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MICRALAX CITRATE/LAURYL SULFOACETATE 450 mg/45 mg rectal solution

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About the medicine

How to use MICRALAX CITRATE/LAURYL SULFOACETATE 450 mg/45 mg rectal solution

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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.

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Introduction

Package Leaflet: Information for the User

MICRALAX CITRATE/LAURYL SULFOACETATE 450mg/45mg rectal solution

Sodium citrate/ Sodium lauryl sulfoacetate

Read the package leaflet carefully before you start using this medicine because it contains important information for you.

Follow the administration instructions of the medicine contained in this package leaflet or as indicated by your doctor or pharmacist.

  • Keep this package leaflet, 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 or pharmacist, even if they are not listed in this package leaflet. See section 4.
  • You should consult a doctor if your condition worsens or does not improve after 6 days of treatment.

Contents of the package leaflet:

  1. What Micralax Citrate/Lauryl sulfoacetate is and what it is used for.
  2. What you need to know before you start using Micralax Citrate/Lauryl sulfoacetate.
  3. How to use Micralax Citrate/Lauryl sulfoacetate
  4. Possible side effects.
  5. Storage of Micralax Citrate/Lauryl sulfoacetate
  6. Package contents and additional information

1. What Micralax Citrate/Lauryl sulfoacetate is and what it is used for

Micralax Citrate/Lauryl sulfoacetate acts as an osmotic laxative due to the combined action of sodium citrate, which acts by retaining liquid in the intestine, increasing the water volume in the stool, and sodium lauryl sulfoacetate, a humectant agent.

It is indicated for the local symptomatic relief of occasional constipation in adults and adolescents over 12 years of age.

You should consult a doctor if your condition worsens or does not improve after 6 days of treatment.

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 you start using Micralax Citrate/Lauryl sulfoacetate

Do not use Micralax Citrate/Lauryl sulfoacetate:

  • If you are allergic to sodium citrate/lauryl sulfoacetate or any of the other components of this medicine (listed in section 6).
  • If you have hemorrhoids.
  • If you have hemorrhagic colitis.

Warnings and precautions

In case of no improvement, worsening, or appearance of blood in stool, irritation, pain, you should interrupt treatment and consult your doctor.

Do not use this medicine for more than 6 consecutive days, unless your doctor indicates otherwise.

Children and adolescents

It should not be used in children under 12 years of age, unless your doctor considers it necessary.

Other medicines and Micralax Citrate/Lauryl sulfoacetate

Inform your doctor or pharmacist that you are using, have recently used, or may need to use any other medicine.

If you are being treated to lower your blood calcium level with a medicine that contains sodium polystyrene sulfonate, do not use Micralax, as intestinal necrosis may occur.

SODIUM POLYSTYRENE SULFONATE:

Isolated cases of ileocecal perforation and colon necrosis have been reported in patients treated for hyperkalemia.

Patients taking sorbitol are advised to consult their doctor before using this medicine.

Using Micralax Citrate/Lauryl sulfoacetate with food and drinks

Taking food and drinks does not affect the efficacy of this medicine.

Pregnancy and breastfeeding

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

Driving and using machines

Using this medicine does not affect your ability to drive or use machines.

Micralax contains sorbic acid

This medicine may cause local skin reactions (such as contact dermatitis) because it contains sorbic acid.

3. How to use Micralax Citrate/Lauryl sulfoacetate

Follow the administration instructions of the medicine contained in this package leaflet or as indicated by your doctor or pharmacist. In case of doubt, ask your doctor or pharmacist.

The recommended dose in adults and adolescents over 12 years of age is 1 applicator per day.

Do not use this medicine for more than 6 consecutive days.

Method of administration

This medicine is used rectally.

At the chosen time for bowel movement, and once the cap of the package that closes the end of the applicator is removed, place it in a vertical position with the tip upwards and press it slightly so that a few drops of Micralax moisten the end of the applicator, in order to facilitate its introduction into the rectum. Once introduced, squeeze the walls of the applicator until its contents are completely emptied and remove it gently without stopping the pressure.

Hold back the bowel movement for as long as possible so that the medicine can take effect.

Use in children

It should not be used in children under 12 years of age, unless your doctor considers it necessary.

If you use more Micralax Citrate/Lauryl sulfoacetate than you should

Due to the type of medicine, it is unlikely that intoxication will occur.

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 medicine and the amount ingested).

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, Micralax Citrate/Lauryl sulfoacetate can cause side effects, although not everybody gets them.

Very rare side effects (may affect up to 1 in 10,000 people): abdominal pain, anorectal discomfort, diarrheal stools, and allergic reactions (hives).

Reporting side effects:

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

5. Storage of Micralax Citrate/Lauryl sulfoacetate

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

No special storage conditions are required.

Do not use this medicine after the expiry date stated on the package after CAD. The expiry date is the last day of the month indicated.

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

6. Package contents and additional information

Composition of Micralax Citrate/Lauryl sulfoacetate

The active ingredients are: sodium citrate (450 mg per applicator) and sodium lauryl sulfoacetate (45 mg per applicator).

The other ingredients (excipients) are: sorbitol (E-420), glycerol (E-422), sorbic acid (E-200), and purified water.

Appearance of the product and package contents

Viscous rectal solution presented in 5 ml capacity applicators.

It is presented in boxes containing 4 and 12 applicators.

Marketing authorization holder and manufacturer:

Marketing authorization holder:

JNTL Consumer Health (Spain), S.L.

C/ Vía de los Poblados 1, Edificio E, planta 3

28033-Madrid

Spain

Manufacturer:

DELPHARM ORLEANS

5, Avenue de Concyr

45071 Orleans Cedex 2, (France)

Or

JNTL Consumer Health (France) S.A.S.

