
This page is for general information. Consult a doctor for personal advice. Call emergency services if symptoms are severe.
About the medicine

How to use CASENGLICOL POWDER FOR ORAL SOLUTION

Contents of the leaflet

  1. Introduction
  2. What is Casenglicol and what is it used for
  3. What you need to know before taking Casenglicol
  4. How to take Casenglicol
  5. Possible side effects
  6. Storage of Casenglicol
  7. Package contents and additional information

Introduction

Leaflet: Information for the user

Casenglicol powder for oral solution

macrogol 4000, sodium sulfate anhydrous, sodium hydrogen carbonate, sodium chloride,

potassium chloride, sodium dihydrogen phosphate

Read the entire leaflet carefully before starting to take this medication, as it contains important information for you.

  • Keep this leaflet, as you may need to read it again.
  • If you have any doubts, consult your doctor or pharmacist.
  • This medication has been prescribed to you only, and you should not give it to others, even if they have the same symptoms as you, as it may harm them.
  • If you experience side effects, consult your doctor or pharmacist, even if they are side effects not listed in this leaflet. See section 4.

Contents of the leaflet

  1. What is Casenglicol and what is it used for
  2. What you need to know before taking Casenglicol
  3. How to take Casenglicol
  4. Possible side effects
  5. Storage of Casenglicol
  6. Package contents and additional information

1. What is Casenglicol and what is it used for

Casenglicol belongs to a group of medications called osmotic laxatives.

Casenglicol is an intestinal evacuant indicated in adults for pre-colonoscopy, surgery, radiology, and other colorectal and genitourinary examinations.

It is sometimes used for the treatment of chronic constipation of non-organic cause in adults that has been previously treated, without satisfactory results, with a high-water content diet and increased daily physical exercise.

Doctor consultation

Not sure if this medicine is right for you?

Discuss your symptoms and treatment with a doctor online.

2. What you need to know before taking Casenglicol

Do not take Casenglicol

  • If you are allergic to the active substances or to any of the other components of this medication (listed in section 6)
  • If you have a gastric or intestinal ulcer
  • If you have gastric retention
  • If you have a chronic intestinal disease, ileus, or megacolon
  • If you have an intestinal obstruction
  • If you have an intestinal perforation

Warnings and precautions

Consult your doctor or pharmacist before starting to take Casenglicol.

  • Use with caution in patients with altered nausea reflex and patients prone to regurgitation or aspiration, and in patients with swallowing problems. In these cases, consult your doctor.
  • The administration of Casenglicol should be monitored, especially when performed through a nasogastric tube, to avoid regurgitation or aspiration of the solution, especially in patients with damaged swallowing reflex, gastroesophageal reflux, or in a state of semi-consciousness or unconsciousness.
  • If abdominal pain occurs. In such cases, administration will be performed more slowly or even interrupted until symptoms reverse.
  • If gastrointestinal obstruction or perforation is suspected, diagnostic tests should be performed before administering Casenglicol.
  • When administering Casenglicol to patients with severe colitis or proctitis, it should be used with caution.
  • Casenglicol should be used with caution in fragile patients, patients with significant renal disease, or with known hydroelectrolytic balance disorders.
  • If you experience sudden abdominal pain or rectal bleeding while taking Casenglicol for intestinal preparation, contact your doctor or go to a doctor immediately.
  • Avoid mixing Casenglicol with starch-based thickeners if you have swallowing problems. This can result in a watery liquid that could enter your lungs and cause pneumonia if you cannot swallow it properly.

Children

Do not administer to children.

Other medications and Casenglicol

Tell your doctor or pharmacist if you are taking, have recently taken, or may need to take any other medication.

Casenglicol works by accelerating intestinal transit, which can cause medication administered during its use to not be absorbed properly and be eliminated through the gastrointestinal tract, potentially reducing its effect.

Pregnancy, breastfeeding, and fertility

If you are pregnant or breastfeeding, think you may be pregnant, or plan to become pregnant, consult your doctor or pharmacist before using this medication.

There is no experience with the use of Casenglicol during pregnancy or breastfeeding, and it should only be used if your doctor considers it essential.

Driving and using machines

Not described.

Casenglicol contains sodium and potassium

Consult your doctor or pharmacist if you need Casenglicol or more than 1 sachet per day for an extended period, especially if you have been recommended a low-salt diet (sodium).

This medication contains 10.58 mmol (or 413.7 mg) of potassium per liter of solution, which should be taken into account in patients with renal insufficiency or in patients with low-potassium diets.

