Sodium Biphosphate (Sodium Phosphate) - Benefits, dosage and side effects

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Sodium Biphosphate (Sodium Phosphate) - Benefits, dosage and side effects
Sodium Biphosphate (Sodium Phosphate) - Benefits, dosage and side effects

Sodium biphosphate (sodium phosphate) is a drug to treat constipation or difficult bowel movements. This medicine can also be used to clean the intestines before colon surgery procedures and medical examinations, such as X-rays, endoscopy, or colonoscopy

Sodium biphosphate is a stool softening laxative (saline laxative). This drug works by increasing the absorption of water in the digestive tract, so that the stool or stool becomes softer and easier to pass.

Sodium Biphosphate - Alodokter

Sodium Biphosphate Trademark: Fleet Enema, Fleet Phospo-soda, Phospo-soda

What Is Sodium Biphosphate

Class OTC and prescription drugs
Categories Laxatives or laxatives
Benefits Relieve constipation or constipation, and to empty the intestines before colon surgery, and medical examinations such as X-rays, endoscopy, or colonoscopy.
Used by Adults and children aged 2 years
Sodium biphosphate (sodium phosphate) for pregnant and lactating women Category C: Animal studies have shown adverse effects on the fetus, but there are no controlled studies in pregnant women.The drug should only be used if the expected benefit outweighs the risk to the fetus. It is not known whether it is absorbed into breast milk or not. If you are breastfeeding, consult your doctor before using this medicine.
Medicine form Enema liquid

Warning Before Using Sodium Biphosphate

Sodium biphosphate enema should not be used carelessly. There are several things that need to be considered before using this drug, including:

  • Do not use sodium bisphosphate if you are allergic to this drug.
  • Do not use other laxatives while on treatment with sodium biphosphate.
  • Tell your doctor if you have kidney disease, intestinal obstruction, colitis, a gastrointestinal injury or tear, or have recently had gastric bypass or colostomy surgery.
  • Do not give sodium biphosphate enemas to the elderly over 70 years old or to children younger than 2 years old, without consulting a doctor.
  • Tell your doctor if you have or have ever had heart failure, severe constipation, colitis, seizures, acid reflux, electrolyte disturbances, arrhythmias, or ileus.
  • Tell your doctor if you have very severe stomach pain, persistent nausea and vomiting, are on a low-s alt diet, or are taking other laxatives.
  • Tell your doctor if you are pregnant, breastfeeding, or planning a pregnancy.
  • Consult your doctor before using sodium biphosphate if you are taking certain medications, supplements or herbal products.
  • See your doctor immediately if you have an allergic reaction, serious side effects, or overdose after using sodium biphosphate.

Dosage and Instructions for Use of Sodium Biphosphate

Sodium biphosphate in the form of enemas is available in special packaging for adults and children. Sodium biphosphate or sodium phosphate will be given for constipation, for bowel emptying before surgery, or for X-ray, endoscopy, or colonoscopy.

The dose will be determined by the doctor according to the patient's condition. In general, the following is the dosage of sodium phosphate:

  • Adults and children aged 12 years: Use 1 bottle of sodium biphosphate enema specifically for adults, once a day, as directed by the doctor.
  • Children aged 5–11 years: Use 1 bottle of sodium biphosphate enema specially for children, 1 time a day, as directed by the doctor.
  • Children aged 2–5 years: Use half a bottle of sodium biphosphate enema specially for children, 1 time a day, as directed by the doctor.

How to Use Sodium Biphosphate Correctly

Sodium biphosphate in the form of enemas is generally available in medium–large sized bottles for adults, and small bottles specifically for children. Do not give enemas for adults to children.

Read the information listed on the drug packaging label and follow the instructions for use given by the doctor. Do not reduce or increase the dose, and use this drug for longer than recommended because it has the potential to cause serious kidney and heart problems.

Sodium biphosphate in the form of an enema is used rectal or anus, and is not to be taken orally or taken by mouth.

Wash hands with soap and water before and after using enemas. Lie on your left side on the prepared mat, then both legs are bent and knees pressed to the chest.

Insert the tip of the enema bottle slowly into the rectum and press the enema bottle until the contents of the medicine package are used up. When all the liquid medicine has entered, slowly remove the tip of the bottle.

Keep lying down for a few minutes (usually 1–5 minutes) until you feel the urge to have a bowel movement. If you feel the urge to defecate, go to the toilet immediately.

Sodium biphosphate enema should not be used for more than 3 days without a doctor's advice. Do not use this medication more than once in 24 hours.

Stimulation of defecation will usually begin to be felt 1-5 minutes after taking the drug. If within 30 minutes, the urge to defecate has not been felt, consult a doctor before using the next dose.

Keep sodium biphosphate enema medication in a closed container in a cool room. Do not store it in a humid place or in direct sunlight. Keep this medicine out of reach of children.

Interaction of Sodium Biphosphate with Other Drugs

The use of sodium bisphosphate with certain drugs can cause some interactions between drugs, such as:

  • Increased risk of heart rhythm disturbances when used with astemizole, amiodarone, clarithromycin, or erythromycin
  • Reduced levels of sodium biphosphate in the body when used with products or drugs containing magnesium, aluminum, or calcium
  • Increased risk of hyperphosphatemia if used with vitamin D
  • Increased risk of dehydration or electrolyte disturbances when used in patients taking diuretic drugs, such as hydrochlorothiazide
  • Increased risk of kidney failure if used with non-steroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, ketorolac, or ketoprofen

In addition, if taken with milk or products containing milk, it can reduce the effectiveness of the drug sodium biphosphate.

Side Effects and Dangers of Sodium Biphosphate

Some of the possible side effects after using sodium biphosphate are nausea, abdominal pain, flatulence, and discomfort in the rectum.

Do an examination to the doctor if the side effects above don't go away or get worse. Stop using sodium bisphosphate and see a doctor immediately if you have an allergic reaction to the drug or a more serious side effect, such as:

  • Chest pain, fast, slow, irregular heartbeat
  • Severe drowsiness, dizziness, confusion, or convulsions
  • Continuous diarrhea that can lead to dehydration
  • Disorders of kidney function that can be characterized by infrequent urination or very small amounts of urine
  • Extremely heavy stomach cramps or pain, bloody stools, or bloody rectum and anus

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