Domaine de Maigremont

F27100 Val de Reuil FRANCE

Date of the last revision of this package leaflet: March 2020

Detailed and updated information on 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 MICRALAX CITRATE/LAURYL SULFOACETATE 450 mg/45 mg rectal solution

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Doctor

Daniel Cichi

Family medicine 24 years exp.

Dr Daniel Cichi is a family medicine doctor with over 20 years of clinical experience. He provides online consultations for adults, supporting patients with acute symptoms, chronic conditions, and everyday health concerns that require timely medical guidance. His background includes work in emergency care, ambulance services, and family medicine, which allows him to assess symptoms quickly, identify warning signs, and help patients choose the safest next steps – whether that means home care, treatment adjustment, or in-person evaluation. Patients commonly consult Dr Daniel Cichi for: 

  • acute symptoms: fever, infections, flu-like illness, cough, sore throat, shortness of breath;
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  • review and interpretation of lab tests, imaging reports, and medical documents;
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Dr Cichi’s consultations are structured and practical. He focuses on clear explanations, risk assessment, and actionable recommendations, helping patients understand their symptoms and make informed decisions about their health.

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Hocine Lokchiri

General medicine 21 years exp.

Dr. Hocine Lokchiri is a French consultant with over 20 years of experience in General and Emergency Medicine. He works with adults and children, helping patients with urgent symptoms, infections, sudden health changes and everyday medical concerns that require timely evaluation. His background includes clinical practice in France, Switzerland and the United Arab Emirates, which allows him to navigate different healthcare systems and manage a wide range of conditions with confidence. Patients value his calm, structured approach, clear explanations and evidence-based decision-making.

Online consultations with Dr. Lokchiri are suitable for many situations when someone needs quick medical guidance, reassurance or a clear next step. Common reasons for booking include:

  • fever, chills, fatigue and viral symptoms
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Many patients reach out when symptoms appear suddenly and cause concern, when a child becomes unwell unexpectedly, when a rash changes or spreads, or when it’s unclear whether an in-person examination is necessary. His emergency medicine background is particularly valuable online, helping patients understand risk levels, identify warning signs and choose safe next steps.

Some situations are not suitable for online care. If a patient has loss of consciousness, severe chest pain, uncontrolled bleeding, seizures, major trauma or symptoms suggesting a stroke or heart attack, he will advise seeking immediate local emergency services. This improves safety and ensures patients receive the right level of care.

Dr. Lokchiri’s professional training includes:

  • Advanced Trauma Life Support (ATLS)
  • Basic and Advanced Cardiac Life Support (BLS/ACLS)
  • Pediatric Advanced Life Support (PALS)
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  • eFAST and critical care transthoracic echocardiography
  • aviation medicine
He is an active member of several professional organisations, including the French Society of Emergency Medicine (SFMU), the French Association for Emergency Physicians (AMUF) and the Swiss Society of Emergency and Rescue Medicine (SGNOR). In consultations, he works with clarity and precision, helping patients understand their symptoms, possible risks and the safest treatment options.
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Doctor

Lina Travkina

Family medicine 13 years exp.

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.
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  • Chronic conditions: hypertension, diabetes, hypercholesterolemia, metabolic syndrome, thyroid disorders, excess weight.
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Additional care areas:

  • Preventive consultations and check-up planning.
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  • 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.
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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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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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Doctor

Anna Biriukova

General medicine 6 years exp.

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.
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  • EKG interpretation, lipid profile evaluation, cardiovascular risk assessment (heart attack, stroke).
  • Post-COVID-19 cardiac monitoring and care.
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  • GLP-1 therapy– modern pharmacological treatment for weight management and diabetes control, including drug selection, monitoring, and safety follow-up.
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Gastroenterology – Digestive health:
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  • 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.
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€60

Frequently Asked Questions

Is a prescription required for MICRALAX CITRATE/LAURYL SULFOACETATE 450 mg/45 mg rectal solution?
MICRALAX CITRATE/LAURYL SULFOACETATE 450 mg/45 mg rectal solution does not require 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 MICRALAX CITRATE/LAURYL SULFOACETATE 450 mg/45 mg rectal solution?
The active ingredient in MICRALAX CITRATE/LAURYL SULFOACETATE 450 mg/45 mg rectal solution is sodium lauryl sulfoacetate, incl. combinations. This information helps identify medicines with the same composition but different brand names.
Who manufactures MICRALAX CITRATE/LAURYL SULFOACETATE 450 mg/45 mg rectal solution?
MICRALAX CITRATE/LAURYL SULFOACETATE 450 mg/45 mg rectal solution is manufactured by Jntl Consumer Health (Spain) S.L.. Pharmacy brands and packaging may differ depending on the distributor.
Which doctors can assess the use of MICRALAX CITRATE/LAURYL SULFOACETATE 450 mg/45 mg rectal 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 MICRALAX CITRATE/LAURYL SULFOACETATE 450 mg/45 mg rectal solution is appropriate, depending on your situation and local regulations. You can book an online consultation to discuss your symptoms and possible next steps.
What are the alternatives to MICRALAX CITRATE/LAURYL SULFOACETATE 450 mg/45 mg rectal solution?
Other medicines with the same active substance (sodium lauryl sulfoacetate, incl. combinations) include CLISTERAN 450 mg/45 mg RECTAL SOLUTION, ADULAX 7.5 G RECTAL SOLUTION, ENEMA CASEN 139 mg/ml + 32 mg/ml RECTAL 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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