3. How to take Casenglicol

Follow the administration instructions of this medication exactly as indicated by your doctor or pharmacist. If in doubt, consult your doctor or pharmacist again.

Casenglicol will be taken by dissolving the contents of each 17.6g sachet in 250ml of drinking water or each 70.5g sachet in 1 liter of drinking water. The solution should be consumed within 4 hours.

The recommended dose is:

For intestinal evacuation for diagnostic or surgical purposes:

Adults

70.5g sachets: the complete dose is 4 sachets of 70.5g.

Dissolve the contents of one sachet in 1 liter of water.

17.6g sachets: the complete dose is 16 sachets of 17.6g.

Dissolve the contents of one sachet in 250ml of water.

Patient with renal insufficiency: no dose adjustment is required in renal insufficiency. This medication should be administered with caution in patients with renal insufficiency (see section 2).

Patient with hepatic insufficiency: no dose adjustment is necessary.

Elderly patients: the dosage regimen is the same as for adults.

Use in children:

No data available. Therefore, this medication should not be administered to children.

The solution is normally administered orally. It is recommended to administer at a rate of 200 to 250ml every 10-15 minutes, until the entire volume has been ingested or the stool is clear.

No food should be taken during the 3 or 4 hours prior to administration of the solution, and in no case should solid food be ingested 2 hours prior to its use.

In patients unable to drink the solution, a nasogastric tube can be used at a rate of 20-30ml per minute.

Bowel movement will occur approximately 1 hour after starting treatment.

For the treatment of chronic constipation of non-organic cause:

Adults: the recommended dose is 250-500ml per day of the reconstituted solution from a 17.6g sachet in 250ml of water or a 70.5g sachet in 1 liter of water.

Patient with renal insufficiency: no dose adjustment is required in renal insufficiency. This medication should be administered with caution in patients with renal insufficiency (see section 2).

Patient with hepatic insufficiency: no dose adjustment is necessary.

Elderly patients: the dosage regimen is the same as for adults.

Use in children

No data available. Therefore, this medication should not be administered to children.

Treatment duration: as with all laxatives, prolonged use of Casenglicol is not recommended.

Do not use Casenglicol for more than six days without consulting your doctor.

Administer on an isolated basis, when deep intestinal evacuation is needed.

If you take more Casenglicol than you should

If you take more Casenglicol than you should, you may experience excessive diarrhea, which can lead to dehydration. Drink plenty of fluids. In case of overdose or accidental ingestion, consult your doctor or pharmacist immediately or call the Toxicology Information Service, phone: 91 562 04 20 (indicating the medication and the amount ingested).

If you forget to take Casenglicol

Do not take a double dose to make up for forgotten doses.

If you have any other doubts about the use of this medication, ask your doctor or pharmacist.

Medicine questions

Started taking the medicine and have questions?

Discuss your symptoms and treatment with a doctor online.

4. Possible side effects

Like all medications, this medication can cause side effects, although not everyone experiences them.

These side effects include:

Frequent (may affect up to 1 in 10 people)

  • Nausea
  • Feeling of abdominal fullness
  • Abdominal cramps

Uncommon (may affect up to 1 in 100 people)

  • Vomiting
  • Abdominal cramps
  • Anal irritation

These adverse reactions are transient and resolve quickly.

Frequency not known (cannot be estimated from available data)

  • Urticaria
  • Dermatitis
  • Rhinorrhea

These adverse reactions are caused by allergic reactions.

Reporting side effects

If you experience any side effects, consult your doctor, pharmacist, or nurse, even if they are side effects not listed in this leaflet. You can also report them directly through the Spanish Medication Surveillance System for Human Use: www.notificaram.es. By reporting side effects, you can contribute to providing more information on the safety of this medication.

5. Storage of Casenglicol

Keep this medication out of sight and reach of children.

Do not store above 30°C

When not in use, the solution can be stored in the refrigerator (between 2°C and 8°C) and discarded 48 hours after preparation.

Do not use this medication after the expiration date shown on the packaging after CAD. The expiration date is the last day of the month indicated.

Do not use Casenglicol if you notice damage to the packaging.

Medications should not be disposed of through wastewater or household waste. Deposit the packaging and unused medications at the SIGRE collection point in the pharmacy. If in doubt, ask your pharmacist how to dispose of the packaging and unused medications. This will help protect the environment.

