Do not take Dulcolax Twelve Plus Pico Liquid if:

• You are allergic (hypersensitive) to sodium picosulfate or any of the other ingredients in the product (listed in Section 6: Contents of the pack and other information)
• You have severe dehydration
• You have a bowel condition called “ileus” (blockage in the intestine)
• You have a serious abdominal condition such as appendicitis
• You have severe abdominal pain with nausea and vomiting and/or fever
• You have a blocked bowel (intestinal obstruction)
• You have inflammation of the bowel (small and large intestine)

Do not take Dulcolax Twelve Plus Pico Liquid if any of the above applies to you. Do not use in children under the age of 12 years. If you are not sure, talk to your pharmacist or doctor before taking this medicine.

Does this help with weight loss?

Stimulant laxatives (including Dulcolax Twelve Plus Pico Liquid) do not help with weight loss. They do not reduce the absorption of calories or nutrients. They can cause watery stools (diarrhoea), abdominal cramps and dehydration. Dehydration can seem like weight loss.

Overuse of laxatives may damage your health by:

• Causing disturbances of electrolyte and mineral balances. Sodium, potassium, magnesium, and phosphorus are electrolytes and minerals that are present in very specific amounts necessary for proper functioning of the nerves and muscles, including those of the colon and heart. Upsetting this delicate balance can cause incorrect functioning of these vital organs.
• Severe dehydration may cause tremors, weakness, blurry vision, fainting, kidney damage, and, in extreme cases, death. Dehydration often requires medical treatment.
• Overuse of laxatives must be avoided as it may harm the intestinal function.

Other medicines and Dulcolax Twelve Plus Pico Liquid

Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines. This is because Dulcolax Twelve Plus Pico Liquid can affect the way some other medicines work. Also, some other medicines can affect the way Dulcolax Twelve Plus Pico Liquid works.

In particular, tell your pharmacist or doctor if you are taking:

• Water tablets (diuretics) such as bendrofluazide or furosemide (frusemide)
• Steroid medicines such as prednisolone
• Antibiotics – used for infections

If you are not sure if any of the above applies to you, talk to your pharmacist or doctor before taking Dulcolax Twelve Plus Pico Liquid.

Pregnancy and breast-feeding

Talk to your pharmacist or doctor before taking Dulcolax Twelve Plus Pico Liquid if you are pregnant, planning to become pregnant or are breast-feeding.

Important information about some of the ingredients in Dulcolax Twelve Plus Pico Liquid

Dulcolax Twelve Plus Pico Liquid contains 4.8 vol % ethanol (alcohol), i.e. up to 480 mg per 10 ml dose, equivalent to 10.4 ml beer or 4.3 ml of wine per 10 ml dose. This may be harmful for people with a drink problem (alcoholism). This should also be taken into account in pregnant or breast-feeding women, children and high risk groups such as those with liver disease or epilepsy.

Dulcolax Twelve Plus Pico Liquid contains the preservatives methyl parahydroxybenzoate and propyl parahydroxybenzoate. These ingredients may cause allergic reactions, possibly delayed. The signs may include: a rash, swelling of your skin, mouth and face which may cause swallowing or breathing problems.

This medicine contains 1.48 mg sodium (main component of cooking/table salt) in each 5ml, that is to say essentially ‘sodium free.

 How to store Dulcolax Twelve Plus Pico Liquid

• Keep this medicine out of the sight and reach of children
• Do not take Dulcolax Twelve Plus Pico Liquid after the expiry date which is stated on the carton and bottle label after EXP. The expiry date refers to the last day of that month
• Keep the bottle within the outer carton
• Do not throw away any medicines via wastewater or household waste. Ask your pharmacist how to throw away medicines you no longer use. These measures will help protect the environment