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MOLAXOLE powder for oral solution

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Doctor

Sviatoslav Chekhun

Oncology 13 years exp.

Dr. Sviatoslav Chekhun is a medical oncologist with international clinical and research experience, specializing in modern medical oncology and a personalized approach to cancer treatment.

Currently (since 2025), he works as a Medical Oncologist at Institut Català d’Oncologia (Girona, Spain). Previously, he completed his residency in Medical Oncology and was involved in clinical research at Hospital Universitari Germans Trias i Pujol.

Dr. Chekhun has a strong academic and scientific background. He served as a lecturer in Internal Medicine at O.O. Bohomolets National Medical University and conducted research in experimental oncology at the R.E. Kavetsky Institute of Experimental Pathology, Oncology and Radiobiology.

Earlier in his career, he worked as a medical oncologist at the Kyiv City Clinical Oncological Center and contributed to regulatory evaluation of medicinal products at the State Expert Center of the Ministry of Health of Ukraine.

When to consult Dr. Chekhun:

  •  for diagnosis or clarification of a cancer diagnosis
  •  to obtain a second opinion on an existing treatment plan 
  •  when you need a personalized treatment strategy 
  •  for interpretation of test results, CT, MRI, PET-CT, and biopsies 
  •  when choosing between treatment options (chemotherapy, targeted therapy, immunotherapy) 
  •  in case of doubts about treatment strategy or disease progression 

Consultation format

Dr. Chekhun provides online consultations, where you can receive:

  •  expert second opinion 
  •  detailed case review 
  •  recommendations based on current international treatment guidelines 
  •  personalized treatment and follow-up plan 

Important:
Prescription and monitoring of medications must be carried out by your treating physician in an in-person (offline) setting. An online consultation does not replace a face-to-face visit but helps you make more informed decisions about your treatment.

Dr. Sviatoslav Chekhun combines clinical practice, research, and international experience, enabling him to provide patients with modern, evidence-based approaches in oncology.

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 MOLAXOLE 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.

Show original

Introduction

Leaflet: Information for the user

Molaxole powder for oral solution EFG

Macrogol 3350, Sodium chloride, Sodium bicarbonate, Potassium chloride

Read this leaflet carefully before starting to take this medicine, 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 medicine 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 not listed in this leaflet. See section 4.

Contents of the leaflet

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

1. What is Molaxole and what is it used for

Molaxole helps to have an adequate intestinal transit even if you have been suffering from constipation for a long time. After consulting a doctor, Molaxole can also be used in the treatment of severe constipation (also called fecal impaction).

Macrogol 3350 increases the volume of the stool thanks to the reabsorption of water in the intestine, which produces a normalization of the intestinal movement in the colon. The physiological consequences are an increased movement of the softened stool, which facilitates defecation. The salts in the formulation help maintain the normal balance of salts and water in the body.

You should consult a doctor if your symptoms worsen or do not improve after 2 weeks. If you are being treated for severe constipation (also called fecal impaction), you should follow your doctor's instructions.

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 Molaxole

Do not take Molaxole

  • if you are allergic to the active ingredients (macrogol, sodium chloride, potassium chloride, or sodium bicarbonate) or to any of the other components of this medicine (listed in section 6),
  • if you have an intestinal obstruction, perforation of the intestinal wall, or a severe inflammatory intestinal disease such as ulcerative colitis, Crohn's disease, toxic megacolon, or ileus (paralysis of the intestine).

Warnings and precautions

Consult your doctor or pharmacist before starting to take Molaxole.

When taking Molaxole, you should continue to drink plenty of fluids. The liquid content of Molaxole should not replace your regular fluid intake.

If you develop side effects such as bloating, shortness of breath, feeling of tiredness, dehydration (symptoms include increased thirst, dry mouth, and weakness), or heart problems, stop taking Molaxole and inform your doctor immediately.

Do not take Molaxole for prolonged periods of time, unless your doctor tells you to, for example, if you are taking medications that can cause constipation or if you have a disease that can cause constipation, such as Parkinson's disease or multiple sclerosis (MS).

Children

Do not give this medicine to children under 12 years of age.

Other medicines and Molaxole

Tell your doctor or pharmacist if you are taking, have recently taken, or might take any other medicines.

Some medicines, for example, antiepileptics, may not work as effectively during use with Molaxole. No other oral medicines should be taken from one hour before to one hour after taking Molaxole.

Molaxole may interact with starch-based food thickeners, causing the preparations that should remain thick for people with swallowing problems to liquefy. Molaxole should be used with caution when used with starch-based thickeners.

