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CASENGLICOL POWDER FOR ORAL SOLUTION

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About the medicine

How to use CASENGLICOL POWDER FOR ORAL SOLUTION

Translated with AI

This page provides general information and does not replace a doctor’s consultation. Always consult a doctor before taking any medication. Seek urgent medical care if symptoms are severe.

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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

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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.

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Doctor

Daniel Cichi

Family medicine 24 years exp.

Dr Daniel Cichi is a family medicine doctor with over 20 years of clinical experience. He provides online consultations for adults, supporting patients with acute symptoms, chronic conditions, and everyday health concerns that require timely medical guidance.

His background includes work in emergency care, ambulance services, and family medicine, which allows him to assess symptoms quickly, identify warning signs, and help patients choose the safest next steps – whether that means home care, treatment adjustment, or in-person evaluation.

Patients commonly consult Dr Daniel Cichi for:

  • acute symptoms: fever, infections, flu-like illness, cough, sore throat, shortness of breath;
  • chest discomfort, palpitations, dizziness, fatigue, and blood pressure concerns;
  • digestive problems: abdominal pain, nausea, diarrhoea, constipation, reflux;
  • muscle, joint, and back pain, minor injuries, post-traumatic symptoms;
  • chronic conditions: hypertension, diabetes, high cholesterol, thyroid disorders;
  • review and interpretation of lab tests, imaging reports, and medical documents;
  • medication review and treatment adjustment;
  • medical advice while travelling or living abroad;
  • second opinions and guidance on whether in-person care is needed.
Dr Cichi’s consultations are structured and practical. He focuses on clear explanations, risk assessment, and actionable recommendations, helping patients understand their symptoms and make informed decisions about their health.
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Doctor

Hocine Lokchiri

General medicine 21 years exp.

Dr. Hocine Lokchiri is a French consultant with over 20 years of experience in General and Emergency Medicine. He works with adults and children, helping patients with urgent symptoms, infections, sudden health changes and everyday medical concerns that require timely evaluation. His background includes clinical practice in France, Switzerland and the United Arab Emirates, which allows him to navigate different healthcare systems and manage a wide range of conditions with confidence. Patients value his calm, structured approach, clear explanations and evidence-based decision-making.

Online consultations with Dr. Lokchiri are suitable for many situations when someone needs quick medical guidance, reassurance or a clear next step. Common reasons for booking include:

  • fever, chills, fatigue and viral symptoms
  • cough, sore throat, nasal congestion, breathing discomfort
  • bronchitis and mild asthma flare-ups
  • nausea, diarrhoea, abdominal pain, digestive infections
  • rashes, allergic reactions, redness, insect bites
  • muscle or joint pain, mild injuries, sprains
  • headache, dizziness, migraine symptoms
  • stress-related symptoms, sleep disturbances
  • questions about test results and treatment plans
  • management of chronic conditions in stable phases
Many patients reach out when symptoms appear suddenly and cause concern, when a child becomes unwell unexpectedly, when a rash changes or spreads, or when it’s unclear whether an in-person examination is necessary. His emergency medicine background is particularly valuable online, helping patients understand risk levels, identify warning signs and choose safe next steps.

Some situations are not suitable for online care. If a patient has loss of consciousness, severe chest pain, uncontrolled bleeding, seizures, major trauma or symptoms suggesting a stroke or heart attack, he will advise seeking immediate local emergency services. This improves safety and ensures patients receive the right level of care.

Dr. Lokchiri’s professional training includes:

  • Advanced Trauma Life Support (ATLS)
  • Basic and Advanced Cardiac Life Support (BLS/ACLS)
  • Pediatric Advanced Life Support (PALS)
  • Prehospital Trauma Life Support (PHTLS)
  • eFAST and critical care transthoracic echocardiography
  • aviation medicine
He is an active member of several professional organisations, including the French Society of Emergency Medicine (SFMU), the French Association for Emergency Physicians (AMUF) and the Swiss Society of Emergency and Rescue Medicine (SGNOR). In consultations, he works with clarity and precision, helping patients understand their symptoms, possible risks and the safest treatment options.
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Doctor

Lina Travkina

Family medicine 13 years exp.

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.

Camera Book a video appointment
€70
5.0 (760)
Doctor

Alina Tsurkan

Family medicine 13 years exp.

Dr. Alina Tsurkan is a licensed family medicine physician based in Portugal, offering online consultations for adults and children. She provides professional primary care, with a focus on prevention, accurate diagnosis, and long-term management of acute and chronic conditions.

Dr. Tsurkan supports patients with a wide range of health issues, including:

  • Respiratory infections: cold, flu, bronchitis, pneumonia, and lingering coughs.
  • ENT conditions: sinusitis, tonsillitis, otitis (ear infections), sore throat, allergic rhinitis.
  • Eye conditions: allergic or infectious conjunctivitis, red eyes, irritation.
  • Digestive issues: acid reflux (GERD), gastritis, irritable bowel syndrome (IBS), constipation, bloating, nausea.
  • Urinary and reproductive health: urinary tract infections (UTIs), cystitis, prevention of recurrent infections.
  • Chronic diseases: hypertension, elevated cholesterol, weight management.
  • Neurological complaints: headaches, migraines, sleep disturbances, fatigue, general weakness.
  • Children’s health: fever, infections, digestive issues, follow-ups, vaccination guidance.

She also provides:

  • IMT medical certificates for driving licence exchange in Portugal.
  • Personalised preventive care and wellness consultations.
  • Interpretation of test results and medical reports.
  • Follow-up care and medication review.
  • Support in managing multiple coexisting conditions.
  • Remote prescription management and medical documentation.

Dr. Tsurkan’s approach is evidence-based and holistic. She works closely with each patient to develop an individualised care plan that addresses both symptoms and root causes. Her goal is to empower patients to take control of their health and maintain well-being through lifestyle adjustments, routine check-ups, and early intervention.

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€55

Frequently Asked Questions

Is a prescription required for CASENGLICOL POWDER FOR ORAL SOLUTION?
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.
What is the active substance in CASENGLICOL POWDER FOR ORAL SOLUTION?
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.
Who manufactures CASENGLICOL POWDER FOR ORAL SOLUTION?
CASENGLICOL POWDER FOR ORAL SOLUTION is manufactured by Casen Recordati S.L.. Pharmacy brands and packaging may differ depending on the distributor.
Which doctors can assess the use of CASENGLICOL POWDER FOR ORAL SOLUTION online?
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.
What are the alternatives to CASENGLICOL POWDER FOR ORAL SOLUTION?
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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