Movicol Oral Solution (13.125 gm+350.7 mg+178.5 mg+46.6 mg)/25 ml

Movicol (Polyethylene Glycol 3350 + Electrolytes) is a clinically proven osmotic laxative manufactured by Mundipharma (BD) Pvt. Ltd. Priced at ৳305.00 per 25 ml oral solution unit, it effectively treats constipation and fecal impaction in adults and children above 2 years by softening stools and enhancing bowel movements without causing electrolyte imbalance.

This oral solution contains Macrogol 3350, which draws water into the intestines to hydrate stools, combined with electrolytes (sodium, potassium, bicarbonate) to maintain fluid balance. Its dual action makes it suitable for both short-term relief and chronic constipation management. Patients with renal impairment require no dose adjustments, ensuring broad usability.

The recommended dosage varies:

• Constipation: 25 ml dissolved in 100 ml water once daily (up to 2-3 doses if needed)
• Fecal impaction: 8 doses (200 ml total) within 6 hours for ≤3 days

Unused solutions must be discarded within 24 hours. Store below 30°C, avoiding refrigeration.

Common side effects include diarrhea, abdominal discomfort, or rectal pain. These usually resolve with dose reduction. Though safe during pregnancy and breastfeeding, consult a doctor if symptoms persist. For alternatives, explore Polyethylene Glycol 3350 + Electrolytes generics.

Adults & ≥12 years: 1 sachet/day (mixed in 125ml water) for constipation. Fecal impaction: 8 sachets/day within 6 hours. Renal patients require no dose adjustment. Refrigerate solution; discard after 6 hours. Max treatment duration: 3 days. Follow Polyethylene Glycol 3350 guidelines.

Generally well tolerated. However side effects like allergic reactions, electrolyte disturbances particularly hyperkalaemia and hypokalaemia, abdominal pain, diarrhea, headache, peripheral edema may appear.

Pregnancy Category: Safe (negligible absorption). Compatible with breastfeeding. Use under medical supervision.

Cardiac patients: Limit to ≤2 sachets/hour for impaction. Discontinue if edema/dyspnea occurs. Prolonged use may cause dependence.

Pediatric (2-12 years): Use under prescription. No dose adjustment for elderly/hepatic/renal impairment.

Severe pain or distention can be treated by nasogastric aspiration. Extensive fluid loss by diarrhea or vomiting may require correction of electrolyte disturbances.