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LAINEMA 14/3 g/100 ml RECTAL SOLUTION

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 LAINEMA 14/3 g/100 ml RECTAL SOLUTION

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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

PACKAGE LEAFLET: INFORMATION FOR THE USER

LAINEMA 14/3 g/100 ml rectal solution EFG

Sodium dihydrogen phosphate (monohydrate)/Disodium hydrogen phosphate (dodecahydrate)

Read all of this leaflet carefully before you start using this medicine.

  • Keep this leaflet, you may need to read it again.
  • If you have any further questions, ask your doctor or pharmacist.
  • This medicine has been prescribed for you, do not pass it on to others, it may harm them, even if their symptoms are the same as yours.
  • If you experience any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet.

Contents of the pack:

  1. What LAINEMA 14/3 g/100 ml rectal solution EFG is and what it is used for
  2. Before using LAINEMA 14/3 g/100 ml rectal solution EFG
  3. How to use LAINEMA 14/3 g/100 ml rectal solution EFG
  4. Possible side effects
  5. Storage of LAINEMA 14/3 g/100 ml rectal solution EFG
  6. Further information

1. What LAINEMA 14/3 g/100 ml rectal solution EFG is and what it is used for

This medicine belongs to the pharmacotherapeutic group of rectal laxatives.

This medicine is indicated in cases where intestinal evacuation is necessary, such as: pre- and post-surgery, childbirth and post-childbirth, before rectoscopy, sigmoidoscopy, and colonoscopy (techniques for exploring the large intestine), before radiological examinations, fecal impaction (accumulation of hardened feces in the rectum).

Doctor consultation

Not sure if this medicine is right for you?

Discuss your symptoms and treatment with a doctor online.

2. Before using LAINEMA 14/3 g/100 ml rectal solution EFG

Do not use LAINEMA 14/3 g/100 ml rectal solution EFG

  • if you are allergic (hypersensitive) to the active substances or to any of the other components of this medicine
  • in children under 2 years of age
  • if there is suspicion of intestinal obstruction (inability to eliminate feces and gases)
  • if you have megacolon (dilation of the colon), ileostomy (artificial anus), anorectal stenosis (narrowing of the rectum), imperforate anus (congenital absence or obstruction of the anal orifice) or paralytic ileus (paralysis of the intestine)
  • if you have severe or moderate kidney problems
  • if you have congestive heart failure (severe heart problem)
  • if you have symptoms of appendicitis or intestinal perforation
  • if you have undiagnosed rectal bleeding
  • if you have uncontrolled high blood pressure
  • if you are dehydrated and, in general, in all cases where the distribution of LAINEMA's content in the body may be increased or its elimination decreased.

In case of doubt about any of these situations or your particular situation, consult your doctor.

Be careful with LAINEMA 14/3 g/100 ml rectal solution EFG

If after 10 minutes of administering the enema you do not achieve evacuation (evacuation occurs approximately 5 minutes after administration), it is recommended that you consult your doctor so that they can perform the necessary tests to minimize the risk of severe hyperphosphatemia.

  • If you are elderly, weak, suffer from ascites (fluid accumulation in the abdomen), anal ulcers or fissures, or have kidney or heart disease.
  • If you have had a colostomy (major colon surgery), you should consult your doctor.
  • If you have pre-existing electrolyte imbalances (alteration of mineral salt levels in the body) as hypocalcemia (decreased calcium levels in the blood), hypokalemia (decreased potassium levels in the blood), hyperphosphatemia (increased phosphorus levels in the blood), hypernatremia (increased sodium levels in the blood), and acidosis may occur.
  • In case of suspected electrolyte disorders, your doctor will perform a blood test to determine the levels of these substances before administering LAINEMA.
  • If you have nausea, vomiting, or abdominal pain, follow your doctor's instructions.
  • Repeated and prolonged use of LAINEMA is not recommended, as it may cause habituation. Do not use if symptoms worsen or persist without consulting a doctor.
  • LAINEMA should be administered following the instructions for use and handling. You should interrupt administration if you encounter resistance, as forcing administration can cause injuries.
  • If you bleed from the rectum after administering the enema, do not administer more enemas and consult your doctor immediately.
  • Consult your doctor if signs of irritation occur.

This medicine should not be used as a habitual treatment for constipation.

Using other medicines

Tell your doctor or pharmacist if you are using or have recently used other medicines, including those obtained without a prescription, homeopathic medicines, herbal remedies, and other health-related products, as it may be necessary to interrupt treatment or adjust the dose of one of them.