Pregnancy, breastfeeding, and fertility

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

Molaxole can be used during pregnancy and breastfeeding.

Driving and using machines

Molaxole does not affect the ability to drive or use machines.

Molaxole contains sodium

This medicine contains 187 mg of sodium (a major component of table/cooking salt) in each sachet. This is equivalent to 9.5% of the maximum recommended daily sodium intake for an adult.

3. How to take Molaxole

Follow exactly the administration instructions of this medicine indicated by your doctor or pharmacist. In case of doubt, consult your doctor or pharmacist again.

The recommended dose for constipation is:

1 sachet, one to three times a day. The normal dose for most patients is 1 to 2 sachets per day. Depending on the individual response, 3 sachets per day may be needed. The dose depends on the severity of your constipation. The dose can be reduced to the lowest effective dose after a couple of days. The treatment period is normally two weeks.

If symptoms persist after 2 weeks of treatment, contact your doctor.

Mix the contents of 1 sachet with half a glass of water (approximately 125 ml). Shake until the powder is dissolved and drink. If you wish, you can add fruit juice or nectar immediately before drinking.

Children (under 12 years of age): not recommended.

The recommended dose for fecal impaction is:

Adults: The usual dose is 8 sachets per day. The 8 sachets should be taken over a period of 6 hours each day, for up to 3 days if necessary. The treatment period for fecal impaction is normally not more than 3 days.

If you use Molaxole for the treatment of fecal impaction, you can mix 8 sachets in 1 liter of water. The solution can be stored in the refrigerator.

Patients with altered cardiovascular function:

For the treatment of fecal impaction, the dose should be divided so that no more than two sachets are taken in one hour.

Patients with renal insufficiency:

No dose adjustment is necessary for the treatment of constipation or fecal impaction.

If you take more Molaxole than you should

If you take an excessive amount of Molaxole and experience intense diarrhea or start vomiting, stop using Molaxole until the symptoms disappear, and restart the treatment afterwards at a lower dose. In case of overdose or accidental ingestion, consult your doctor or pharmacist immediately or call the Toxicology Information Service phone number: 91 562 04 20, indicating the medicine and the amount ingested.

If you forget to take Molaxole

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

Always take this medicine exactly as described in this leaflet or as your doctor or pharmacist has indicated. Consult your doctor or pharmacist if you are unsure.

If you have any other questions about the use of this medicine, 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, this medicine can cause side effects, although not everybody gets them.

Very common (may affect more than 1 in 10 people):stomach pain and cramps, diarrhea, vomiting, nausea, stomach noises, and flatulence (gas).

Common (may affect up to 1 in 10 people): itching, headache, swelling of hands, feet, or ankles.

Uncommon (may affect up to 1 in 100 people):skin rash (exanthema), indigestion, and stomach bloating.

Rare (may affect up to 1 in 10,000 people):severe allergic reactions that cause difficulty breathing or swelling in the face, lips, tongue, or throat. If you experience any of these effects, please inform your doctor immediately and stop the treatment with Molaxole. Allergic reactions (e.g., skin and mucous membrane reactions), high or low potassium levels in the blood, and anal discomfort.

Frequency not known (frequency cannot be estimated from the available data):change in the levels of fluids or electrolytes in your body (low sodium levels).

Reporting of side effects:

If you experience any side effects, consult your doctor or pharmacist, even if they are not listed in this leaflet. You can also report them directly through the Spanish Pharmacovigilance System for Human Use Medicines: http://www.notificaram.es. By reporting side effects, you can help provide more information on the safety of this medicine.

5. Storage of Molaxole

Keep this medicine out of the sight and reach of children.

Do not use this medicine after the expiration date stated on the sachet and carton after CAD or EXP.The expiration date is the last day of the month indicated.

This medicine does not require any special storage temperature. Store in the original package to protect from moisture. The freshly prepared solution ready for use can be stored tightly closed in the refrigerator (2°C to 8°C). Discard any solution that has not been used within six hours.

Medicines should not be disposed of via wastewater or household waste. Deposit the packaging and medicines you no longer need at the SIGRE point in the pharmacy. If in doubt, ask your pharmacist how to dispose of the packaging and medicines you no longer need. This will help protect the environment.

6. Package contents and additional information

Composition of Molaxole

  • The active ingredients are: macrogol 3350 (also known as polyethylene glycol 3350) 13.125 g, sodium chloride 350.7 mg, sodium bicarbonate 178.5 mg, potassium chloride 46.6 mg.
  • The other ingredients (excipients) are: potassium acesulfame (E950) (sweetener) and lemon flavor (flavoring agent).

