Always take this medicine exactly as described in this leaflet or as your doctor, pharmacist or nurse has told you.

• Keep this leaflet. You may need to read it again.
• Ask your pharmacist if you need more information or advice.
• If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in this leaflet. See section 4.
• You must talk to a doctor if you do not feel better or if you feel worse.

1. What Movicol Ease Citrus Flavour is and what it is used for
2. What you need to know before you take Movicol Ease Citrus Flavour
3. How to take Movicol Ease Citrus Flavour
4. Possible side effects
5. How to store Movicol Ease Citrus Flavour
6. Contents of the pack and other information

Normal and regular bowel movement is important for most people. However, what is “normal and regular” varies from person to person. Some may have a bowel movement every day, others less often. Whatever it is like for you, it is best that your bowel movement has a regular pattern.

• Constipation is an occasional problem for some people. For others, it may happen more often.
• It happens when the normal muscle actions in the bowel (large intestine) slow down. This can mean that material is not easily eliminated from the body.

The cause of constipation is often not known. It can be associated with:

• Sudden change of diet
• A diet with not enough fibre
• Not drinking enough fluids
• Loss of ‘tone’ of the bowel muscles in older people
• Pregnancy
• Medicines such as morphine or codeine
• Having to stay in bed for a long time
• Lack of exercise

Whatever the cause, constipation can be uncomfortable. It may make you feel bloated and heavy or generally “off colour”. Sometimes it causes headaches. It is recommended to use changes in diet to control constipation before using this medicine.

These healthy tips are recommended to try to prevent constipation happening:

• Eat a balanced diet including fresh fruit and vegetables
• Drink enough water so that you do not become dehydrated
• Keep up your exercise and stay fit
• Make time to empty your bowels when your body tells you

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.

• a blockage in your intestine (gut obstruction, ileus)
• a small hole in your gut wall (a perforated gut wall)
• severe inflammatory bowel disease like ulcerative colitis, Crohn’s disease or toxic megacolon
• an allergy to the active substances or any of the other ingredients of Movicol Ease Citrus Flavour (listed in section 6).

When taking Movicol Ease Citrus Flavour you should continue to take plenty of fluids. The fluid content of Movicol Ease Citrus Flavour should not replace your regular liquid intake.

Before taking Movicol Ease Citrus Flavour, tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines.

Some medicines, e.g., anti-epileptics, may not work as effectively during use with Movicol Ease Citrus Flavour.

You should not take any other medicines by mouth together with Movicol Ease Citrus Flavour and for one hour before and for one hour after taking Movicol Ease Citrus Flavour.

If you need to thicken fluids in order to swallow them safely, Movicol Ease Citrus Flavour may counteract the effect of the thickener.

Movicol Ease Citrus Flavour can be taken during pregnancy and whilst breastfeeding. If you are pregnant, trying to become pregnant or breastfeeding, ask your pharmacist or doctor for advice before taking Movicol Ease Citrus Flavour.

Movicol Ease Citrus Flavour does not affect your ability to drive or use machines.

Talk to your doctor or pharmacist if you need 3 or more sachets daily for a prolonged period, especially if you have been advised to follow a low salt (sodium) diet.

Movicol Ease Citrus Flavour contains 186.87 mg sodium (main component of cooking/table salt) per sachet. This is equivalent to 9.3% of the recommended maximum daily dietary intake of sodium for an adult.

Open the sachet and pour the contents into a glass. Add about 125ml or ¼ pint of water to the glass. Stir well until all the powder has dissolved and the Movicol Ease Citrus Flavour solution is clear or slightly hazy, then drink it.

Movicol Ease Citrus Flavour should not be used for more than 5 days. If your constipation needs treatment for longer than 5 days, consult a doctor or pharmacist. When regular bowel movements return, you can use fewer doses in a day and usually treatment can be stopped.

If you have abdominal pain that does not get better, or you have blood in your bowel movements, you should consult your doctor.

You may develop excessive diarrhoea, which can lead to dehydration. If this occurs, stop taking Movicol Ease Citrus Flavour and drink plenty of fluids. If you are worried, contact your doctor or pharmacist.

Take the dose as soon as you remember to take it.

• Get a serious allergic reaction which causes difficulty in breathing, or swelling of the face, lips, tongue or throat.

Other side effects include:

Allergic reactions which may cause a skin rash, itching, reddening of the skin or a nettle rash, swollen hands, feet or ankles, headaches and high and low levels of potassium in the blood.

Sometimes you may have indigestion, stomach ache or rumbles. You may also feel bloated, suffer from wind, feel sick or vomit, may also experience soreness of the anus (bottom) and may have mild diarrhoea when starting to take Movicol Ease Citrus Flavour. These side effects generally get better if you reduce the amount of Movicol Ease Citrus Flavour you take.

If you develop any symptoms indicating shifts of fluids/electrolytes (e.g. swelling, shortness of breath, increasing fatigue, dehydration or heart failure (symptoms include breathlessness after activity or at rest, swollen ankles and legs, feeling tired most of the time and find exercise exhausting), you should speak to your doctor and immediately stop taking Movicol Ease Citrus Flavour.

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 Yellow Card Scheme Website: www.mhra.gov.uk/yellowcard or search for 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.

Each 13.7g sachet of Movicol Ease Citrus Flavour contains the following:

Macrogol 3350 13.125 g

Sodium Chloride 0.3507 g

Sodium Bicarbonate 0.1785 g

Potassium Chloride 0.0466 g

Movicol Ease Citrus Flavour also contains lime and lemon flavour, and acesulfame potassium as a sweetener. Lemon and lime flavour contains the following ingredients: acacia solids, maltodextrin, lime oil, lemon oil, citral, citric acid and water.

When it is made into a drink with 125 millilitres of water, each sachet gives the equivalent of:

Sodium 65 millimoles/litre

Chloride 53 millimoles/litre

Potassium 5.4 millimoles/litre

Bicarbonate 17 millimoles/litre

Movicol Ease Citrus Flavour is a white powder.

Movicol Ease Citrus Flavour is available in tubular (stick-pack) sachets.

Movicol Ease Citrus Flavour is available in boxes of 10 and 20 sachets. Not all pack sizes may be marketed.

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