Bulking agents.

Sterculia, frangula

The active ingredients are 62% Sterculia and 8.0% Frangula.

Brown granules.

The treatment of constipation, particularly hypertonic or slow transit constipation, resistant to bulk alone. The initiation and maintenance of bowel action after rectal surgery and after haemorrhoidectomy.

Adults (including the elderly): 1 or 2 sachets or 1-2 heaped 5ml spoonfuls, once or twice daily after meals.

The granules should be placed on the tongue and, without chewing or crushing, swallowed immediately with plenty of water or a cool drink. Prior to drinking they may also be sprinkled on and taken with soft food such as yoghurt

Children (6 – 12 years): A reduced amount may be given at the discretion of the physician.

Intestinal obstruction, faecal impaction and total atony of the colon.

Known hypersensitivity to the ingredients

Caution should be exercised in the use of NORMACOL Plus in cases of ulcerative colitis. Patients should be advised to maintain an adequate fluid intake, to avoid NORMACOL Plus immediately before going to bed or in a recumbent position (especially if they are elderly) and to suspend treatment if bowel movements do not occur within four days.

Prolonged and excessive use of stimulant laxatives can cause dependence and loss of normal bowel function

Patients with rare hereditary problems of fructose intolerance, glucose-galactose malabsorption or sucrase-isomaltase insufficiency should not take this medicine.

Immune system disorders: allergic reactions

Gastrointestinal disorders:

Intestinal/colonic obstruction or impaction, abdominal cramp

Oesophageal obstruction is possible if the product is not adequately washed down with fluid.

Abdominal distension may occur.

Norgine

GSL

02 June 2009