Appearance of Molaxole and package contents

White powder for oral solution.

Sachets of 13.8 g in packages of 2, 6, 8, 10, 20, 30, 40, 50, 60, and 100 or 2x50 sachets.

Not all pack sizes may be marketed.

Marketing authorization holder and manufacturer

Marketing authorization holder:

Viatris Healthcare Limited

Damastown Industrial Park

Mulhuddart, Dublin 15

Dublin

Ireland

Manufacturer:

Lamp San Prospero S.p.A.

Via della Pace, 25/A

41030 - San Prospero (MO)

Italy

You can request more information about this medicine by contacting the local representative of the marketing authorization holder:

Mylan Pharmaceuticals, S.L.

C/ Plom, 2-4, 5th floor

08038 - Barcelona

Spain

This medicine is authorized in the Member States of the European Economic Area under the following names:

Denmark, Norway, Finland, Hungary, Iceland, and Sweden: Moxalole.

Austria, Belgium, Bulgaria, Cyprus, Estonia, Spain, Italy, Ireland, Latvia, Lithuania, Luxembourg, Romania, Slovenia, Netherlands, Portugal, and United Kingdom: Molaxole.

Poland: Duphagol.

Date of the last revision of this leaflet:April 2025

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

Online doctors for MOLAXOLE powder for oral solution

Discuss questions about MOLAXOLE powder for oral solution, including use, safety considerations and prescription review, subject to medical assessment and local regulations.

0.0 (0)
Doctor

Sviatoslav Chekhun

Oncology 13 years exp.

Dr. Sviatoslav Chekhun is a medical oncologist with international clinical and research experience, specializing in modern medical oncology and a personalized approach to cancer treatment.

Currently (since 2025), he works as a Medical Oncologist at Institut Català d’Oncologia (Girona, Spain). Previously, he completed his residency in Medical Oncology and was involved in clinical research at Hospital Universitari Germans Trias i Pujol.

Dr. Chekhun has a strong academic and scientific background. He served as a lecturer in Internal Medicine at O.O. Bohomolets National Medical University and conducted research in experimental oncology at the R.E. Kavetsky Institute of Experimental Pathology, Oncology and Radiobiology.

Earlier in his career, he worked as a medical oncologist at the Kyiv City Clinical Oncological Center and contributed to regulatory evaluation of medicinal products at the State Expert Center of the Ministry of Health of Ukraine.

When to consult Dr. Chekhun:

  •  for diagnosis or clarification of a cancer diagnosis
  •  to obtain a second opinion on an existing treatment plan 
  •  when you need a personalized treatment strategy 
  •  for interpretation of test results, CT, MRI, PET-CT, and biopsies 
  •  when choosing between treatment options (chemotherapy, targeted therapy, immunotherapy) 
  •  in case of doubts about treatment strategy or disease progression 

Consultation format

Dr. Chekhun provides online consultations, where you can receive:

  •  expert second opinion 
  •  detailed case review 
  •  recommendations based on current international treatment guidelines 
  •  personalized treatment and follow-up plan 

Important:
Prescription and monitoring of medications must be carried out by your treating physician in an in-person (offline) setting. An online consultation does not replace a face-to-face visit but helps you make more informed decisions about your treatment.

Dr. Sviatoslav Chekhun combines clinical practice, research, and international experience, enabling him to provide patients with modern, evidence-based approaches in oncology.

5.0 (198)
Doctor

Taisiia Proida

Family medicine 7 years exp.

Taisiia Proida is a general practitioner with a specialization in mental health and a cognitive behavioral therapist (CBT), a member of the European Psychiatric Association. She offers online consultations for adults aged 18 and over, combining evidence-based medicine with an individualised approach to mental health care. She specialises in consultations and ongoing support for a wide range of mental health concerns, including: 

  • Mood disorders: depression, bipolar disorder, postpartum depression.
  • Anxiety disorders: generalised anxiety, OCD, panic attacks, phobias.
  • Post-traumatic stress disorder (PTSD) and complex PTSD.
  • Attention deficit hyperactivity disorder (ADHD) and autism spectrum disorder (ASD). Assessment is provided only after an initial psychiatric evaluation and during a follow-up appointment.
  • Personality disorders and emotional instability.
  • Cyclothymia and mood fluctuations.
  • Schizophrenia spectrum and related conditions.

Dr. Proida combines clinical expertise with an empathetic approach, offering structured support based on evidence-based practices. Her work integrates CBT techniques with medical management, with a focus on anxiety and depressive disorders. She works with clients from different countries and cultural backgrounds, adapting her communication style and recommendations to individual needs. With experience in international clinical trials (Pfizer, Merck), she values clarity, trust, and collaborative partnership in patient care.

