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FLEET ENEMA® FLEET ENEMA® Mineral Oil
Johnson & Johnson • Merck
Sodium Phosphates
Mineral Oil
Laxative
 
Action And Clinical Pharmacology: Fleet Enema: Useful as a laxative in the relief of constipation, and as a bowel evacuant for a variety of diagnostic, surgical and therapeutic indications. Dibasic sodium phosphate and monobasic sodium phosphate are poorly absorbed from the gastrointestinal tract and retain water in the lumen of the intestine. When administered rectally as an enema, they produce a watery evacuation of the bowel. Fleet Enema provides cleansing action and induces complete emptying of the left colon usually in 2 to 5 minutes.

Fleet Enema Mineral Oil: Serves to soften and lubricate the contents of the intestinal tract, easing their passage without irritating the mucosa. Results approximate a normal bowel movement in that only the rectum, sigmoid and part or all of the descending colon are evacuated. Results are usually obtained in 2 to 15 minutes.

Indications And Clinical Uses: Fleet Enema: Useful as a laxative in the relief of constipation. As a routine enema, when bowel evacuation is needed for proctoscopy and sigmoidoscopy, preoperative cleansing and general postoperative care, to help relieve fecal or barium impaction, collecting stool specimens, during pregnancy and pre- and postnatally.

Fleet Enema Mineral Oil: Lubricant laxative. For the relief of occasional constipation. Especially suitable for bowel cleansing when straining might be dangerous, painful, or unproductive, as in: hypertension, cardiovascular syndromes, pelvic hernia, hemorrhoids, care of many postoperative conditions, gastrointestinal irritations, atonic colon, impaction in the paralyzed patient, chronic pelvic inflammatory disease and abdominal aneurysm; to obtain the laxative benefits of mineral oil when oral cathartics are contraindicated.

Contra-Indications: Fleet Enema: Should not be used when the following medical problems exist: appendicitis (or symptoms of), intestinal blockage, ulcerative colitis, ileitis, heart disease, rectal bleeding, high blood pressure, kidney disease.

Fleet Enema: Children: Not recommended for infants under 6 months of age.

Fleet Enema Mineral Oil: Should not be used when the following medical problems exist: appendicitis (or symptoms of), intestinal blockage, ulcerative colitis, ileitis, rectal bleeding, kidney disease.

Manufacturers' Warnings In Clinical States: Fleet Enema: Do not use in the presence of abdominal pain, nausea, fever or vomiting, (this could refer to signs of appendicitis or inflamed bowel), cardiac disease, severe dehydration or debility.

Frequent or prolonged use of enemas may result in dependence for bowel function. Use only when needed or when prescribed by a physician.

Children and Geriatrics: Children and elderly persons are more sensitive to the effects of enemas.

Fleet Enema Mineral Oil: Do not use in the presence of abdominal pain, nausea, fever or vomiting (this could refer to signs of appendicitis or inflamed bowel).

Frequent or prolonged use of enemas may result in dependence for bowel function.

Children and Geriatrics: Give to children only on the advice of, and as directed by a physician. Children and elderly persons are more sensitive to the effects of enemas.

Precautions: Fleet Enema: Do not administer to children under 2 years of age except on the advice of a physician. In dehydrated or debilitated patients, volume of solution administered must be carefully determined since the solution is hypertonic and may cause further dehydration. Care should be taken to ensure that the contents of the bowel are expelled after administration. Repeated usage at short intervals should be avoided. Laxative products should not be used longer than 1 week unless directed by a physician.

Fleet Enema Mineral Oil: Do not administer to children under 2 years of age except on the advice of a physician. Care should be taken to ensure that the contents of the bowel are expelled after administration. Laxative products should not be used longer than 1 week unless directed by a physician.

Dosage And Administration: For rectal use only.

Fleet Enema: Adults: 120 mL. Children 2 to 12 years: 60 mL as a single dose or as directed by a physician. Children under 2 years: consult a physician.

The enema does not require warming. May be used at room temperature.

Preferred Position: Lying on left side with knees flexed, or in the knee-chest position. Remove protective cap from the prelubricated rectal tube before using. Insert tube gently, pointing it in the direction of the navel. Slowly squeeze bottle to empty contents into rectum. Rubber diaphragm at base of tube prevents accidental leakage and assures controlled flow of the enema solution. Withdraw the tube from rectum. (An extra amount of solution is provided to allow for the quantity normally remaining in bottle after squeezing.) Maintain position until defecation impulse is felt, usually within 2 to 5 minutes.

Fleet Enema Mineral Oil: Adults and children 12 years and older: 120 mL as a single dose. Children 2 to 12 years: 60 mL as a single dose. Children under 2 years: Consult a physician.

The enema should first be warmed by placing bottle in water at body temperature.

Preferred Position: Lying on left side with knees flexed, or in the knee-chest position. Remove protective cap from the prelubricated rectal tube before using. Insert the tube gently pointing it in the direction of the navel and squeeze bottle to empty contents into rectum. Rubber diaphragm at base of tube prevents accidental leakage and assures controlled flow of the enema solution. Withdraw the tube from rectum. (An extra amount of oil solution is provided to allow for the quantity normally remaining in bottle after squeezing.) The body position should be maintained until a strong urge to have a bowel movement is felt or the enema should be retained for length of time indicated by physician. Results are usually felt within 2 to 15 minutes. Contents of the bowel should then be expelled.

Availability And Storage: Fleet Enema: Each 100 mL of solution contains: monobasic sodium phosphate 16 g and dibasic sodium phosphate 6 g in single dose disposable unit. Nonmedicinal ingredients: sodium methylhydroxybenzoate. Ready-to-use, hand size plastic squeeze bottles of 130 mL, with a 5 cm prelubricated rectal tube and protective cap.

Fleet Enema Mineral Oil: Each single dose disposable unit of solution contains: mineral oil USP 130 mL. Ready-to-use hand-size plastic squeeze bottle, with a 5 cm prelubricated rectal tube and protective cap.

Also available: Fleet Enema Pediatric (sodium phosphates enema) (65 mL).