Enemeez® & Enemeez® Plus - Product Information
PRODUCT INFORMATIONEnemeez® contains a delivered dose of 283mg 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.
DOSAGEAdults 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. POSITIONING
Alternate position:
HOW SUPPLIEDEnemeez® and Enemeez® Plus are available in bottles of 30 single use 5mL tubes. PATIENT COST
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 Diet and fluid intake will play an important part in improving your bowel care program with Enemeez®. FOODS THAT CAN KEEP STOOL SOLID BUT SOFTFoods 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 is necessary 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. DIARRHEAThere 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. IMPORTANTNot 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. |
ADMINISTRATION
WARNINGSFor 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 RecommendationsHOW 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. IMPORTANTDrinks 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
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 Effect of Therevac 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 08.05.20