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FEMLAX 10 G ORAL SOLUTION POWDER IN SACHETS

FEMLAX 10 G ORAL SOLUTION POWDER IN SACHETS

Ask a doctor about a prescription for FEMLAX 10 G ORAL SOLUTION POWDER IN SACHETS

5.0(14)
Doctor

Tarek Agami

General medicine11 years of experience

Dr. Tarek Agami is a general practitioner registered in both Portugal and Israel, with broad experience in family and preventive medicine. He offers online consultations for adults and children, providing personalised support for primary care needs, chronic disease management, and everyday health concerns.

Dr. Agami received clinical training and worked in leading medical institutions in Israel (Kaplan Medical Center, Barzilai Medical Center, Wolfson Medical Center) and Portugal (European Healthcare City, Viscura Internacional, Hospital Dr. José Maria Grande, Hospital Vila Franca de Xira). His approach combines international medical standards with individualised attention to each patient.

Main areas of consultation:

  • Diagnosis and treatment of acute and chronic conditions (high blood pressure, diabetes, respiratory infections, cardiovascular symptoms)
  • Evaluation of symptoms and guidance on further diagnostic testing
  • Preventive check-ups and regular health monitoring
  • Medical support during travel or after relocation
  • Treatment adjustments and lifestyle recommendations based on your personal history
Dr. Agami provides medical support for patients using GLP-1 medications (such as Ozempic or Mounjaro) 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 Portugal and Israel.

Dr. Agami is committed to evidence-based, patient-centred care, ensuring that each person receives trusted medical support tailored to their health goals.

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Doctor

Nuno Tavares Lopes

Family 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.

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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 FEMLAX 10 G ORAL SOLUTION POWDER IN SACHETS

Introduction

Leaflet:information for the user

Femlax10 g powder for oral solution in sachet

macrogol 4000

Read the entire leaflet carefully before starting to take this medication,as it contains important information for you.

Follow the administration instructions for the medication contained in this leaflet or as indicated by your doctor or pharmacist or nurse.

  • Keep this leaflet as you may need to read it again.
  • If you need advice or more information, consult your pharmacist.
  • If you experience side effects, consult your doctor, pharmacist, or nurse, even if they are not listed in this leaflet. See section 4.
  • You should consult a doctor if it worsens or does not improve after 7 days

Contents of the leaflet:

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

1. What is Femlax and what is it used for

The name of this medication is Femlax powder for oral solution in sachet.

This medication contains Macrogol (PEG = Polyethylene Glycol) 4000.

Femlax is considered an osmotic laxative.

Femlax is used for the symptomatic relief of occasional constipation in adults and children over 8 years old.

Any organic disorder should be ruled out before starting treatment. It should be used along with lifestyle changes and a suitable diet (see section 2). It should not be used for more than 1 week of treatment, unless advised by a doctor.

You should consult your doctor if it worsens or does not improve after 7 days.

2. What you need to know before taking Femlax

Occasional constipation:

Occasional constipation may be related to a recent change in lifestyle. There are medications that can be used for short-term treatment. Consult your doctor if you have recently suffered from constipation not due to changes in your lifestyle or constipation associated with pain, fever, or abdominal inflammation.

Chronic constipation (long-term constipation):

Chronic constipation may be caused by:

  • Intestinal disease that requires consulting a doctor.
  • Intestinal dysfunction (imbalance) due to dietary habits and lifestyle.

Treatment includes, among others:

  • An increase in the proportion of fiber in the diet (vegetables, whole wheat bread, fruit).
  • An increase in water and fruit juice intake.
  • An increase in physical activity (exercise, walking...).
  • Rehabilitation of the defecation reflex.

If the symptoms persist despite dietary measures, the existence of an underlying cause should be considered and treated.

Do not takeFemlax:

  • If you are allergic to Macrogol (= PEG = polyethylene glycol) or to any of the other components of this medication (included in section 6).
  • If you have a disease that affects the intestine or colon (such as ulcerative colitis, Crohn's disease) or toxic megacolon, associated with symptomatic stenosis.
  • If you have abdominal pain of unknown cause.
  • If you have or suspect you may have a gastrointestinal perforation.
  • If you have or suspect you may have an intestinal obstruction (ileus).
  • Femlax should not be administered to children under 8 years old

Warnings and precautions

Consult your doctor, pharmacist, or nurse before starting to take Femlax.

