Enemeez® & Enemeez® Plus - Product Information
Enemeez® contains a delivered dose of 283mg of docusate sodium. This non-irritating formula provides fast, predictable constipation relief typically within 2-15 minutes.1 Enemeez® products have shown to be effective for bowel care needs associated with spinal cord injury or disease and general constipation. Please see label for complete information.
Enemeez® Plus includes 20mg of benzocaine, assisting in the anesthetization of the rectum and lower bowel. The formulation was developed for patients who experience painful bowel movements.
Adults and children 12 years of age and older (with adult supervision), one to three units daily. Children under 12 years of age, consult a physician prior to use. Enemeez® is to be used as an enema. Product is not a suppository. Do not take orally.
Enemeez® and Enemeez® Plus are available in bottles of 30 single use 5mL tubes.
WHEN SWITCHING TO ENEMEEZ®
If you have been using a bisacodyl product, please keep in mind that bisacodyl is a stimulant laxative, which irritates the rectal mucosa. Neutrophils can persist in the mucosa for up to 30 hours after insertion of the bisacodyl,5 possibly leading to inﬂamed rectal mucosa, producing a mucousal discharge. Mucosal discharge may occur up to three (3) days after discontinuing bisacodyl. You should allow time for your body to heal from the use of the bisacodyl product in order to produce an improved bowel movement with the Enemeez® product. With older post injury patients, please allow at least ﬁve (5) or more bowel care sessions for the body to acclimate to Enemeez®. If you do not experience an improvement, please phone your physician.
Diet and ﬂuid intake will play an important part in improving your bowel care program with Enemeez®.
FOODS THAT CAN KEEP STOOL SOLID BUT SOFT
Foods that are higher in ﬁber can absorb liquids, which help make your stool solid, but soft and easy to pass. Examples of high-ﬁber foods are fresh fruits, vegetables, dried peas, beans, whole grain cereals, and breads. It’s best to get the dietary ﬁber you need from a variety of food sources. A starting goal of at least 15 grams of ﬁber each day is recommended as part of a healthy diet.
An increase of ﬁber is recommended only if it isnecessary to produce a soft-formed stool. It’s a good idea to increase this amount gradually over a 6 week period to prevent a bloated feeling and too much gas. If you can’t eat as much ﬁber as your healthcare professional suggests, you may want to try ﬁber supplements or natural vegetable powders, such as psyllium. Remember, if you use ﬁber to vary the consistency of your stool, you will have more total stool and may need to perform bowel care more often.
There are no foods that cause diarrhea in everyone. Some people ﬁnd fatty, spicy, or greasy foods correlate with diarrhea. Other people report that caffeine found in coffee, tea, cocoa, chocolate, and many soft drinks appear to cause diarrhea. Diarrhea-causing bacteria can contaminate different foods as well. If you have episodes of diarrhea, keep a food record of what you eat and drink to help you identify what you are sensitive to.
Not everyone will beneﬁt from a high-ﬁber diet. You need to recall how much ﬁber you had in your diet before your injury or disease versus how much you eat now. Speak with your healthcare professional.
For rectal use only. Drug Interaction Precaution: Do not take this product if you are presently taking mineral oil, unless directed by a doctor.
Stop use and ask a physician if you have:
Pregnant or Lactating Women, ask a health professional before use.
Keep out of reach of children. In case of accidental ingestion, get medical help or contact a Poison Control Center immediately.
Diet and Fluid Intake Recommendations
HOW MUCH SHOULD I DRINK EVERYDAY?
You should drink plenty of ﬂuids everyday to keep your body hydrated and stool soft to prevent constipation. A good guideline is 64 ounces everyday (drinks with alcohol or caffeine do not count). If you exercise a lot or the weather is hot, increase ﬂuid intake. Some people may need to limit how much they drink because of their bladder program. Talk with your healthcare provider about a good daily ﬂuid goal that will work for both your bladder program and your bowel care program. Consult your physician regarding your individual needs.
Drinks such as coffee, tea, cocoa, and soft drinks contain caffeine, which is a diuretic. Diuretics can cause you to lose more ﬂuid than you drink. Caffeine is also a stimulant. Consider keeping caffeine drinks to a minimum per day.
PREVENTING BOWEL PROBLEMS
WHAT IS A BOWEL CARE RECORD?
A Bowel Care Record helps you and your healthcare professional decide whether your bowel program is working. Every time you do bowel care, write down the results. A bowel care record is included on the reverse side of this information sheet
When making a change to your bowel care program, medical professionals recommend changing one thing at a time and maintaining that change for at least a two week period. The following chart is to help you evaluate your change and to help identify the most appropriate bowel care regimen to maximize your quality of life and minimize the time spent on bowel care.
SAMPLE BOWEL CHART
|Date||Start Time||Position||Digital Stimulation||Assistive Techniques||Time of Result||Stool Amount||Stool Color & Consistency||Comments|
In addition to your bowel care chart, write down what you eat and drink to determine how your diet affects your bowel movement. For 30 days, record food DESCRIPTION AND QUANTITY FOR EACH MEAL
SAMPLE DIET CHART
The material contained is for reference purposes only. Alliance Labs, LLC and Summit Pharmaceuticals do not assume responsibility for patient care. Consult a physician prior to use. Copyright 2019 Summit Pharmaceuticals and Alliance Labs LLC. Source: 1. Federal Register / Vol. 50, No. 10 / Tuesday, January 15, 1985 / Proposed Rules; pgs 2124-2158. 2. Rehabilitation Nursing (Dunn KL & Galka ML (1994) Comparison of the Eﬀectiveness of erevac SB and Bisacodyl Suppositories in SCI Patients Bowel Programs, Rehabil Nurs. 19 (6):334-8. 3. Alliance Labs In-house research. Customer Survey April 27, 2011. 4. Mode of Action. Alliance Labs in-house research customer survey Feb. 21, 2014. 5. Gastrointestinal Endoscopy: Morphological consequences of bisacodyl on normal human rectal mucosa: eﬀect of a prostaglandin E1 analog on mucosal injury, D.R. Saunders, MD, R.C. Haggitt, MD, M.B. Kimmey, MD, F.E. Silverstein, MD. ENZ003 03.05.19