Cleen Ready To Use Enema is for the relief of occasional constipation. Constipation generally occurs if you have three or fewer bowel movements each week, and your stools are hard, dry, and difficult to pass. In this situation, Cleen Enema can provide help and relief. Plus, its latex-free. Cleen Enema is a saline laxative. Saline laxatives work by drawing water into the colon which helps produce a bowel movement. This provides a soft stool mass and increased bowel action. A bowel movement should be stimulated in 1 to 5 minutes, without pain or spasm. Cleen Enema is also ideal for bowel cleansing before undergoing a rectal examination. Cleen Enema comes in a ready-to-use, disposable squeeze bottle with a soft, pre-lubricated Comfort tip. Use for relief of occasional constipation, or where bowel cleansing is required for an endoscopy, bowel surgery or an X-ray examination. Adults, Elderly and Children over 12 years old: 1 bottle (118ml delivered dose) no more than once. Children aged 3 years to less than 12 years: As directed by a physician. Do not administer to children less than 3 years of age. For rectal use only. Lie on left side with both knees bent, arms at rest. Remove orange protective shield. With steady pressure, gently insert enema Comfortip into anus with nozzle pointing towards navel. Squeeze bottle until nearly all liquid is expelled. Discontinue use if resistance is encountered. Forcing the enema can result in injury. Return enema to carton for disposal. Generally, 2 to 5 minutes are sufficient to obtain the desired effect. If delayed discontinue further use and consult a physician. For occasional constipation, rectal enemas are to be used to provide short-term relief only. Do not use Cleen Ready-to-use enema when nausea, vomiting or abdominal pain is present unless directed by a physician. Patients should be advised to expect liquid stools and should be encouraged to drink clear liquids to help prevent dehydration. This product should be used with caution in patients with abnormal renal function. Where the clinical benefit is expected to outweigh the risk of hyperphosphataemia, repeated and prolonged use is not recommended as it may cause habituation. Unless directed by a physician, Cleen Ready-to-use enema should not be used for more than two weeks. Rectal bleeding or failure in bowel evacuation after using Cleen Ready-to-Use Enema evacuation occurs within 5 minutes of administration may indicate a serious condition. No further administrations should be given and the condition of the patient should be assessed by a physician. Cleen Ready-to-Use Enema should be administered following the instructions for use and handling. Patients should be warned to stop administration if resistance is felt because forced administration may cause local damage. Keep all medicines out of the reach and sight of children. You should carefully read all product packaging and labels prior to use. Use with caution in patients taking calcium channel blockers, diuretics, lithium treatment or other medications that might affect electrolyte levels as hyperphosphataemia, hypocalcaemia, hypokalaemia, hypernatraemic dehydration and acidosis may occur. It contains Sodium Dihydrogen Phosphate Dihydrate 18.1% w/v, Disodium Phosphate Dodecahydrate 8.0% w/v, Disodium Edetate, Benzalkonium Chloride, Purified water. Nozzle lubricant: white soft paraffin.