Patients should consult their doctor in case of no improvement or worsening after 7 days of treatment.

Due to the mechanism of action of macrogol, it is recommended to drink liquids during treatment with this medication.

In case of diarrhea, some patients may develop electrolyte disorders (decrease in certain salts in the blood), mainly elderly people, with liver or kidney problems, or those taking diuretics (medications that facilitate the elimination of liquids). If you are one of these people and experience diarrhea, you should review your electrolyte levels with a blood test.

Hypersensitivity reactions (rash, urticaria, and edema) have been reported with drugs containing macrogol (polyethylene glycol). Exceptional cases of anaphylactic shock have been reported.

Use with caution in patients with altered nausea reflex, patients prone to regurgitation or aspiration, and in patients with swallowing problems. In these cases, consult your doctor.

Avoid mixing Femlax 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.

Other medications andFemlax

Tell your doctor or pharmacist if you are taking, have recently taken, or may need to take any other medication.

Femlax may delay the absorption of other medications, making them less effective or ineffective, especially those with a narrow therapeutic index (e.g., antiepileptics, digoxin, and immunosuppressants).

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.

Pregnancy

Femlax can be taken during pregnancy.

Breastfeeding

Femlax can be taken during breastfeeding.

Fertility

It is not expected that Femlax will have an effect on fertility.

Driving and using machines

Femlax has no influence on the ability or skill to handle machinery.

Femlax contains an insignificant amount of sugar or polyols, and can therefore be prescribed to diabetic patients or patients on a galactose-free diet.

Femlaxcontains sulfur dioxide

This medication contains sulfur dioxide. It can rarely cause severe hypersensitivity reactions and bronchospasm.

Femlaxcontains sodium

This medication contains less than 1 mmol of sodium (23 mg) per unit dose; that is, it is essentially "sodium-free".

3. How to take Femlax

Follow the administration instructions for this medication as indicated by your doctor or pharmacist. In case of doubt, consult your doctor or pharmacist again.

Oral route.

The recommended dose for adults and children over 8 years old is:

1 sachet per day, preferably in the morning.

The effect of Femlax occurs 24-48 hours after administration.

The daily dose should be adjusted based on the effect of the medication and can range from one sachet every two days (especially in children) and in case the initial dose is not effective, it can be increased to up to 2 sachets per day.

If the treatment is effective, it is recommended to reduce the dose to the minimum effective dose. The treatment should be gradually discontinued.

If the symptoms worsen or persist after 7 days of treatment, you should consult your doctor.

Dissolve the contents of the sachet in a glass of water (at least 125 ml) immediately before administration and drink the liquid. The result will be a clear and transparent solution like water.

It is recommended to drink 125 ml of liquids (e.g., water) after each dose.

The improvement in intestinal transit after administration of Femlax will be maintained by following a healthy lifestyle and diet.

Use in children and adolescents

Femlax is contraindicated in children under 8 years old.

If you take moreFemlaxthan you should

You may develop diarrhea, abdominal pain, and vomiting that disappears when treatment is temporarily interrupted or the dose is reduced.

If you suffer from significant diarrhea or vomiting, you should contact your doctor as soon as possible, as due to fluid loss, you may need treatment to prevent electrolyte loss.

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 takeFemlax

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

4. Possible side effects

Like all medications, this medication can cause side effects, although not everyone experiences them.

The most serious side effects are allergic reactions (hypersensitivity) that include itching (hives), rash, facial edema (swelling of the face), Quincke's edema (rapid swelling of the inner layers of the skin), urticaria, and anaphylactic shock. The frequency of these side effects has been reported as very rare (may affect 1 in 10,000 people) in the adult population, and in the pediatric population, the frequency could not be established from the available data. If you notice any of the reactions described above, please do not continue taking this medication and contact your doctor immediately.

Adults

Generally, side effects are mild and transient, and mainly affect the gastrointestinal system. These side effects include:

Frequent (may affect up to 1 in 10 people)

  • Abdominal pain.
  • Abdominal distension.
  • Diarrhea.
  • Nausea.

Uncommon (may affect up to 1 in 100 people)

  • Vomiting.
  • Urgent need to go to the bathroom.
  • Fecal incontinence.

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

  • Electrolyte disorders: low sodium and potassium levels in the blood (hyponatremia and hypokalemia).
  • Dehydration caused by severe diarrhea, especially in elderly patients.
  • Erythema.