5.0 (938)
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.

Camera Book a video appointment
€55
5.0 (2)
Doctor

Alexander Nazarchuk

Allergology 7 years exp.

Dr. Alexander Nazarchuk is a physician specialising in allergology and internal medicine. He provides online consultations for adults, following the principles of evidence-based medicine — no outdated treatments or unnecessary tests, with clear explanations and a personalised approach. He helps patients with a wide range of allergic and therapeutic conditions, from common day-to-day complaints to complex cases involving allergies, gastrointestinal issues, cardiovascular concerns, respiratory symptoms, and more.

You can consult Dr. Nazarchuk for:

  • Test interpretation and guidance on diagnostic plans.
  • Allergic rhinitis, hay fever, bronchial asthma (including severe cases).
  • Food and drug allergies, skin rashes, angioedema.
  • Atopic dermatitis, urticaria, contact allergies.
  • Allergen-specific immunotherapy (AIT) – initiation and ongoing management.
  • Abdominal pain, bloating, changes in bowel habits, nausea, heartburn.
  • High blood pressure and adjustment of baseline antihypertensive therapy.
  • Hyperlipidaemia and elevated cholesterol.
  • Cough, nasal congestion, fever, sore throat.
  • Anaemia, including iron deficiency and related conditions.
  • Other issues related to allergology and internal medicine.

During consultations, Dr. Nazarchuk takes a thorough, structured approach — analysing symptoms, identifying potential causes, and helping patients make informed decisions. Whether treatment, further investigation, or monitoring is needed, he explains each step clearly so you understand your health and how best to manage it.

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€66
5.0 (5)
Doctor

Tomasz Grzelewski

Dermatology 21 years exp.

Dr Tomasz Grzelewski is an MD, PhD specialist in allergy, paediatrics, general practice and sports medicine, with a clinical focus on dermatology, endocrinology, allergology and sports-related health. He has more than 20 years of clinical experience and completed his medical training at the Medical University of Łódź, where he defended his PhD thesis with distinction. His doctoral research was recognised by the Polish Society of Allergology for its innovative contribution to the field. Throughout his career, he has gained extensive expertise in diagnosing and managing a wide range of allergic and paediatric conditions, including modern allergen desensitisation techniques. For five years, Dr Grzelewski served as the Head of two paediatric departments in Poland, managing complex clinical cases and leading multidisciplinary teams. He also worked in medical centres in the United Kingdom, gaining experience across both primary care and specialist environments. With over a decade of telemedicine experience, he has provided online consultations across Europe and is valued for his clear, structured and evidence-based medical guidance. Dr Grzelewski is actively involved in clinical programmes focused on modern anti-allergic therapies. As a Principal Investigator, he leads research projects on sublingual and oral allergen desensitisation, supporting evidence-based progress in allergy treatment for both children and adults. In addition to his background in allergology and paediatrics, he completed dermatology studies through the Cambridge Education Group (Royal College of Physicians of Ireland) and a Clinical Endocrinology course at Harvard Medical School. This advanced training enhances his ability to manage skin manifestations of allergies, atopic conditions, urticaria, endocrine-related symptoms and complex immunological reactions. Patients commonly seek his care for: 

  • seasonal and perennial allergies
  • allergic rhinitis and chronic nasal symptoms
  • asthma and breathing difficulties
  • food and medication allergies
  • urticaria, atopic dermatitis and skin reactions
  • recurrent infections in children
  • sports-related health questions
  • general family medicine concerns

Dr Tomasz Grzelewski is known for his clear communication style, structured medical approach and ability to explain treatment options in a concise and accessible way. His multidisciplinary background across allergy, paediatrics, dermatology and endocrinology allows him to provide safe, up-to-date and comprehensive care for patients of all ages.

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€86

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Frequently Asked Questions

Is a prescription required for MOLAXOLE powder for oral solution?

MOLAXOLE 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 MOLAXOLE powder for oral solution?

The active ingredient in MOLAXOLE powder for oral solution is macrogol, combinations. This information helps identify medicines with the same composition but different brand names.

Who manufactures MOLAXOLE powder for oral solution?

MOLAXOLE powder for oral solution is manufactured by Viatris Healthcare Limited. Pharmacy brands and packaging may differ depending on the distributor.

Which doctors can assess the use of MOLAXOLE 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 MOLAXOLE 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.

How to buy MOLAXOLE powder for oral 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 MOLAXOLE 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:

What are the alternatives to MOLAXOLE 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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