Ispaghula Husk

Source: eMC SPC for Fybogel Hi-Fibre Lemon Granules (ispaghula husk sachets). No maximum dose is stated in the source. ONSET: 'The effect start 12-24hours later.' TIMING: the product should be taken during the day at least half an hour to 1 hour before or after intake of other medicines, and should not be taken immediately before going to sleep (impaired or reduced gastric motility may impair intestinal passage and cause sub-obstruction). DURATION: if there have been no bowel movements after three days of treatment, a doctor or healthcare professional should be consulted. ELDERLY: 'There is no indication that dosage needs to be modified for the elderly'; however, treatment of debilitated and/or elderly patients requires medical supervision. PAEDIATRIC (no per-kg dose is stated, so no structured paedDose has been recorded): children over 12 years — one sachet, morning and evening; children aged 6 to 12 years — half to one level 5 mL spoonful depending on size and age, morning and evening; children under 6 years — use is not recommended due to insufficient data on safety and efficacy. Verify against a children's formulary. PREPARATION: when preparing the product it is important to try to avoid inhaling any of the powder, in order to minimise the risk of sensitisation to the active ingredient; occupational contact with the powder may cause allergic sensitisation by inhalation, more frequently in atopic individuals. EXCIPIENTS: contains 16 mg aspartame per sachet (a source of phenylalanine — may be harmful in phenylketonuria); less than 1 mmol sodium (23 mg) per sachet, i.e. essentially sodium-free; 0.25 mmol (9.76 mg) potassium per sachet, to be taken into consideration by patients with reduced kidney function or on a controlled potassium diet.