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Pronunciation |
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(GLIS
er
in) |
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U.S. Brand
Names |
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Fleet® Babylax® Rectal
[OTC]; Ophthalgan® Ophthalmic; Osmoglyn®; Sani-Supp®
Suppository
[OTC] |
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Generic
Available |
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Yes |
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Synonyms |
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Glycerol |
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Pharmacological Index |
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Laxative; Ophthalmic Agent, Miscellaneous |
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Use |
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Constipation; reduction of intraocular pressure; reduction of corneal edema;
glycerin has been administered orally to reduce intracranial
pressure |
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Pregnancy Risk
Factor |
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C |
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Adverse
Reactions |
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>10%:
Central nervous system: Headache
Gastrointestinal: Nausea, vomiting
1% to 10%:
Central nervous system: Confusion, dizziness
Endocrine: Polydipsia
Gastrointestinal: Diarrhea, dry mouth
<1%:
Cardiovascular: Arrhythmias
Endocrine & metabolic: Hyperglycemia
Gastrointestinal: Tenesmus, rectal irritation, cramping pain
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Stability |
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Refrigerate suppositories; protect from heat; freezing should be avoided
Ophthalmic: Keep bottle tightly closed; store at room temperature; discard 6
months after dropper is first placed in the solution |
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Mechanism of
Action |
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Osmotic dehydrating agent which increases osmotic pressure; draws fluid into
colon and thus stimulates evacuation |
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Pharmacodynamics/Kinetics |
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Absorption:
Oral: Well absorbed
Rectal: Poorly absorbed
Decrease in intraocular pressure: Oral:
Onset of action: Within 10-30 minutes
Peak effect: Within 60-90 minutes
Duration: 4-8 hours
Reduction of intracranial pressure: Oral:
Onset of action: Within 10-60 minutes
Peak effect: Within 60-90 minutes
Duration: ~2-3 hours
Constipation: Suppository: Onset of action: 15-30 minutes
Serum half-life: 30-45 minutes |
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Usual Dosage |
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Constipation: Rectal:
Children <6 years: 1 infant suppository 1-2 times/day as needed or 2-5 mL
as an enema
Children >6 years and Adults: 1 adult suppository 1-2 times/day as needed
or 5-15 mL as an enema
Children and Adults:
Reduction of intraocular pressure: Oral: 1-1.8 g/kg
1-11/2
hours preoperatively; additional doses may be administered at 5-hour intervals
Reduction of intracranial pressure: Oral: 1.5 g/kg/day divided every 4 hours;
1 g/kg/dose every 6 hours has also been used
Reduction of corneal edema: Ophthalmic solution: Instill 1-2 drops in eye(s)
prior to examination OR for lubricant effect, instill 1-2 drops in eye(s) every
3-4 hours |
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Administration |
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Oral: Orange or lemon juice may be added to unflavored 50% oral solution;
pour solution over crushed ice and drink through a straw to improve
palatability; headache can be minimized by having the patient lie down during
and after administration
Rectal: Inset suppository high in the rectum and retain 15 minutes
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Dental Health: Local
Anesthetic/Vasoconstrictor
Precautions |
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No information available to require special precautions |
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Dental Health:
Effects on Dental Treatment |
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No effects or complications reported |
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Patient
Information |
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Do not use if experiencing abdominal pain, nausea, or
vomiting |
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Nursing
Implications |
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Use caution during insertion of suppository to avoid intestinal perforation,
especially in neonates
Monitor blood glucose, intraocular pressure |
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Dosage Forms |
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Solution:
Ophthalmic, sterile (Ophthalgan®): Glycerin with
chlorobutanol 0.55% (7.5 mL)
Oral (lime flavor)(Osmoglyn®): 50% (220 mL)
Rectal (Fleet® Babylax®): 4
mL/applicator (6s)
Suppository, rectal (Sani-Supp®): Glycerin with sodium
stearate (infant and adult sizes)
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Copyright © 1978-2000 Lexi-Comp Inc. All Rights Reserved
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