It is especially important that your doctor knows if you are taking medicines for high blood pressure or angina pectoris (calcium channel blockers), medicines to empty the bladder (diuretics), medicines for certain behavioral disorders (lithium), or other drugs that could modify the balance of water or electrolytes (minerals) in the blood.

Pregnancy and breastfeeding

Consult your doctor or pharmacist before using any medicine.

Do not use this medicine during pregnancy or breastfeeding without consulting your doctor.

If you are breastfeeding, you should express and discard the milk produced during the 24 hours following administration of LAINEMA.

Driving and using machines

This medicine does not affect your ability to drive or use machines.

Important information about some of the components of LAINEMA 14/3 g/100 ml rectal solution EFG

It may cause allergic reactions (possibly delayed) and, exceptionally, bronchospasm, as it contains methyl parahydroxybenzoate, sodium salt (E-219).

3. How to use LAINEMA 14/3 g/100 ml rectal solution EFG

Follow exactly the administration instructions of the medicine indicated by your doctor. Consult your doctor or pharmacist if you have doubts.

This is a rectal medicine. It should be applied at room temperature, without the need to heat it.

For self-administration of this medicine, it is recommended that the patient be reclined on their left side with both legs bent over the chest (Figure 1) or reclined with the left leg extended and the right leg bent over the chest (Figure 2).

Two human silhouettes lying on their side showing the correct position for rectal administrationPerson kneeling with forehead on the ground and arms extended forward

When this medicine is going to be administered to the patient by another person, the recommended positions may be either those described for self-administration or the one shown in Figure 3.

Three schematic figures showing body positions for rectal administration

Press the cap to one side. This breaks the seal. Once the seal is broken, pull the cap upwards and the pre-lubricated cannula is free for insertion.

In the indicated positions, carefully insert the cannula into the rectum to avoid damaging the wall, and press the container in a smooth and continuous manner until the required amount of liquid is inserted. It is advisable for the patient to maintain this position until they feel strong urges to defecate. Generally, 2 to 5 minutes are sufficient to achieve the desired effect. If the product is not expelled after this time, see section 4: “Possible side effects”.

In general, the following dose is recommended:

Children

-Infants and children under 2 years: LAINEMA should not be administered to infants and children under 2 years of age, its use is contraindicated.

-Children from 2 to 15 years:The recommended dose is a single dose of 5 ml/kg, or up to a maximum of 140 ml. The maximum duration of treatment will be one enema per day, for no more than 6 consecutive days.

Adults

The recommended dose is a single enema of 140 ml or 250 ml. It can be administered once a day, for a maximum of 6 consecutive days.

Over 65 years:The recommended dosage is the same as for adults.

Patient with liver problems: In this case, no dose adjustment is necessary.

Patient with kidney problems:This medicine should not be administered to patients with severe or moderate kidney problems.

It will be administered with caution to patients with mild kidney problems and only under medical prescription.

If you use more LAINEMA 14/3 g/100 ml rectal solution EFG than you should

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 medicine and the amount ingested.

If you forget to use LAINEMA 14/3 g/100 ml rectal solution EFG

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

If you have any other doubts about the use of this product, 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 medicines, LAINEMA can cause side effects, although not everybody gets them.

In very rare cases, cases of tetany (painful muscle spasms) with severe hypocalcemia (decreased calcium in the blood) and hyperphosphatemia (increased phosphorus in the blood) may occur. Serious cases of hyperphosphatemia associated with the administration of laxatives with high phosphate content have been reported. Patients with risk factors for developing hyperphosphatemia should, therefore, be monitored through analytical tests (see section “Be careful with LAINEMA 14/3 g/100 ml rectal solution EFG”)

Patients who very rarely develop severe hyperphosphatemia may present irritability, hypotension (low blood pressure), muscle cramps, cyanosis (bluish skin discoloration), tetany, tachycardia (increased heart rate), convulsions, obtundation, fatigue, weakness, or potentially a comatose state.

The following are the known side effects of LAINEMA, listed according to their frequency:

Very rare side effects(affecting less than 1 in 10,000 patients):

-tetany

-hypocalcemia

-severe hyperphosphatemia

-blisters

-burning sensation

-itching

-rectal irritation

-pain

Very common side effects(affecting at least 1 in 10 patients)

  • Transient hyperphosphatemia

If you experience any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet.