Children and adolescents

As in the adult population, side effects are generally mild and transient and mainly affect the gastrointestinal system. These side effects include:

Frequent (may affect up to 1 in 10 people)

  • Abdominal pain.
  • Diarrhea (may cause perianal pain).

Uncommon (may affect up to 1 in 100 people)

  • Vomiting
  • Bloating
  • Nausea

Excessive doses can cause diarrhea, abdominal pain, and vomiting that usually disappear when the dose is reduced or treatment is temporarily interrupted.

Reporting side effects

If you experience any type of side effect, consult your doctor, pharmacist, or nurse, even if it is a possible side effect that does not appear in this leaflet. You can also report them directly through the Spanish Medicines and Health Products Agency (AEMPS) http://www.aemps.gob.es/

5. Storage of Femlax

Keep this medication out of sight and reach of children.

This medication does not require special storage conditions.

Do not use this medication after the expiration date that appears on the packaging after CAD. The expiration date is the last day of the month indicated.

Do not use this medication if you observe any visible signs of deterioration.

Medications should not be thrown down the drain or into the trash. Deposit the packaging and medications you no longer need at the SIGRE collection point in the pharmacy. Ask your pharmacist how to dispose of the packaging and medications you no longer need. This way, you will help protect the environment.

6. Package contents and additional information

Composition ofFemlax

  • The active ingredient is Macrogol 4000. Each sachet contains 10 g of macrogol 4000.
  • The other components are sodium saccharin (E954) and apple flavor (natural flavor, maltodextrin, gum arabic (E-414), sulfur dioxide (E-220), alpha-tocopherol (E-307)). See section 2 "Femlax contains sulfur dioxide".

Appearance of the productand package contents

Femlax is a almost white powder contained in a sachet to make a solution.

It is available in packages of 10 and 20 sachets.

Only some 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:

Other sources of information

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 FEMLAX 10 G ORAL SOLUTION POWDER IN SACHETS

Discuss dosage, side effects, interactions, contraindications, and prescription renewal for FEMLAX 10 G ORAL SOLUTION POWDER IN SACHETS – subject to medical assessment and local rules.

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Doctor

Tarek Agami

General medicine11 years of experience

Dr. Tarek Agami is a general practitioner registered in both Portugal and Israel, with broad experience in family and preventive medicine. He offers online consultations for adults and children, providing personalised support for primary care needs, chronic disease management, and everyday health concerns.

Dr. Agami received clinical training and worked in leading medical institutions in Israel (Kaplan Medical Center, Barzilai Medical Center, Wolfson Medical Center) and Portugal (European Healthcare City, Viscura Internacional, Hospital Dr. José Maria Grande, Hospital Vila Franca de Xira). His approach combines international medical standards with individualised attention to each patient.

Main areas of consultation:

  • Diagnosis and treatment of acute and chronic conditions (high blood pressure, diabetes, respiratory infections, cardiovascular symptoms)
  • Evaluation of symptoms and guidance on further diagnostic testing
  • Preventive check-ups and regular health monitoring
  • Medical support during travel or after relocation
  • Treatment adjustments and lifestyle recommendations based on your personal history
Dr. Agami provides medical support for patients using GLP-1 medications (such as Ozempic or Mounjaro) 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 Portugal and Israel.

Dr. Agami is committed to evidence-based, patient-centred care, ensuring that each person receives trusted medical support tailored to their health goals.

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  • 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.

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  • hypertension and other blood pressure issues
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  • asthma, COPD and emphysema
  • pneumonia and lung fibrosis
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  • liver conditions, including alcohol-related disease
  • epilepsy, seizures and post-stroke symptoms
  • dementia and cognitive decline
  • anaemia and other haematological changes
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When clinically appropriate, Dr. Altaf can also provide health and fitness certificates, including documentation required for physical activity, sports participation or gym use, based on the patient’s health status and medical indications.

Some conditions are not suitable for online care. Severe chest pain, loss of consciousness, uncontrolled bleeding, seizures, major trauma or symptoms suggesting a stroke or heart attack require immediate attention from local emergency services. Dr. Altaf prioritises patient safety and will guide you accordingly if your situation needs urgent in-person care.

In all consultations, Dr. Muhammad Tayyab Altaf focuses on clear communication, accurate diagnosis and patient-centred decision-making. His approach ensures that individuals and families feel informed, supported and confident in their next steps, no matter where they are.

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Yevgen Yakovenko

General surgery12 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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