Movicol Powder Lemon Lime 10 Sachets

The fluid content of MOVICOL Lemon-Lime Flavour when re-constituted with water does not replace regular fluid intake and adequate fluid intake must be maintained.
Adverse reactions are possible as described under Section 4.8 Adverse Effects
(Undesirable Effects). If patients develop any symptoms indicating shifts of
fluid/electrolytes (eg.oedema, shortness of breath, increasing fatigue, dehydration,
cardiac failure) MOVICOL Lemon-Lime Flavour should be stopped immediately and
electrolytes measured, and any abnormality should be treated appropriately. 
The absorption of other medicines could transiently be reduced due to a decrease in
gastro-intestinal transit time induced by MOVICOL Lemon-Lime Flavour (Section 4.5
Interactions with other Medicines and other forms of interactions). This medicinal product contains 187 mg of sodium per sachet, equivalent to 9.3% of the WHO recommended maximum daily intake of 2g sodium for an adult. The maximum daily
dose of this product for constipation (ie. 3 sachets) is equivalent to 28% of the WHO
recommended maximum daily intake for sodium. MOVICOL is considered high in sodium. This should be particularly taken into account for those on a low salt diet.
As with all laxatives, prolonged use is not usually recommended and may lead to 
dependence. If prolonged use is necessary, it should only be under medical supervision. Extended use may be necessary in the care of patients with severe chronic or resistant constipation, secondary to multiple sclerosis or Parkinson's Disease, or induced by regular constipating medication, in particular opioids and antimuscarinics. Patients should be advised to drink plenty of water. They should also increase fibre in the diet, except in the case of medication-induced constipation.