PEGORION 12 g Powder

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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 Pegorion

Contents of the leaflet

  1. Package Leaflet: Information for the User
  2. Pegorion, 12 g, Powder for Oral Solution
    1. Read the Package Leaflet Carefully Before Taking the Medicinal Product
    2. Table of Contents of the Package Leaflet:
  3. What is Pegorion and What is it Used For
  4. Important Information Before Taking Pegorion
    1. When Not to Take Pegorion
    2. Warnings and Precautions
    3. Children and Adolescents
    4. Pegorion and Other Medicinal Products
    5. Pregnancy and Breastfeeding
    6. Driving and Using Machines
  5. How to Take Pegorion
    1. Overdose of Pegorion
  6. Possible Side Effects
    1. Other Side Effects
    2. Additional Side Effects in Children and Adolescents
    3. Reporting of Side Effects
  7. How to Store Pegorion
  8. Contents of the Package and Other Information
    1. What Pegorion Contains
    2. What Pegorion Looks Like and Contents of the Package
    3. Marketing Authorisation Holder
    4. Manufacturer

Package Leaflet: Information for the User

Pegorion, 12 g, Powder for Oral Solution

Macrogol

Read the Package Leaflet Carefully Before Taking the Medicinal Product

This medicinal product should always be taken exactly as described in this package leaflet or as directed by your doctor or pharmacist.

  • Keep this package leaflet. You may need to read it again.
  • If you have any further questions, ask your pharmacist.
  • If you experience any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this package leaflet. See section 4.
  • If after 14 days there is no improvement or you feel worse, you should contact your doctor.

Table of Contents of the Package Leaflet:

  • 1. What is Pegorion and What is it Used For
  • 2. Important Information Before Taking Pegorion
  • 3. How to Take Pegorion
  • 4. Possible Side Effects
  • 5. How to Store Pegorion
  • 6. Contents of the Package and Other Information
Doctor consultation

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1. What is Pegorion and What is it Used For

Pegorion is used to treat constipation and to soften and ease the passage of hard or dry stools (faecal impaction/obstruction). The active substance, macrogol, works by absorbing water, thereby increasing the amount of water in the stools, making them softer and easier to pass. If after 14 days there is no improvement or you feel worse, you should contact your doctor.

2. Important Information Before Taking Pegorion

When Not to Take Pegorion

  • if you are allergic to macrogol;
  • if you have a bowel obstruction due to a physical or functional disorder of the bowel wall;
  • if you have a perforation of the bowel wall;
  • if you have severe inflammatory bowel disease (e.g., Crohn's disease, ulcerative colitis, toxic megacolon);
  • if you have abdominal pain of unknown origin.

Warnings and Precautions

Before taking Pegorion, talk to your doctor or pharmacist.

  • if constipation occurs suddenly or gets worse. This could be a sign of bowel obstruction;
  • if you experience sudden abdominal pain or rectal bleeding while taking Pegorion for bowel clearance, you should contact your doctor or seek medical attention immediately.
  • if you have liver or kidney problems or if you are taking diuretics and experience diarrhoea;
  • if constipation is accompanied by pain, fever, or abdominal discomfort.

Remember that treatment of constipation with any medicinal product is only a supplement to a healthy lifestyle and diet, for example:

  • increased fluid and fibre intake,
  • regular physical activity and bowel habit rehabilitation.

Children and Adolescents

Pegorion powder for oral solution in a 12 g sachet is not intended for use in children under 8 years of age. For children aged 2 to 7 years, 6 g sachets (Pegorion Junior powder for oral solution 6 g) are available. In children, treatment of constipation should not last more than 3 months due to the lack of adequate clinical data beyond 3 months. Therefore, after 3 months of treatment, a full clinical evaluation should be performed to determine the cause of constipation in the patient. In case of diarrhoea, caution should be exercised in patients with a tendency to develop water and electrolyte imbalance.