5. Storage of LAINEMA 14/3 g/100 ml rectal solution EFG

No special storage conditions are required, however, in rare cases, some inorganic flocculations may appear in the solution that do not affect the integrity of the preparation.

Keep out of the reach and sight of children.

Do not use LAINEMA after the expiration date stated on the packaging after EXP. The expiration date is the last day of the month indicated.

Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. This will help protect the environment.

6. FURTHER INFORMATION

Composition of LAINEMA 14/3 g/100 ml rectal solution EFG

The active substances per milliliter are: sodium dihydrogen phosphate (monohydrate) 139 mg, disodium hydrogen phosphate (dodecahydrate) 32 mg. The other components (excipients) are: methyl parahydroxybenzoate, sodium salt (E-219), and purified water.

Appearance of the product and packaging content

This medicine belongs to a group of medicines called rectal laxatives.

It is presented as a rectal solution, in low-density polyethylene bottles of 80, 140, and 250 ml, and a rectal applicator formed by a high-density polyethylene cap, a pre-lubricated EBA (ethyl acrylate copolymer) cannula, a seal, and a high-density polyethylene cap.

Marketing authorization holder and manufacturer

LAINCO, S.A. Avda. Bizet, 8-12 - 08191 Rubí (Barcelona)

This leaflet was approved in October 2017

Online doctors for LAINEMA 14/3 g/100 ml RECTAL SOLUTION

Discuss questions about LAINEMA 14/3 g/100 ml RECTAL SOLUTION, including use, safety considerations and prescription review, subject to medical assessment and local regulations.

5.0 (94)
Doctor

Jorge Correa Bellido

General medicine 7 years exp.

Dr. Jorge Correa Bellido is a Spanish physician who offers online consultations in Spanish and English. He graduated from the University of La Laguna and has a solid background in clinical practice and international research.

Throughout his career, he has participated in various medical and academic projects, including a research fellowship in Spain, where he contributed to evidence-based studies in the field of family medicine. This experience allowed him to broaden his global perspective on healthcare and comprehensive patient care.

Dr. Correa Bellido has worked with several healthcare providers in Spain, focusing particularly on patient-centered care and public health initiatives aimed at communities with limited access to healthcare services.

In addition, he actively participates in international medical conferences and workshops, which allows him to stay up to date with the latest medical advances and collaborate with healthcare professionals from different countries.

Dr. Correa Bellido provides comprehensive care for a wide variety of medical conditions, including:

  • respiratory infections
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  • as well as mental health conditions such as anxiety and depression.

He also treats infectious and allergic diseases, general health concerns, and provides guidance on prevention and healthy lifestyle habits.

His services include virtual consultations, diagnosis and management of acute and chronic diseases, prescription renewals, and personalized medical advice.

With a patient-centered approach and a strong commitment to continuous learning, Dr. Correa Bellido provides accessible and high-quality healthcare to patients both in Spain and around the world.

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Dr. Lizaveta Trafimchuk Takhvaniuk graduated in Medicine and subsequently specialized in Dermatology and Venereology. She has more than 10 years of clinical experience and is licensed to practice in Spain, where she focuses on the comprehensive diagnosis and treatment of dermatological conditions.

Throughout her education and professional career, Dr. Trafimchuk has gained extensive experience in managing diseases of the skin, hair, and nails, as well as in the diagnosis, treatment, and prevention of sexually transmitted infections (STIs). Her clinical approach is based on evidence-based medicine, combined with personalized care tailored to each patient’s needs.

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Andrei Popov

General medicine 7 years exp.

Dr. Andrei Popov is a family physician with specialized training in the management of chronic pain. He provides video consultations for adults in Spain and across Europe: whether you have been living with pain for months that no one has been able to properly explain, or you need to resolve a health issue without waiting weeks for an appointment.

His approach is clear: to listen, organize your case, and provide you with a practical roadmap based on evidence-based medicine and adapted to your medical history and personal needs.

