Myrtipeg 20Bust

Description
Myrtipeg acts with an osmotic mechanism, retaining water at the intestinal level (it prevents absorption by the small intestine) thus softening the stools. It is not absorbed, does not ferment, and does not irritate the intestinal mucosa. It is eliminated with the stools in an unmodified form. The treatment of constipation is therefore achieved through an increase in water in the fecal mass without variations in plasma volume and loss of electrolytes.
Indicated in cases of constipation and for bowel cleansing before colonoscopy.

Directions for use
Dissolve one sachet in a full cup of water (at least 200/250 ml) and drink it immediately after preparation. It is advisable to take Myrtipeg away from meals. The dose for adults and children weighing over 20 kg is one sachet 1-3 times a day depending on individual response; in case of prolonged use, the dose can be reduced to one sachet 1-2 times a day, even on alternate days, preferably in the evening before bedtime. The dose for adults is one/two sachets a day based on individual response. In case of prolonged use, the dose can be reduced to one sachet once or twice a day, even on alternate days, preferably in the evening before bedtime. The daily dose for children weighing more than 20 kg should be established based on body weight: 0.5 g/kg of body weight, up to a maximum of two sachets/day (corresponding to a body weight of 40 kg).
For bowel cleansing before colonoscopy: the amount should be at least 70 grams in one liter of water.
It is preferable to drink the entire amount fairly quickly, avoiding sipping it for a long time. A diet rich in liquids enhances the effect of Myrtipeg.
Myrtipeg can also be administered enterally. The content of one or two sachets is perfectly soluble in 100/150 ml of water and can be administered in bolus via a nasogastric tube or PEG. The maximum daily dose is three sachets, and it is the doctor's responsibility to choose the amount of water and the preparation to be administered.
In children, if the disorder continues despite proper dietary hygiene, discontinue treatment and investigate for possible underlying pathology.

Components

1 sachet of 11 g contains:
Macrogol 4,000	10.795 g
Blueberry flavor	150 mg
Amorphous silica	50 mg
Sucralose	5 mg

Warnings
In case of pregnancy or breastfeeding, seek medical advice. The abuse of laxatives (frequent or prolonged use or excessive doses) can cause persistent diarrhea with resulting loss of water, minerals (especially potassium), and other essential nutrients.
Contraindications: hypersensitivity to any of the components of the product. Avoid administration in case of intestinal blockage. Laxatives should not be used by individuals with acute abdominal pain or of unknown origin, nausea, vomiting, marked accentuation or reduction of peristalsis, rectal bleeding. The presence of one or more of these symptoms or signs requires appropriate diagnostic workup by a doctor to exclude one of the pathological conditions that contraindicate the use of laxatives (e.g.: obstruction, stenosis or intestinal perforation, paralytic ileus, severe inflammatory bowel diseases). Severe state of dehydration.
Interactions with medications and other forms of interaction: not reported, but it is advisable that the intake of Myrtipeg be spaced at least two hours from the intake of oral medications.
Side effects: rarely, Myrtipeg can cause abdominal distention, abdominal pain, nausea, vomiting. Very rare: hypersensitivity reactions. In case of allergic reactions, discontinue Myrtipeg and consult a doctor immediately.

Storage
In a cool and dry place. The expiration date indicated on the package refers to an intact and properly stored product. Keep out of reach and sight of children.

Format
20 sachets
Powder for oral and enteral use.