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Living with MS

Treatments > Medications Used In MS


Brand Name Chemical Name

Fleet Enema
(U.S. and Canada)

Sodium phosphate

Primary Usage in MS

Generic Available
Constipation No
This medication is available without a prescription.

Description
Sodium phosphate enemas are available over-the-counter.

Proper Usage
Rectal enemas are to be used to provide short-term relief only, unless otherwise directed by the nurse or physician who is helping you to manage your bowel symptoms. A regimen that includes a healthy diet containing roughage (whole grain breads and cereals, bran, fruit, and green, leafy vegetables), six to eight full glasses of liquids each day, and some form of daily exercise is most important in stimulating healthy bowel function.

If your physician has recommended this rectal laxative for management of constipation, follow his or her recommendations for its use. If you are treating yourself for constipation, follow the directions on the package insert.

Results usually occur within two to five minutes. Be sure to consult your physician if you notice rectal bleeding, blistering, pain, burning, itching, or other signs of irritation that were not present before you began using a sodium phosphate enema.

Precautions
Do not use any type of laxative if you have signs of appendicitis or inflamed bowel (e.g., stomach or lower abdominal pain, cramping, bloating, soreness, nausea, or vomiting). Check with your physician as soon as possible.

Do not use any laxative for more than one week unless you have been told to do so by your physician. Many people tend to overuse laxatives, which often leads to dependence on the laxative action to produce a bowel movement. Discuss the use of laxatives with your health care professional in order to ensure that the laxative is used effectively as part of a comprehensive, healthy bowel management regimen.

If you are pregnant, discuss with your physician the most appropriate type of laxative for you to use.

Possible Side Effects
Side effect that may go away as your body adjusts to the medication and does not require medical attention unless it persists or is bothersome: skin irritation in the rectal area.

Unusual side effects that should be reported to your physician as soon as possible: rectal bleeding, blistering, burning, itching.

Medication Index

Other Medications Used to Treat Constipation

About Bowel Dysfunction

Bowel Problems: The Basic Facts
Types of bowel problems, good bowel habits, resources, and more.


Reprinted with permission from Rosalind C. Kalb (ed.), Multiple Sclerosis: The Questions You Have—The Answers You Need, 3rd Edition. New York: Demos Medical Publishing, Inc., 2004

Last updated September 21, 2006

     

 

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