mineral oil rectal (OTC)

Brand and Other Names:Fleet Mineral Oil Enema
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Dosing & Uses

AdultPediatric

Dosage Forms & Strengths

enema

  • 118mL
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Constipation/Fecal Impaction

Contents of 1 bottle (ie, 118 mL) rectally as a single dose

May also be used following barium studies

Administration

Patient should lie on left side with right knee bent

Gently insert enema tip into rectum using slight side-to-side movement; point enema tip toward navel (ease insertion by having patient bear down, as if having a bowel movement, to relax anal muscles)

Do not force enema tip into rectum

Squeeze bottle to deliver all contents in bottle

Remove enema tip from rectum

Retain enema in accordance with doctor's instructions

If stool remains that is not softened or lubricated, use cleansing enema

Dosage Forms & Strengths

enema

  • 118mL
more...

Constipation/Fecal Impaction

<1 year: Safety & efficacy not established

2-12 years: One-half bottle (ie, 59 mL) rectally as a single dose

>12 years: As adults; contents of 1 bottle (ie, 118 mL) rectally as a single dose

Administration

Patient should lie on left side with right knee bent

Gently insert enema tip into rectum using slight side-to-side movement; point enema tip toward navel (ease insertion by having patient bear down, as if having a bowel movement, to relax anal muscles)

Do not force enema tip into rectum

Squeeze bottle to deliver appropriate dose

Remove enema tip from rectum

Retain enema in accordance with doctor's instructions

If stool remains that is not softened or lubricated, use cleansing enema

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Adverse Effects

Frequency Not Defined

Anal seepage

Pruritus ani

Perianal discomfort

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Warnings

Contraindications

Hypersensitivity

Patients with colostomy, ileostomy, appendicitis, ulcerative colitis, or diverticulitis

Cautions

Excessive use may cause electrolyte imbalance, steatorrhea, osteomalacia, diarrhea, & cathartic colon

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Pregnancy & Lactation

Pregnancy category: C

Lactation: Unknown; rectal use unlikely excreted in breast milk

Pregnant or breastfeeding patients should seek advice of health professional before using OTC drugs

Pregnancy Categories

A:Generally acceptable. Controlled studies in pregnant women show no evidence of fetal risk.

B:May be acceptable. Either animal studies show no risk but human studies not available or animal studies showed minor risks and human studies done and showed no risk.

C:Use with caution if benefits outweigh risks. Animal studies show risk and human studies not available or neither animal nor human studies done.

D:Use in LIFE-THREATENING emergencies when no safer drug available. Positive evidence of human fetal risk.

X:Do not use in pregnancy. Risks involved outweigh potential benefits. Safer alternatives exist.

NA:Information not available.

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Pharmacology

Mechanism of Action

Emollient; softens stool in colon by retarding colonic absorption of fecal water

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