6. Package contents and additional information

Casenglicol composition

The active substances per 1g, per 17.6g sachet, and per 70.5g sachet are:

Per 1g

Per 17.6g sachet

Per 70.5g sachet

Active substances:

Macrogol 4000

849.8 mg

14.97 g

59.90 g

Sodium sulfate anhydrous

79.5 mg

1.40 g

5.60 g

Sodium hydrogen carbonate (Sodium bicarbonate)

23.8 mg

0.42 g

1.68 g

Sodium chloride

21.0 mg

0.37 g

1.47 g

Potassium chloride

10.8 mg

0.19 g

0.77 g

Sodium dihydrogen phosphate (Sodium phosphate)

6.8 mg

0.12 g

0.49 g

The other excipients are:

  • Butylhydroxyanisole (E-320)
  • Orange flavor
  • Acesulfame potassium (E-950)
  • Sucralose

Appearance of the product and package contents

Casenglicol is presented in the form of single-dose sachets containing powder for oral solution in different package sizes: packages of 4 sachets of 70.5g, 100 sachets of 70.5g, 16 sachets of 17.6g, or 500 sachets of 17.6g.

Not all package sizes may be marketed.

Marketing authorization holder and manufacturer:

Casen Recordati, S.L.

Autovía de Logroño, Km 13,300

50180 Utebo, (Zaragoza) Spain

Date of the last revision of this leaflet:February 2025

Detailed information about this medication is available on the website of the Spanish Agency for Medicines and Health Products (AEMPS) http://www.aemps.gob.es/

Online doctors for CASENGLICOL POWDER FOR ORAL SOLUTION

Discuss questions about CASENGLICOL POWDER FOR ORAL SOLUTION, including use, safety considerations and prescription review, subject to medical assessment and local regulations.

Doctor
5.0(11)

Anna Biriukova

Gastroenterology6 years of experience

Dr Anna Biriukova is an internal medicine doctor with clinical experience in cardiology, endocrinology, and gastroenterology. She provides online consultations for adults, offering expert medical support for heart health, hormonal balance, digestive issues, and general internal medicine.

Cardiology – Diagnosis and treatment of:

  • High blood pressure, blood pressure fluctuations, and cardiovascular risk prevention.
  • Chest pain, shortness of breath, arrhythmias (tachycardia, bradycardia, palpitations).
  • Leg swelling, chronic fatigue, reduced exercise tolerance.
  • EKG interpretation, lipid profile evaluation, cardiovascular risk assessment (heart attack, stroke).
  • Post-COVID-19 cardiac monitoring and care.
Endocrinology – Diabetes, thyroid, metabolism:
  • Diagnosis and management of type 1 and type 2 diabetes, and prediabetes.
  • Individual treatment plans including oral medications and insulin therapy.
  • GLP-1 therapy– modern pharmacological treatment for weight management and diabetes control, including drug selection, monitoring, and safety follow-up.
  • Thyroid disorders – hypothyroidism, hyperthyroidism, autoimmune thyroid diseases (Hashimoto’s, Graves’ disease).
  • Metabolic syndrome – obesity, lipid disorders, insulin resistance.
Gastroenterology – Digestive health:
  • Abdominal pain, nausea, heartburn, gastroesophageal reflux (GERD).
  • Stomach and intestinal conditions: gastritis, irritable bowel syndrome (IBS), indigestion.
  • Management of chronic digestive disorders and interpretation of tests (endoscopy, ultrasound, labs).
General internal medicine and preventive care:
  • Respiratory infections – cough, colds, bronchitis.
  • Lab test analysis, therapy adjustments, medication management.
  • Adult vaccinations – planning, contraindications assessment.
  • Cancer prevention – screening strategies and risk assessment.
  • Holistic approach – symptom relief, complication prevention, and quality of life improvement.
Dr Biriukova combines internal medicine with specialist insight, offering clear explanations, personalised treatment plans, and comprehensive care tailored to each patient.
Book a video appointment
€66
Doctor
5.0(38)

Andrei Popov

General medicinePain medicine7 years of experience

Dr. Andrei Popov is a General Practitioner with specialized training in chronic pain. He provides online consultations for adult patients in Spain and other European countries.

Dr. Popov understands that seeking help with weight-related concerns or pain that has persisted for months can be difficult. Many patients come to him after trying different approaches without feeling truly heard. During the consultation, the doctor creates a comfortable and supportive, non-judgmental environment where the patient’s medical history can be discussed in detail, questions can be answered, and the next steps can be decided together.

Weight Management and Metabolic Health

Dr. Popov can help assess overweight, obesity, and related conditions such as hypertension, diabetes, or metabolic disorders. During the consultation, the patient’s medical history, test results, current medications, and previous treatments will be reviewed.

If you would like to learn about possible medication options or have already started treatment, the doctor can assess your situation, review the effectiveness and tolerability of the therapy, and clearly explain its benefits, potential risks, and alternatives.

