Package Insert: Information for the User
Casenglicol Powder for Oral Solution
macrogol 4000, anhydrous sodium sulfate, sodium hydrogen carbonate, sodium chloride, potassium chloride, sodium dihydrogen phosphate
Read this package insert carefully before starting to take this medication, as it contains important information for you.
1. What is Casenglicol and how is it used
2. What you need to know before starting to take Casenglicol
3. How to take Casenglicol
4. Possible adverse effects
5. Storage of Casenglicol
6. Contents of the package and additional information
Casenglicol belongs to a group of medications called osmotic laxatives.
Casenglicol is an intestinal evacuant indicated for adults for the prior preparation of colonoscopy, surgery, radiology, and other colorectal and genitourinary examinations.
It is occasionally used for the treatment in adults of chronic constipation of non-organic cause that has previously been treated, without satisfactory results, with a high water content diet and an increase in daily physical exercise.
Do not take Casenglicol
Warnings and precautions
Consult your doctor or pharmacist before starting to take Casenglicol.
Children
Do not administer to children.
Other medications and Casenglicol
Inform your doctor or pharmacist if you are taking, have taken recently, or may need to take any other medication.
Casenglicol accelerates intestinal transit, which may cause the administered medication to be poorly absorbed and eliminated through the gastrointestinal tract, potentially reducing its effect.
Pregnancy, breastfeeding, and fertility
If you are pregnant or breastfeeding, or if you think you may be 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 operating machinery
Not described.
Casenglicol contains sodium and potassium
Consult your doctor or pharmacist if you need Casenglicol or more than 1 sachet per day for a prolonged period, especially if you have been advised to follow a low-sodium diet.
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 patients with potassium-poor diets.
Follow exactly the administration instructions of this medication indicated by your doctor or pharmacist. In case of doubt, consult your doctor or pharmacist again.
Casenglicol will be taken by dissolving the content of each 17.6 g sachet in 250 ml of drinking water or each 70.5 g sachet in a liter of drinking water. The solution must be consumed within 4 hours.
The recommended dose is:
For intestinal evacuation with diagnostic or surgical purposes:
Adults
Sachets of 70.5 g: the complete dose is 4 sachets of 70.5 g.
Dissolve the content of one sachet in1 literof water.
Sachets of 17.6 g: the complete dose is 16 sachets of 17.6 g.
Dissolve the content of one sachet in 250 ml of water.
Patients 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).
Patients with hepatic insufficiency: no dose adjustment is required.
Geriatric patients: the dosage regimen is the same as for adults.
Use in children:
No data are available. Therefore, this medication should not be administered to children.
The solution is administered orally. It is recommended to administer200 to250 ml every 10-15 minutes, until the total volume has been ingested or the stool is clear.
No food should be taken during the 3 or 4 hours before administration of the solution and in no case should solid food be ingested 2 hours before using it.
In patients unable to drink the solution, a nasogastric tube may be used at a rate of 20-30 ml per minute.
Intestinal movement will occur approximately 1 hour after starting treatment.
For the treatment of chronic constipation of non-organic cause:
Adults:The recommended dose is250-500 ml per dayof the solution reconstructed from a 17.6 g sachet in 250 ml of water or a 70.5 g sachet in a liter of water.
Patients 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).
Patients with hepatic insufficiency: no dose adjustment is required.
Geriatric patients: the dosage regimen is the same as for adults.
Use in children
No data are available. Therefore, this medication should not be administered to children.
Treatment duration:As with all laxatives, the use of Casenglicol should not be prolonged.
Do not use Casenglicol for more than six days without consulting your doctor.
Administer Casenglicol as a single dose, when deep intestinal evacuation is required.
If you take more Casenglicol than you should
If you take more Casenglicol than you should, you may experience excessive diarrhea that may lead to dehydration. Drink plenty of fluids. In case of overdose or accidental ingestion, consult your doctor or pharmacist immediately or call the Toxicological Information Service, phone: 91 562 04 20 (indicating the medication and the amount ingested).
If you forgot to take Casenglicol
Do not take a double dose to compensate for the missed doses.
If you have any other questions about the use of this medication, ask your doctor or pharmacist.
Like all medications, this medication may produce adverse effects, although not everyone will experience them.
Theseadverse effects include:
Frequent (may affect up to 1 in 10 people)
Rare (may affect up to 1 in 100 people)
These adverse reactions are transient and resolve quickly.
Unknown frequency (cannot be estimated from available data)
These adverse reactions are caused by allergic reactions.
Reporting Adverse Effects
If you experience any type of adverse effect, consult your doctor, pharmacist, or nurse, even if it is a possible adverse effect not listed in this prospectus. You can also report them directly through the Spanish System for Pharmacovigilance of Medicinal Products for Human Use:www.notificaram.es. By reporting adverse effects, you can contribute to providing more information about the safety of this medication.
Keep this medication out of the sight and reach of children.
Do not store at a temperature above 30°C
When not using this medication, the solution can be stored in the refrigerator (between 2°C and 8°C) and discard it 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 observe deterioration in the packaging.
Medications should not be disposed of through drains or trash. Dispose of the packaging and unused medications at the SIGRE collection point at the pharmacy. If in doubt, ask your pharmacist how to dispose of unused packaging and medications. By doing so, you will help protect the environment.
Composition of Casenglicol
The active principles per 1 g, over 17.6 g, and over 70.5 g, are:
Per 1g | Over 17.6 g | Over 70.5 g | |
Active principles: | |||
Macrogol 4000 | 849.8 mg | 14.97 g | 59.90 g |
Sodium anhydrous sulfate | 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 |
Dihydrogen phosphate of sodium (Bisodium phosphate) | 6.8 mg | 0.12 g | 0.49 g |
The other excipients are:
Appearance of the product and contents of the packaging
Casenglicol is presented in the form of single-dose sachets containing oral powder solution in different packaging sizes: packaging of 4 sachets of 70.5 g, 100 sachets of 70.5 g, 16 sachets of 17.6 g, or 500 sachets of 17.6 g.
Only some packaging sizes may be commercially available.
Marketing authorization holder andResponsible for manufacturing:
Casen Recordati, S.L.
Autovía de Logroño, Km 13,300
50180 Utebo, (Zaragoza)Spain
Last review date of this leaflet:February 2025
Detailed information about this medication is available on the website of the Spanish Agency for Medicines and Medical Devices (AEMPS)http://www.aemps.gob.es/
Have questions about this medication or your symptoms? Connect with a licensed doctor for guidance and personalized care.