Summary of medicine characteristics - FAM-LAX PHENOLPHTHALEIN TABLETS
1 NAME OF THE MEDICINAL PRODUCT
‘Fam-Lax Phenolphthalein' Tablets.
2 QUALITATIVE AND QUANTITATIVE COMPOSITION
Active Constituents :
Quantity per tablet
Yellow Phenolphthalein USP 120 mg
Powdered Rhubarb BP 27.5 mg
3 PHARMACEUTICAL FORM
Brown circular tablets embossed with the letter T.
4 CLINICAL PARTICULARS
4.1 Therapeutic indications
Symptomatic relief from constipation.
4.2 Posology and method of administration
‘Fam-Lax Phenolphthalein’ Tablets are for oral administration.
Adults, The Elderly and Children over 12 years of age :
Half to 1 tablet daily to be taken at bedtime.
Children under 12 years of age : Not recommended.
Directions : The tablet may be chewed or crushed and taken with the aid of water, milk or fruit juice.
4.3 Contraindications
There are no known contra-indications.
4.4 Special warnings and precautions for use Prolonged use should be avoided.
4.5 Interaction with other medicinal products and other forms of interaction There are no known interactions.
4.6 Fertility, Pregnancy and lactation
There are no contra-indications to the administration of ‘Fam-Lax Phenolphthalein’ Tablets during pregnancy and lactation, however as with all drugs, therapy during the first trimester of pregnancy should be avoided.
4.7 Effects on ability to drive and use machines None known.
4.8 Undesirable effects
Phenolphthalein Abdominal cramps may occasionally occur. Allergic reactions have been reported. Cardiac and respiratory distress and renal damage have also been reported.
4.9 Overdose
4.9 OverdoseOverdosage can result in diarrhoea with excessive loss of water and electrolytes, particularly potassium. Treat symptomatically. There is also the possibility of developing an atonic non-functioning colon.
5.1 Pharmacodynamic properties
Phenolphthalein is an irritant purgative, usually taken at night to act in the morning.
Rhubarb is a mild anthraquinone purgative. It differs from other anthraquinone purgatives in that it exerts an astringent action after purgation.
5.2 Pharmacokinetic properties
5.2 Pharmacokinetic propertiesPhenolphthalein is a diphenylmethane stimulant laxative. Up to 15% of phenolphthalein given by mouth is absorbed. Enterohepatic circulation occurs and the active glucuronide is excreted in the bile.
Some excretion occurs in the urine. Phenolphthalein usually has an effect within six to eight hours but because of enterohepatic circulation its action may continue for several days. Rhubarb is an anthraquinone laxative. The active anthraquinones are liberated into the colon from the glycosides by colonic bacteria and an effect usually occurs 6 to 12 hours after administration. There is some absorption of the anthraquinones following hydrolysis. Excretion occurs in the urine and the faeces and also in other secretions including milk.
5.3 Preclinical safety data No remarks.
6.1 List of excipients
Icing Sugar, Cocoa Powder, Powdered Acacia BP, Vanillin Ph.Eur., Peppermint Oil Ph.Eur., Stearic Acid BP, Purified Talc Ph.Eur.
6.2 Incompatibilities
None known.
6.3 Shelf life
Five years from the date of manufacture.
6.4 Special precautions for storage
Five years from the date of manufacture.