Not every patient requires the same treatment. A consultation does not guarantee a prescription — it provides an objective medical assessment and a plan tailored to your individual situation.

Pain and General Medicine

You can also consult Dr. Popov regarding:

* chronic pain, migraines, neuralgia, and fibromyalgia;

* back, neck, lower back, or joint pain;

* hypertension, diabetes, and follow-up of chronic conditions;

* review of test results, medical reports, and current treatment;

* preventive medicine and a second medical opinion.

How the Consultation Works

The video consultation lasts up to 30 minutes. The doctor will listen carefully, review the information you provide, and explain the next steps in clear and understandable language.

If additional tests, an in-person consultation, or urgent medical care are required, the doctor will inform you directly.

Dr. Popov’s goal is to make sure the patient feels heard and leaves the consultation with a clear understanding of their condition and the next steps they can take.

Book a video appointment
€86
Doctor
5.0(12)

Yevgen Yakovenko

General medicine12 years of experience

Dr. Yevgen Yakovenko is a licensed surgeon and general practitioner in Spain and Germany. He specialises in general, paediatric, and oncological surgery, internal medicine, and pain management. He offers online consultations for adults and children, combining surgical precision with therapeutic support. Dr Yakovenko works with patients across different countries and provides care in Ukrainian, Russian, English, and Spanish.

Areas of medical expertise:

  • Acute and chronic pain: headaches, muscle and joint pain, back pain, abdominal pain, postoperative pain. Identifying the cause, selecting treatment, and creating a care plan.
  • Internal medicine: heart, lungs, gastrointestinal tract, urinary system. Management of chronic conditions, symptom control, second opinions.
  • Pre- and postoperative care: risk assessment, decision-making support, follow-up after surgery, rehabilitation strategies.
  • General and paediatric surgery: hernias, appendicitis, congenital conditions, both planned and urgent surgeries.
  • Injuries and trauma: bruises, fractures, sprains, soft tissue damage, wound care, dressing, referral when in-person care is required.
  • Oncological surgery: diagnosis review, treatment planning, and long-term follow-up.
  • Obesity treatment and weight management: a medical approach to weight loss, including assessment of underlying causes, evaluation of comorbidities, development of a personalised plan (nutrition, physical activity, pharmacotherapy if needed), and ongoing progress monitoring.
  • Imaging interpretation: analysis of ultrasound, CT, MRI, and X-ray results, surgical planning based on imaging data.
  • Second opinions and medical navigation: clarifying diagnoses, reviewing current treatment plans, helping patients choose the best course of action.

Experience and qualifications:

  • 12+ years of clinical experience in university hospitals in Germany and Spain.
  • International education: Ukraine – Germany – Spain.
  • Member of the German Society of Surgeons (BDC).
  • Certified in radiological diagnostics and robotic surgery.
  • Active participant in international medical conferences and research.

Dr Yakovenko explains complex topics in a clear, accessible way. He works collaboratively with patients to analyse health issues and make evidence-based decisions. His approach is grounded in clinical excellence, scientific accuracy, and respect for each individual.

If you are unsure about a diagnosis, preparing for surgery, or want to discuss your test results – Dr Yakovenko will help you evaluate your options and move forward with confidence.

Book a video appointment
€72
Doctor
5.0(3)

Lina Travkina

General medicine13 years of experience

Dr. Lina Travkina is a licensed family and preventive medicine doctor based in Italy. She provides online consultations for adults and children, supporting patients across all stages of care – from acute symptom management to long-term health monitoring and prevention.Areas of medical care include:

  • Respiratory conditions: colds, flu, acute and chronic bronchitis, mild to moderate pneumonia, bronchial asthma.

  • ENT and eye conditions: sinusitis, tonsillitis, pharyngitis, otitis, infectious and allergic conjunctivitis.

  • Digestive issues: gastritis, acid reflux (GERD), IBS, dyspepsia, bloating, constipation, diarrhoea, functional bowel symptoms, intestinal infections.

  • Urological and infectious diseases: acute and recurrent cystitis, bladder and kidney infections, prevention of recurrent UTIs, asymptomatic bacteriuria.

  • Chronic conditions: hypertension, diabetes, hypercholesterolemia, metabolic syndrome, thyroid disorders, excess weight.

  • Neurological and general symptoms: headache, migraine, dizziness, fatigue, sleep disturbances, reduced concentration, anxiety, asthenia.

  • Chronic pain support: back, neck, joint, and muscle pain, tension syndromes, pain associated with osteochondrosis and chronic conditions.