Pegorion and Other Medicinal Products

Tell your doctor or pharmacist about all medicinal products you are taking or have recently taken, as well as any you plan to take. Pegorion may reduce the absorption of other medicinal products. If you need to thicken fluids to be able to swallow them safely, Pegorion may counteract the thickening effect.

Pregnancy and Breastfeeding

Pegorion can be used during pregnancy and breastfeeding.

Driving and Using Machines

Pegorion has no influence on the ability to drive and use machines.

Medicine questions

Started taking the medicine and have questions?

Discuss your symptoms and treatment with a doctor online.

3. How to Take Pegorion

Take this medicinal product exactly as described in this package leaflet or as directed by your doctor or pharmacist. If you are not sure, talk to your doctor or pharmacist. One sachet of powder (12 g) should be dissolved in 200 ml (a glass) of liquid: water, juice, tea, or coffee. The solution should be prepared just before taking. Treatment of chronic constipation: Adults and children over 8 years: The recommended dose is 1 sachet (12 g) once or twice daily. The dose can be adjusted to produce a comfortable and consistent bowel movement. Pegorion powder for oral solution in a 12 g sachet is not intended for use in children under 8 years of age. For children aged 2 to 7 years, 6 g sachets (Pegorion Junior powder for oral solution 6 g) are available. Treatment with Pegorion usually lasts for up to 2 weeks. If symptoms do not improve after 2 weeks of treatment, you should contact your doctor. Your doctor may also recommend longer treatment. Long-term treatment may be necessary if you are taking medicinal products that cause constipation or have a disease that causes constipation. Softening of dry stools (treatment of faecal impaction/obstruction): Adults and children over 12 years: 5-10 sachets (5-10 x 12 g) per day for 1-3 days. Patients with cardiovascular disorders: The dose should be divided so that no more than two sachets are taken in one hour.

Overdose of Pegorion

Large doses may cause abdominal pain, diarrhoea, and vomiting. In case of overdose, stop taking the medicinal product.

4. Possible Side Effects

Like all medicinal products, Pegorion can cause side effects, although not everybody gets them. Some side effects can be serious. These include:

  • Very rare side effects (may affect up to 1 in 10,000 people): Anaphylactic reactions (e.g., anaphylactic shock), angioedema (e.g., sudden swelling of the skin, mucous membranes, or internal organs).

If you experience any of these symptoms or other serious symptoms, you should contact your doctor or the emergency department of your nearest hospital immediately. If you experience an allergic reaction, do not take another dose of this medicinal product and talk to your doctor.

Other Side Effects

Common side effects (may affect up to 1 in 10 people):

  • abdominal pain, abdominal distension, nausea, flatulence, or diarrhoea

Uncommon side effects (may affect up to 1 in 100 people):

  • vomiting, urgent need to have a bowel movement, faecal incontinence

Very rare side effects (may affect up to 1 in 10,000 people):

  • allergic reactions, such as rash, itching

Frequency not known (cannot be estimated from the available data):

  • electrolyte and water balance disorders and dehydration, especially in elderly patients

Additional Side Effects in Children and Adolescents

Common side effects (may affect up to 1 in 10 people):

  • abdominal pain, diarrhoea (which may cause anal pain)

Uncommon side effects (may affect up to 1 in 100 people):

  • vomiting, flatulence, nausea

Frequency not known (cannot be estimated from the available data):

  • allergic reactions, such as urticaria, rash, itching

Reporting of Side Effects

If you experience any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this package leaflet. You can also report side effects directly to the Department of Monitoring of Adverse Reactions to Medicinal Products, Urząd Rejestracji Produktów Leczniczych, Wyrobów Medycznych i Produktów Biobójczych, Al. Jerozolimskie 181 C, 02-222 Warszawa, Tel.: +48 22 49 21 301, Fax: +48 22 49 21 309, Website: https://smz.ezdrowie.gov.pl. Side effects can also be reported to the marketing authorisation holder. By reporting side effects, you can help provide more information on the safety of this medicinal product.

