FORZHEKT

Do not take Forzhekt:

• if you have severe inflammatory bowel disease (ulcerative colitis, Crohn’s disease, etc.), toxic megacolon in combination with symptomatic stenosis;
• if you have bowel perforation or risk of perforation;
• if you have intestinal obstruction or suspected intestinal obstruction;
• if you have abdominal pain of unknown etiology;
• if you are hypersensitive to macrogol (polyethylene glycol) or to any of Forzhekt‘s components;
• if you are under 8 years old.

Warnings and precautions

Long-term use of Forzhect for treatment of constipation is not recommended without a doctor’s prescription. Medicinal treatment of constipation is only an addition to the following general hygiene measures and dietetic therapy: foods rich in plant fiber, plenty of fluids, physical activity, and restoration of a regular defecation reflex.

In the case when constipation is accompanied by pain in the abdomen, fever or stomach bleeding, you should immediately consult a therapist. If gastrointestinal obstruction or bleeding is suspected, an appropriate examination should be performed to exclude this diagnosis or symptom. If such symptoms (abdominal pain, rectal bleeding, etc.) appear while taking Forzhect, you should immediately contact your healthcare provider or seek for medical help.

After taking medicines containing macrogol (polyethylene glycol), allergic reactions were observed, manifested in the form of a rash on the skin and swelling of the face or throat (angioedema).

Forzhect does not contain sugar. It can be prescribed to patients with diabetes mellitus, as well as to persons whose diet excludes galactose.
In the event of diarrhea, special attention should be paid to patients prone to fluid and electrolyte imbalance (i.e. elderly patients, and patients with impaired liver and kidney function, or patients taking diuretics). It is necessary to control the level of electrolytes in the blood.

There have been reports of drug penetration into the respiratory tract with the introduction of large volumes of polyethylene glycol and electrolytes through a nasogastric tube (a tube through the nasal passage into the esophagus). Children with neurological disorders and dysfunction of the oral cavity are at increased risk.

If you have at least one of the diseases or health conditions listed above, consult your healthcare provider before taking Forzhekt.

Other medicinal products and Forzhekt

Before prescribing Forzhekt, a healthcare provider should be informed about any oral medicinal products taken by a patient.

Forzhekt with food, drink, and alcohol

Taking Forzhekt is recommended in the morning (1-2 sachets) regardless of the meal. The amount of liquid is not limited.
Drinking alcohol is not recommended during the treatment.

Pregnancy, breast-feeding, and fertility

If you are pregnant, expecting pregnancy, going to have a baby, or breastfeeding, ask your healthcare provider for advice before taking Forzhekt.

Since the systemic effect of macrogol on the human body is extremely insignificant, side effects are not expected in pregnant women.

Forzhekt can be used during pregnancy.

There is no data on the allocation of macrogol 4000 in breast milk. Forzhekt can be used during breast-feeding.

Given the minor absorption of the macrogol 4000, the drug does not affect the ability to reproduction.

Effects on ability to drive and use machines

Administration of Forzhekt does not influence on driving a car and using machines.

Dosage
Always take Forzhekt in full accordance with the recommendations of your healthcare provider. Check with your doctor if you are not sure.
Forzhekt can only be used in patients older 8 years old. Forzhekt should be taken orally.

The daily dose of the drug (1-2 packages) is recommended to be taken in one step with no break. The contents of each package should be dissolved in a glass of water immediately before taking. A daily dose can be changed in accordance with the clinical effect. It can fluctuate from one package per day (especially in children) to 2 packages per day.

The duration of treatment is determined individually. With temporary constipations (including those associated with surgical intervention or travel), we recommend short-term use of Forzhekt. The duration of treatment in children should not exceed 3 months, due to insufficient clinical data on taking the medicine for longer periods. The treatment for improving intestine passage should be supported by general hygienic measures and dietetic therapy.

If you take more Forzhekt than recommended
An overdose can cause diarrhea, abdominal pain, and vomiting. Diarrhea caused by an overdose takes place with temporary cessation of treatment or with a decrease in the dosage.

Excessive fluid loss with diarrhea or vomiting may require correction of the electrolyte balance. To do this, consult your healthcare provider in order to maintain control of your condition and obtain recommendations on probable change in the current therapy (terminating treatment with Forzhekt or reducing the dosage), and correcting the electrolyte balance.

Like all medicines, Forzhekt can cause side effects, although not everyone gets those.

Adults may have:

Gastrointestinal disorders
Common: bloating, abdominal pain, diarrhea, nausea.
Uncommon: vomiting, urge to defecate, fecal incontinence.

Metabolic and nutritional disorders:
Frequency not known: electrolyte imbalance (hyponatremia, hypokalemia) and/or dehydration, especially in elderly patients.

Immune system disorders
Frequency not known: hypersensitivity reactions, such as urticaria, skin rash, pruritus, erythema, angioedema, anaphylactic shock.

Children may have

Gastrointestinal disorders
Common: abdominal pain, diarrhea*.
Uncommon: bloating, vomiting, and nausea.

Immune system disorders
Frequency not known: hypersensitivity reactions, such as urticaria, skin rash, pruritus, swelling of the face, Quincke’s edema, anaphylactic shock.

*Diarrhea can cause pain in the perianal area

If you get any side effects, address your healthcare provider. This recommendation applies to any possible side effects, including those not listed in the leaflet. You can report to the information database on adverse reactions (side effects), or on inefficiency of medicinal products (Center for Examinations and Tests in Health Service: http://www.rceth.by) or to the manufacturer ACADEMPHARM via an electronic application form on their website: http://academpharm.by/en

When you report adverse reactions, you help to get more information about the safety of the medicinal product.

Keep Forzhekt out of the reach and sight of children.
Do not use Forzhekt after the expiry date. The shelf life is 2 years. The expiry date is indicated on the carton and blisters. The expiry date is the first day of the specified month. Do not use Forzhekt if you notice damage to the aluminum foil of the package.
Store in a place protected from light and moisture at a temperature not exceeding 25ºС.

One sachet contains:
Active ingredients: 10,000 mg of macrogol 4000;
Excipients: sodium saccharin, cherry flavor.

Presentation and packaging
White or almost white powder for oral solution with a cherry flavor.
10 g in a sachet of combined material based on aluminum foil. 10 sachets with a leaflet in a carton.

Marketing authorization holder and manufacturer
State enterprise ACADEMPHARM
220141, 5/3 Kuprevicha Street, Minsk, Belarus,
Phone / Fax +375 17 268 63 64
production@academpharm.by
To report adverse reactions use the electronic application form on the manufacturer’s website: https://academpharm.by/en