Additional care areas:

  • Preventive consultations and check-up planning.

  • Medical advice and follow-up consultations.

  • Test interpretation and diagnostic guidance.

  • Structured support for undiagnosed complaints.

  • Second opinion on diagnoses and treatment plans.

  • Nutritional and lifestyle support for vitamin deficiencies, anaemia, metabolic issues.

  • Post-operative recovery support and pain management.

  • Preconception counselling and postpartum support.

  • Immunity support and strategies to reduce frequency of infections.

Dr. Travkina combines evidence-based medicine with an attentive, personalised approach. Her consultations focus not only on treatment, but also on prevention, recovery, and long-term wellbeing.If during the consultation it becomes clear that your case requires in-person assessment or specialised care outside of her scope, the session will be terminated and the payment fully refunded.

Book a video appointment
€75
Doctor
5.0(20)

Nuno Tavares Lopes

General medicine18 years of experience

Dr. Nuno Tavares Lopes is a licensed physician in Portugal with 17 years of experience in emergency medicine, family and general practice, and public health. He is the Director of Medical and Public Health Services at an international healthcare network and serves as an external consultant for the WHO and ECDC.

  • Emergency care: infections, fever, chest/abdominal pain, minor injuries, paediatric emergencies

  • Family medicine: hypertension, diabetes, cholesterol, chronic disease management

  • Travel medicine: pre-travel advice, vaccinations, fit-to-fly certificates, travel-related illnesses

  • Sexual and reproductive health: PrEP, STD prevention, counselling, treatment

  • Weight management and wellness: personalised weight loss programmes, lifestyle guidance

  • Skin and ENT issues: acne, eczema, allergies, rashes, sore throat, sinusitis

  • Pain management: acute and chronic pain, post-surgical care

  • Public health: prevention, health screenings, long-term monitoring

  • Sick leave (Baixa médica) connected to Segurança Social in Portugal

  • IMT medical certificates for driving licence exchange

Dr. Nuno Tavares Lopes provides medical support for patients using GLP-1 medications (Mounjaro, Wegovy, Ozempic, Rybelsus) as part of a weight loss strategy. He offers individualised treatment planning, regular follow-up, dose adjustment, and advice on combining medication with sustainable lifestyle changes. Consultations follow the medical standards accepted in Europe.Dr. Lopes also provides interpretation of medical tests, follow-up care for complex patients, and multilingual support. Whether for urgent concerns or long-term care, he helps patients act with clarity and confidence.

Book a video appointment
€70

Get CASENGLICOL POWDER FOR ORAL SOLUTION Prescription Online

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Tell us your symptoms, history, and what medicine you're requesting.

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3

Doctor reviews your case

Usually within 30 minutes. They may ask follow-up questions via chat.

4

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Electronic prescription sent to your email — valid across Spain.

Frequently Asked Questions

CASENGLICOL POWDER FOR ORAL SOLUTION requires a prescription in Spain. You can check with a doctor online whether this medicine may be appropriate for your situation.

The active ingredient in CASENGLICOL POWDER FOR ORAL SOLUTION is macrogol, combinations. This information helps identify medicines with the same composition but different brand names.

CASENGLICOL POWDER FOR ORAL SOLUTION is manufactured by Casen Recordati S.L.. Pharmacy brands and packaging may differ depending on the distributor.

Doctors such as Family doctors, Psychiatrists, Dermatologists, Cardiologists, Endocrinologists, Gastroenterologists, Pulmonologists, Nephrologists, Rheumatologists, Hematologists, Infectious disease physicians, Allergists, Geriatricians, Paediatricians, Oncologists may assess whether CASENGLICOL POWDER FOR ORAL SOLUTION is appropriate, depending on your situation and local regulations. You can book an online consultation to discuss your symptoms and possible next steps.

Spain has a well-developed healthcare infrastructure across major cities such as Madrid, Barcelona, Valencia, and Seville. Pharmacies are widely available and operate under strict regulations, ensuring access to prescribed medications.

You can buy CASENGLICOL POWDER FOR ORAL SOLUTION in Madrid, Barcelona, Seville, or Valencia at any local pharmacy with a valid prescription.

To obtain a prescription, you can use Oladoctor:

Other medicines with the same active substance (macrogol, combinations) include ACOLORA POWDER FOR ORAL SOLUTION IN SACHET, ATOLAXANT 13.7 g POWDER FOR ORAL SOLUTION, BIMOTIL 13.7 g POWDER FOR ORAL SOLUTION. These may have different brand names or formulations but contain the same therapeutic ingredient. Always consult a doctor before switching or starting a new medicine.

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