Moviprep Orange Bowel Preparation Powder For Oral Solution is an orange flavoured laxative contained in four sachets. There are two large sachets (‘sachet A’) and two small sachets (‘sachet B’). You need all these for one treatment.
Moviprep Orange is intended for adults to clean the bowel so that they are ready for examination.
Moviprep Orange works by emptying the contents of your bowels, so you should expect to have watery bowel movements
Moviprep Orange should not be taken by children and adolescents aged below 18 years.
How to take Moviprep Orange
Always take this medicine exactly as your doctor has told you. Check with your doctor or pharmacist if you are not sure. The recommended dose is two litres of solution, which is made up as follows:
This pack contains two clear bags each containing one pair of sachets: sachet A and sachet B. Each pair of sachets (A and B) is to be dissolved in water to make a one litre solution. This pack is therefore sufficient to make up two litres of Moviprep Orange solution.
Before you take Moviprep Orange, please read carefully the following instructions. You need to know:
When to take Moviprep Orange
Always take this medicine exactly as described in this leaflet or as your doctor has told you. Check with your doctor if you are not sure. Your treatment with Moviprep Orange must be completed before your examination.
This course of treatment can be taken either as divided or single doses as described below:
For procedures conducted when you are put to sleep (using general anaesthesia):
1. Divided doses: one litre of Moviprep Orange in the evening before and one litre of Moviprep Orange in the early morning of the day of the examination. Ensure consumption of Moviprep Orange as well as any other clear fluids has finished at least two hours before the start of the examination.
2. Single dose: two litres of Moviprep Orange in the evening before the examination or two litres of Moviprep Orange in the morning of the examination. Ensure consumption of Moviprep Orange as well as any other clear fluids has finished at least two hours before the start of the examination.
For procedures conducted without the need for putting you to sleep (without using general anaesthesia):
1. Divided doses: one litre of Moviprep Orange in the evening before and one litre of Moviprep Orange in the early morning of the day of the examination. Ensure consumption of Moviprep Orange as well as any other clear fluids has finished at least one hour before the start of the examination.
2. Single dose: two litres of Moviprep Orange in the evening before the examination or two litres of Moviprep Orange in the morning of the examination. Ensure consumption of Moviprep Orange has finished at least two hours before the start of the examination. Ensure consumption of any clear fluids has finished at least one hour before the examination.
Important: Do not take any solid food from when you start to take Moviprep Orange until after the examination.
How to prepare Moviprep Orange
How to drink Moviprep Orange
Drink the first litre of Moviprep Orange solution over one to two hours. Try to drink a glassful every 10 – 15 minutes.
When you are ready, make up and drink the second litre of Moviprep Orange solution made up with the contents of the sachets A and B from the remaining bag.
During the course of this treatment, you are recommended to drink a further one litre of clear liquid to prevent you feeling very thirsty and becoming dehydrated.Water, clear soup, fruit juice (without pulp), soft drinks, tea or coffee (without milk) are all suitable. These drinks can be taken until two hours before the examination under general anaesthesia at the latest and until one hour before the examination without general anaesthesia at the latest.
What you should expect to happen
When you start drinking the Moviprep Orange solution, it is important that you stay close to a toilet. At some point, you will start to experience watery bowel movements. This is quite normal and indicates that the Moviprep Orange solution is working. The bowel movements will stop soon after you have finished drinking.
If you follow these instructions, your bowel will be clear, and this will help you to have a successful examination. You should allow sufficient time after your last drink to travel to the colonoscopy unit.
If you take more Moviprep Orange than you should
If you take more Moviprep Orange than you should you may develop excessive diarrhoea, which can lead to dehydration. Take generous amounts of fluid, especially fruit juices. If you are worried contact your doctor or pharmacist.
If you forget to take Moviprep Orange
If you forget to take Moviprep Orange-take the dose as soon as you realise you have not taken it. If this is several hours after the time when you should have taken it, contact your doctor or pharmacist for advice. It is important that you complete your Moviprep Orange preparation at least an hour before your clinical procedure (without anaesthesia)or two hours before your clinical procedure (with anaesthesia).
If you have any further questions on the use of this medicine, ask your doctor or pharmacist.
What you need to know before you take Moviprep Orange
Do not take take Moviprep Orange
Warnings and precautions
If you are in poor health or have a serious medical condition, you should be particularly aware of the possible side effects listed in section 4. Contact your doctor or pharmacist if you are concerned.
Talk to your doctor or pharmacist before taking Moviprep Orange if you have any of the following:
Moviprep Orange should not be given to patients with impaired consciousness without medical supervision.
