CLEEN READY-TO-USE ENEMA

Warnings

Do not use Cleen Ready-to-Use Enema and tell your doctor if you:

• Are allergic (hypersensitive) to sodium dihydrogen phosphate dihydrate, disodium phosphate dodecahydrate or any of the other ingredients of this medicine.
• Have a swollen large bowel (also known as megacolon).
• Have a narrowing or incomplete opening of the anus or rectum.
• Have a blockage of the lower colon (Hirschsprung’s disease).
• Have a suspected blockage of the gut.
• Have blockage of the gut or failure of normal bowel movements (sometimes called paralytic ileus).
• Have been told by your doctor that you may have:
  • Appendicitis
  • A pierced/damaged or blocked gut
  • An active inflammatory bowel disease (such as Crohn’s disease or ulcerative colitis)
• Have undiagnosed bleeding of the back passage.
• Have kidney problems.
• Have congestive heart failure (your heart is unable to properly pump blood around the body).
• Have recently been sick or feel sick or thirsty.
• Have a pain in your stomach (abdominal pain).
• The patient is under 3 years of age.

Talk to your doctor or pharmacist before using Cleen Ready-to-Use Enema if:

• You are frail or elderly. You may need assistance from a carer or healthcare professional to use Cleen Ready-to-Use Enema.
• You have uncontrolled blood pressure.
• You have a heart or kidney condition.
• You suffer from ascites (excess fluid in the peritoneal cavity).
• You suffer from rectal ulceration (ulceration of the back passage) or fissures (tears in the skin of the back passage).
• You have had a colostomy.
• You suffer from electrolyte disturbances (changes in the salt levels in the body such as low calcium, low potassium, high phosphate or high sodium levels). Please consult your doctor, even if these statements were applicable to you at any time in the past. You may need to be more closely supervised during treatment.

Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines, especially:

• medicines for the treatment of high blood pressure (hypertension) such as ACE-inhibitors (e.g. enalapril, ramipril, lisinopril) and angiotensin receptor blockers (e.g. losartan, candesartan, eprosartan, irbesartan, olmesartan, telmisartan, valsartan) or angina (calcium channel blockers).
• medicines to empty the bladder (diuretics).
• certain medicines for mental disorders (lithium).
• any other medicines that could make you dehydrated or alter the salt levels (potassium, sodium, phosphate or water) in your body, known as your electrolyte balance.
• certain medicines for cleaning the bowel (sodium phosphates).
• medicines that alter the rhythm of your heart (prolong the QT interval); such as amiodarone, arsenic trioxide, astemizole, azithromycin, erythromycin, clarithromycin, chlorpromazine, cisapride, citalopram, domperidone, terfenadine, procainamide.
• non–steroidal anti-inflammatory drugs (NSAIDs) such as aspirin or ibuprofen.

If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine. As the main ingredients contained in Cleen Ready-to-Use Enema may pass into breast milk, it is advised that breast milk is expressed and discarded for at least 24 hours after receiving the Cleen Ready-to-Use Enema.