NIFLEC COMBINATION POWDER 137.155g x 10 Bags

NIFLEC COMBINATION POWDER 137.155g x 10 Bags

NIFLEC COMBINATION POWDER, also known as ニフレック配合内用剤（バッグ） or 耐福力散腸管洗淨劑, is a Japanese oral bowel-cleansing preparation supplied as powder in bags. It is used to prepare a cleansing solution that helps eliminate intestinal contents by producing watery stool.

This product is usually used as a bowel preparation before medical procedures such as colonoscopy, barium enema contrast X-ray and large intestine surgery. It should be used only according to the instructions of a doctor, pharmacist or healthcare professional.

Each bag contains 137.155g of powder. The contents of one bag are dissolved in water to make approximately 2 litres of oral solution. The prepared solution is generally taken at a controlled rate until the excreted liquid becomes clear, and total intake should not exceed the prescribed amount.

Product Information

• Product Name: NIFLEC COMBINATION POWDER 137.155g x 10 Bags
• Japanese Name: ニフレック配合内用剤（バッグ）
• Chinese Name: 耐福力散腸管洗淨劑
• Generic / Description: Sodium-Potassium Combination Preparation
• Dosage Form: Powder for oral solution
• Specification: 137.155g x 10 bags / pouches
• Route: Oral use only after dissolution in water
• Manufacturer: EA Pharma Co., Ltd. / EAファーマ株式会社
• Origin: Japan
• Use: Bowel cleansing before colonoscopy, barium enema contrast X-ray or large intestine operation

Composition

One bag contains a sodium and potassium combination formulation. The product is prepared as an electrolyte-containing bowel-cleansing solution after dissolution in water.

• Sodium chloride
• Potassium chloride
• Sodium bicarbonate
• Sodium sulfate hydrate / anhydrous sodium sulfate, depending on label version
• Other excipients according to the approved formulation

Key Features

• Japanese oral bowel-cleansing preparation
• Used as pretreatment before colonoscopy
• Also used before barium enema contrast X-ray and large intestine operation
• Powder form supplied in bags
• One bag is dissolved in water to prepare approximately 2 litres of solution
• Designed to cleanse the intestinal tract by excretion of watery stool
• Electrolyte-containing formulation with sodium and potassium components
• For use under medical instruction or healthcare professional supervision

Indications / Uses

This medicine is a bowel-cleansing agent that eliminates intestinal contents and cleanses the intestinal tract through watery stool. It is usually used to remove intestinal contents as pretreatment for the following procedures:

• Colonoscopy
• Barium enema contrast X-ray
• Large intestine operation
• Medical bowel preparation where prescribed by a healthcare professional

How to Prepare

Prepare only as instructed by a doctor, pharmacist or healthcare professional. The following information is for general reference and may differ from the exact instructions given for your procedure.

1. Open one bag / pouch according to the product instructions.
2. Add water to the medicine bag or preparation container to make approximately 2 litres of solution.
3. Shake or mix well until the powder is completely dissolved.
4. Drink the prepared solution according to the instructed schedule.
5. Do not drink undissolved powder directly.

Directions for Use

Dissolve the contents of one bag in water to make approximately 2 litres of solution. In general, adults take 2 to 4 litres of the prepared solution orally at a rate of about 1 litre per hour. Administration should be stopped when the excreted liquid becomes clear. Do not exceed 4 litres unless specifically instructed by a healthcare professional.

Another commonly instructed schedule is to drink approximately 2 litres within 2 hours. This may include drinking about 600ml first, followed by about 200ml every 15 minutes until the instructed amount is completed. Always follow the schedule prescribed for your procedure.

• Route: Oral use only
• Preparation: Dissolve one bag in water to make approximately 2 litres
• Usual adult amount: 2 to 4 litres as directed
• Usual rate: About 1 litre per hour
• Maximum: Do not exceed 4 litres unless instructed by a healthcare professional
• Stop point: Stop when the excreted liquid becomes clear, or as instructed

Important Administration Notes

• Strictly follow the dissolution and drinking method instructed by your doctor or pharmacist.
• If you have no bowel movement after taking about 2 litres, stop drinking and consult your doctor.
• If abdominal pain, nausea, vomiting, pallor, dizziness or vertigo occurs while drinking, stop taking the solution and immediately consult a doctor or pharmacist.
• If symptoms occur after finishing the solution, also consult a healthcare professional immediately.
• When taking this medicine at home, it is recommended to have an attendant present so that help can be provided if adverse reactions occur.
• If used before barium enema X-ray, additional medicine such as mosapride citrate may be instructed by a healthcare professional.
• If you miss a dose or accidentally take more than prescribed, consult a doctor or pharmacist.
• Do not stop, change or repeat the medicine unless instructed by your doctor.

Who Should Use With Caution?

Tell your doctor or pharmacist before using this medicine if any of the following apply to you:

• Previous allergic reaction to any medicine, food or ingredient
• Gastrointestinal obstruction or suspected intestinal obstruction
• Intestinal perforation or suspected intestinal perforation
• Toxic megacolon
• Severe constipation
• History of abdominal surgery
• Angina pectoris
• Myocardial infarction
• Heart disease or cardiovascular condition
• Renal impairment or kidney disease
• Diabetes mellitus
• Pregnancy or breastfeeding
• Use of prescription medicines, over-the-counter medicines, supplements or other medicinal products

Possible Side Effects

The most commonly reported adverse reactions include abdominal bloating, nausea, abdominal pain, feeling cold, malaise, light-headed feeling and vomiting. Consult your doctor or pharmacist if any of these symptoms occur or if you notice any other symptoms of concern.

• Abdominal bloating
• Nausea
• Abdominal pain
• Vomiting
• Feeling cold
• Malaise
• Light-headed feeling
• Gastrointestinal discomfort
• Altered electrolyte levels

Serious Adverse Reactions Requiring Immediate Medical Attention

Stop taking this medicine and seek medical attention immediately if any of the following symptoms occur:

• Breathing difficulty, facial pallor, semi-consciousness or symptoms suggesting shock or anaphylaxis
• Severe abdominal pain, abdominal bloating or vomiting, which may suggest intestinal perforation, intestinal obstruction or hernia incarceration
• Semi-consciousness, convulsion or severe vomiting, which may suggest hyponatremia
• Abdominal pain, abdominal bloating or bloody stool, which may suggest ischemic colitis
• Nausea, vomiting or bloody stool, which may suggest Mallory-Weiss syndrome
• Any severe allergic reaction such as rash, itching, swelling, dizziness or breathing difficulty

Storage

Keep out of reach of children. Store away from direct sunlight, heat and moisture. Use this medicine according to the instructed schedule. If the solution has been prepared in advance, store it in a refrigerator and consume within 48 hours. Discard any remaining solution after use. Do not store leftover solution for later use.

Important Safety Information

This product should be used only under medical instruction. It is not a general daily electrolyte drink or routine hydration supplement. It is intended for bowel cleansing before specified medical examinations or procedures. Do not use without professional guidance, especially if you have kidney disease, heart disease, gastrointestinal disease, diabetes, electrolyte imbalance, dehydration risk or are taking other medicines.

Disclaimer

This product information is provided for general reference only and does not replace medical advice, diagnosis, treatment, prescription instructions, official product labeling or local regulatory requirements. Always follow the instructions given by your doctor, pharmacist or healthcare professional and the information on the actual product package.