If you experience sudden abdominal pain or rectal bleeding when taking Moviprep Orange for bowel preparation, contact your doctor or seek medical advice immediately.
Children and adolescents
Moviprep Orange should not be taken by children and adolescents aged below 18 years.
Other medicines and Moviprep Orange
Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines.
If you are taking other medicines take them at least one hour before taking Moviprep Orange or at least one hour afterwards because they may be flushed through your digestive system and not work so well.
Moviprep Orange with food and drink
Do not take any solid food from when you start to take Moviprep Orange until after the examination.
When taking Moviprep Orange you should continue to take plenty of fluids. The fluid content of Moviprep Orange does not replace your regular liquid intake.
Pregnancy, breast-feeding and fertility
There are no data on the use of Moviprep Orange during pregnancy or breast-feeding and it should only be used if considered essential by your doctor. If you are pregnant or breastfeeding, think you may be pregnant or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.
Driving and using machines
Moviprep Orange does not affect your ability to drive or use machines.
Moviprep Orange contains sodium, potassium and a source of phenylalanine
This medicine contains 8.4 g sodium (main component of cooking/table salt) per course of treatment. (A course of treatment consists of two litres of Moviprep Orange). This is equivalent to 420% of the recommended maximum daily dietary intake of sodium for an adult. To be taken into consideration by patients on a controlled sodium diet. Only a proportion (up to 2.6 g per course treatment) of sodium is absorbed.
This medicine contains 1.1 g potassium per course of treatment. (A course of treatment consists of two litres of Moviprep Orange). To be taken into consideration by patients with reduced kidney function or patients on a controlled potassium diet.
Contains a source of phenylalanine. May be harmful for people with phenylketonuria.
If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking this medicinal product.
Like all medicines Moviprep Orange can cause side effects, although not everybody gets them.
It is normal to get diarrhoea when you take Moviprep Orange.
Stop your intake and tell your doctor immediately if you have any of the following side effects:
These are symptoms of a severe allergic reaction.
If you do not have a bowel movement within 6 hours of taking Moviprep Orange, stop the intake and contact your doctor immediately.
Other side effects include:
Very common side effects (may affect more than 1 in 10 people):
Abdominal pain, abdominal distension, tiredness, feeling generally unwell, soreness of the anus, nausea and fever.
Common side effects (may affect up to 1 in 10 people): Hunger, problems sleeping, dizziness, headache, vomiting, indigestion, thirst and chills.
Uncommon side effects (may affect up to 1 in 100 people):
Discomfort, difficulties swallowing, and changes to tests of liver function.
The following side effects have sometimes been seen but it is not known how often they occur because the frequency cannot be estimated from the available data: flatulence (wind), temporary increase in blood pressure, irregular heart rhythm or palpitations, dehydration, retching (straining to vomit), very low blood sodium levels that can cause convulsions (fits) and changes to the levels of salts in the blood such as decreased bicarbonate, increased or decreased calcium; increased or decreased chloride and decreased phosphate. Blood potassium and sodium levels could also decrease.
These reactions usually only occur for the duration of the treatment. Should they persist, consult your doctor.
Allergic reactions may cause a skin rash, itching, reddening of the skin or a nettle rash, swollen hands, feet or ankles, headaches, palpitations and shortness of breath.
Reporting of side effects
If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the Yellow Card Scheme Website: www.mhra.gov.uk/yellowcard or search MHRA Yellow Card in the Google Play or Apple App store. By reporting side effects you can help provide more information on the safety of this medicine.
Contents of the pack and other information
What Moviprep Orange contains
Sachet A contains these active substances
Macrogol (also known as polyethylene glycol) 3350 100 g
Sodium sulfate anhydrous 7.500 g
Sodium chloride 2.691g
Potassium chloride 1.015 g
Sachet B contains these active substances
Ascorbic acid 4.700 g
Sodium ascorbate 5.900 g
The concentration of electrolyte ions when both sachets are made up to one litre of solution is as follows:
Sodium 181.6 mmol/L (of which not more than 56.2 mmol is absorbable)
Chloride 59.8 mmol/L
Sulfate 52.8 mmol/L
Potassium 14.2 mmol/L
Ascorbate 29.8 mmol/L
The other ingredients are:
Orange flavour (containing natural flavouring substances and preparations, maltodextrin, dextrose), aspartame (E951) and acesulfame potassium (E950) as sweeteners. For further information refer to section 2.
What Moviprep Orange looks like and contents of the pack
This pack contains two clear bags each containing one pair of sachets: sachet A and sachet B. Each pair of sachets (A and B) is to be dissolved in one litre of water.
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