Pain: how he can help

  • Chronic pain (more than 3 months
  • Migraine and recurrent or high-intensity headaches
  •  Neck, lower back, back and joint pain
  •  Post-traumatic pain after injuries or surgeries
  •  Pain of neurological origin: neuralgia, neuropathic pain, fibromyalgia

General medicine

  • Frequent respiratory infections (cold, flu, persistent cough)
  • Hypertension, diabetes and metabolic disorders
  • Review of laboratory tests and MRI/CT reports (explained in clear language)
  • Preventive medicine and health monitoring
  • Second opinions and treatment adjustments (when clinically appropriate)

What the consultation is like
 Each session lasts up to 30 minutes. We review symptoms, medical history, medications and any tests you provide, and you finish the consultation with a clear treatment plan, defined next steps, and criteria to understand when follow-up may be needed. If warning signs are detected, he will clearly advise whether you need in-person care or urgent medical attention.

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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
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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.

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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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Dr Antonio Cayatte is a physician in General and Acute Medicine with over 30 years of experience across clinical care, medical research, and education. He offers online consultations for adults with a wide range of symptoms, both acute and chronic. His clinical background includes: 

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Dr Cayatte earned his degree from the University of Lisbon and taught internal medicine at Boston University School of Medicine. He holds active medical registrations in both Portugal and the UK and is a Fellow of the American Heart Association. Consultations are available in English and Portuguese. Patients value his clarity, professionalism, and balanced approach to evidence-based care.

Dr. Antonio Cayatte provides comprehensive care for a broad spectrum of common health concerns, including:

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  • Digestive & Urinary: gastroesophageal reflux disease (GERD), gastritis, urinary tract infections, and cystitis
  • Chronic Conditions: hypertension, elevated cholesterol, and structured weight management planning
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Joao Silva

General medicine 6 years exp.

Dr. João Silva is a physician with training and experience in the field of General and Family Medicine, dedicated to providing healthcare focused on the well-being and quality of life of his patients. Throughout his professional career, he has developed broad clinical competencies, striving to maintain a medical practice based on scientific evidence and continuous knowledge updates.

Between 2013 and 2019, he completed the Integrated Master's Degree in Medicine at the Abel Salazar Institute of Biomedical Sciences in Porto, where he acquired a solid academic and clinical education.

Subsequently, between January 2021 and December 2021, he completed the General Internship at the Entre Douro e Vouga Hospital Center in Santa Maria da Feira, where he had the opportunity to work in different hospital settings and deepen his competencies in several areas of medicine.

From January 2022 until March 2026, he works as a Resident Physician in General and Family Medicine at USF Salvador Machado in Oliveira de Azeméis, developing clinical activities in primary healthcare, follow-up of chronic patients, and health promotion in the community.

Complementing his medical training, Dr. João Silva also completed a Postgraduate Degree in Continuing and Palliative Care at CESPU, strengthening his preparation in the comprehensive approach to patient care, especially in situations requiring prolonged care and multidisciplinary support.

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Anna Biriukova

General medicine 6 years exp.

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).
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  • 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.
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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.
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Dr Biriukova combines internal medicine with specialist insight, offering clear explanations, personalised treatment plans, and comprehensive care tailored to each patient.

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Frequently Asked Questions

Is a prescription required for LAINEMA 14/3 g/100 ml RECTAL SOLUTION?

LAINEMA 14/3 g/100 ml RECTAL 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 LAINEMA 14/3 g/100 ml RECTAL SOLUTION?

The active ingredient in LAINEMA 14/3 g/100 ml RECTAL SOLUTION is sodium phosphate. This information helps identify medicines with the same composition but different brand names.

Who manufactures LAINEMA 14/3 g/100 ml RECTAL SOLUTION?

LAINEMA 14/3 g/100 ml RECTAL SOLUTION is manufactured by Lainco S.A.. Pharmacy brands and packaging may differ depending on the distributor.

Which doctors can assess the use of LAINEMA 14/3 g/100 ml RECTAL 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 LAINEMA 14/3 g/100 ml RECTAL SOLUTION is appropriate, depending on your situation and local regulations. You can book an online consultation to discuss your symptoms and possible next steps.

How to buy LAINEMA 14/3 g/100 ml RECTAL SOLUTION in Spain?

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 LAINEMA 14/3 g/100 ml RECTAL SOLUTION in Madrid, Barcelona, Seville, or Valencia at any local pharmacy with a valid prescription.

To obtain a prescription, you can use Oladoctor:

What are the alternatives to LAINEMA 14/3 g/100 ml RECTAL SOLUTION?

Other medicines with the same active substance (sodium phosphate) include ENEMA CASEN 139 mg/ml + 32 mg/ml RECTAL SOLUTION, ADULAX 7.5 G RECTAL SOLUTION, CLISTERAN 450 mg/45 mg RECTAL 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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