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# Ezivac enema
## Overview
Ezivac enema is a saline-based osmotic laxative.
## Primary Indications
Treatment of occasional constipation.
## Adult Dosing
Administer one 100 mL enema rectally as a single dose.
## Pediatric Dosing
Safety and efficacy in pediatric patients have not been established. Consult local protocols.
## Dose Adjustments
No dose adjustments are typically required.
## Contraindications
* Appendicitis or symptoms of appendicitis
* Intestinal obstruction
* Congenital megacolon
* Rectal fissures
* Undiagnosed abdominal pain
* Known hypersensitivity to sodium phosphate
## Adverse Effects
Common: Abdominal discomfort, cramping, nausea, vomiting, anal irritation.
Serious: Hyperphosphatemia, hypocalcemia, hyponatremia, hypernatremia, dehydration, urticaria, cardiac arrhythmias, renal damage, seizures, uterine contractions.
## Key Drug Interactions
Use with caution in patients taking medications that may affect electrolyte balance (e.g., diuretics, ACE inhibitors, ARBs) due to the risk of electrolyte disturbances.
## Monitoring
Monitor for signs of dehydration and electrolyte imbalance, particularly in elderly patients or those with renal impairment.
## Clinical Pearls
* Enemas should be administered slowly and retained for as long as possible (typically 5-10 minutes) for maximum effectiveness.
* Overuse can lead to dependence and electrolyte disturbances.
* Not intended for long-term use.
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*Disclaimer: This information is intended for healthcare professionals. Please consult the most current prescribing information and local institutional protocols for complete details before making any treatment decisions.*