5. How to Store Pegorion

Keep this medicinal product out of the sight and reach of children. This medicinal product does not require any special storage conditions. Do not use this medicinal product after the expiry date which is stated on the carton and sachet after EXP. The expiry date refers to the last day of that month. Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help protect the environment.

6. Contents of the Package and Other Information

What Pegorion Contains

  • The active substance is macrogol 4000. One sachet contains 12 grams of macrogol 4000.
  • The medicinal product does not contain any other ingredients.

What Pegorion Looks Like and Contents of the Package

White or almost white powder. The package contains 10, 20, or 50 sachets. Not all pack sizes may be marketed.

Marketing Authorisation Holder

Orion Corporation, Orionintie 1, 02200 Espoo, Finland

Manufacturer

Orion Corporation, Orion Pharma, Orionintie 1, 02200 Espoo, Finland. For further information on this medicinal product, please contact the local representative of the marketing authorisation holder: Orion Pharma Poland Sp. z o.o., [email protected]. Date of Last Revision of the Package Leaflet:29.10.2021

Online doctors for Pegorion

Discuss questions about Pegorion, 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(36)

Andrei Popov

General medicinePain medicine7 years of experience

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.

Book a video appointment
€86
Doctor
5.0(12)

Yevgen Yakovenko

Family 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

Family 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(2)

Dmytro Horobets

Family medicineEndocrinology7 years of experience

Dr. Dmytro Horobets is a licensed family medicine physician in Poland, specialising in endocrinology, diabetology, obesity management, gastroenterology, pediatrics, general surgery, and pain medicine. He offers online consultations for adults and children, providing personalised medical support for a wide range of acute and chronic health concerns.

Areas of expertise:

  • Endocrinology: diabetes type 1 and type 2, prediabetes, thyroid disorders, metabolic syndrome, hormonal imbalance.
  • Obesity medicine: structured weight management plans, nutritional counselling, obesity-related health risks.
  • Gastroenterology: acid reflux (GERD), gastritis, irritable bowel syndrome (IBS), liver and biliary conditions.
  • Pediatric care: infections, respiratory symptoms, digestive issues, growth and development monitoring.
  • General surgery support: pre- and post-surgical consultations, wound care, rehabilitation.
  • Pain management: chronic and acute pain, back pain, joint pain, post-traumatic pain syndromes.
  • Cardiovascular health: hypertension, cholesterol control, risk assessment for heart disease.
  • Preventive medicine: regular check-ups, health screenings, long-term management of chronic conditions.

Dr. Horobets combines evidence-based medicine with a patient-centred approach. He carefully evaluates each patient’s medical history and symptoms, offering clear explanations and structured treatment plans adapted to individual needs.

Whether you need help managing diabetes, tackling weight-related health issues, interpreting lab results, or receiving general family medicine support, Dr. Horobets provides professional online care tailored to your specific health goals.

Book a video appointment
€71
Doctor
5.0(19)

Nuno Tavares Lopes

Family medicineGeneral 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 Pegorion Prescription Online

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

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Doctor reviews your case

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Electronic prescription sent to your email — valid across Spain.

Frequently Asked Questions

Is a prescription required for Pegorion?

Pegorion does not require a prescription in Poland. You can check with a doctor online whether this medicine may be appropriate for your situation.

What is the active substance in Pegorion?

The active ingredient in Pegorion is macrogol. This information helps identify medicines with the same composition but different brand names.

Who manufactures Pegorion?

Pegorion is manufactured by Orion Corporation. Pharmacy brands and packaging may differ depending on the distributor.

Which doctors can assess the use of Pegorion 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 Pegorion 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 Pegorion 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 Pegorion 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 Pegorion?

Other medicines with the same active substance (macrogol) include Forlax 10 g, Macrogol Aurovitas, Olopeg. 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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