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CASENGLICOL POWDER FOR ORAL SOLUTION

CASENGLICOL POWDER FOR ORAL SOLUTION

Ask a doctor about a prescription for CASENGLICOL POWDER FOR ORAL SOLUTION

5.0(38)
Doctor

Yevgen Yakovenko

General surgery11 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.

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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 CASENGLICOL POWDER FOR ORAL SOLUTION

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.

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.

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/

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Online doctors for CASENGLICOL POWDER FOR ORAL SOLUTION

Discuss dosage, side effects, interactions, contraindications, and prescription renewal for CASENGLICOL POWDER FOR ORAL SOLUTION – subject to medical assessment and local rules.

5.0(38)
Doctor

Yevgen Yakovenko

General surgery11 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.

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His clinical background includes:

  • assessment of sudden or unclear symptoms
  • ongoing care for chronic conditions
  • follow-up after hospital discharge
  • interpretation of test results
  • medical support while abroad
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.

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  • Chronic pain lasting more than 3 months.
  • Migraines and recurring headaches.
  • Neck, back, lower back, and joint pain.
  • Post-traumatic pain following injury or surgery.
  • Nerve-related pain, fibromyalgia, and neuralgia.
In addition to pain management, Dr. Popov helps patients with:
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  • Preventive care and routine health check-ups.

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Dr. Popov’s approach is rooted in evidence-based medicine, combined with individualised care tailored to each patient’s history, lifestyle, and clinical needs.

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  • 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).
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General internal medicine and preventive care:
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  • 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.
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Dr. Tabeshadze takes a patient-centred approach based on evidence-based medicine. Her goal is to help patients achieve hormonal balance, manage chronic conditions effectively, and improve overall well-being through targeted, personalised care.
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Dr Kuznetsova helps patients manage cardiovascular risk factors, optimise long-term treatment, and gain clarity in complex health situations – all through accessible and structured online care.
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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.
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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.

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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.

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You can consult Dr. Ben Harbi for:

  • General health concerns, prevention, and primary care.
  • Hypertension, type 1 and type 2 diabetes, metabolic issues.
  • Cold, cough, flu, respiratory infections, sore throat, fever.
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  • Skin rashes, mild allergic reactions, basic dermatological complaints.
  • Medication guidance, treatment adjustments, prescription review.
  • Paediatric concerns — fever, infections, general well-being.
  • Lifestyle optimisation: stress, sleep, weight, and diet counselling.

Dr. Ben Harbi offers reliable, accessible medical support through online consultations, helping patients make informed decisions about their health with a clear, structured, and compassionate approach.

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  • abdominal pain, cramps, discomfort, painful bowel movements
  • heartburn, acid reflux, burping, bitter taste in the mouth
  • bloating, excessive gas, nausea or vomiting
  • diarrhoea, constipation, difficulty passing stool
  • unexplained changes in weight or appetite
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  • changes in lab results, questions about test interpretation
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  • general digestive check-ups and health assessments
Dr Habrykevych follows evidence-based medical standards and adapts each consultation to the patient’s individual situation. The online format allows for timely medical support without the need for an in-person visit.
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