Product image of Isopeg (Sodium Hydrogen Carbonate, Potassium Chloride, Sodium Chloride, Macrogol 3350) supplied by GNH India

Isopeg

Active Ingredient:
Sodium Hydrogen Carbonate, Potassium Chloride, Sodium Chloride, Macrogol 3350
Origin:
EU

Isopeg (Sodium Hydrogen Carbonate, Potassium Chloride, Sodium Chloride, Macrogol 3350)

Polyethylene glycol 3350 with electrolytes, the active ingredient in Isopeg, is an osmotic laxative presented as an oral solution for oral administration. It is indicated for the treatment of functional constipation and for bowel cleansing prior to colonoscopic examination in adult patients.

GNH India supplies Isopeg as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide. The company adheres to stringent quality standards and provides regulatory documentation to support global distribution. Isopeg is manufactured under EU GMP guidelines and is available for export to multiple regions.

Manufacturer / TM Owner

Norgine Pharmaceuticals Limited

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Indications & Clinical Uses

Isopeg, an osmotic laxative, is employed to manage disorders of bowel motility and to prepare the colon for diagnostic procedures.

  • Constipation: softens stool and promotes regular bowel movements in adults with functional constipation.
  • Bowel preparation for colonoscopy: clears the intestinal lumen to enable clear visualization during colonoscopic examination.
  • Prevention of fecal impaction: maintains stool softness to reduce risk of hard stool accumulation in at‑risk patients.
  • Pre‑operative bowel cleansing: used before certain abdominal surgeries to reduce fecal load.

How It Works

  • Polyethylene glycol 3350 with electrolytes acts as an osmotic agent that retains water within the intestinal lumen. The increased intraluminal fluid softens fecal mass, expands stool volume, and stimulates peristalsis, thereby facilitating bowel evacuation without being absorbed systemically.

Side Effects

Common Side Effects

  • Abdominal bloating: sensation of fullness or swelling in the abdomen.
  • Nausea: mild feeling of queasiness that may occur after ingestion.
  • Flatulence: increased intestinal gas leading to discomfort.
  • Diarrhoea: loose stools occurring if the dose exceeds individual tolerance.

Serious or Rare Side Effects

  • Severe dehydration: marked loss of body water requiring medical attention.
  • Electrolyte disturbances: significant shifts in sodium, potassium or chloride levels.
  • Allergic reaction: rash, itching, swelling or difficulty breathing indicating hypersensitivity.

Precautions & Warnings

Isopeg should be used with clinical judgment and appropriate monitoring.

  • Renal function assessment: evaluate kidney status before initiating therapy.
  • Electrolyte monitoring: check serum electrolytes, especially in patients with cardiac or renal disease.
  • Caution in heart failure: avoid excessive fluid shifts that may exacerbate condition.
  • Avoid in bowel obstruction: contraindicated when mechanical blockage is present.
  • Dose adjustment in elderly: consider lower initial dose due to altered tolerance.
  • Store at ambient temperature: keep in the original pack, protect from moisture and direct sunlight.

Avoid Interactions

Isopeg may interact with other medications that affect fluid or electrolyte balance.

Major Interactions (Avoid)

  • Concomitant osmotic laxatives: risk of excessive fluid loss.
  • Loop diuretics: may precipitate severe electrolyte imbalance.
  • Sodium‑containing IV fluids: increase risk of hypernatremia.

Moderate Interactions (Monitor Closely)

  • Anticholinergic agents: may reduce laxative efficacy.
  • Opioid analgesics: can counteract the bowel‑stimulating effect.
  • Mineral supplements (e.g., potassium chloride): may alter electrolyte homeostasis.

Frequently Asked Questions

Isopeg is an oral osmotic laxative indicated for the treatment of functional constipation and for bowel cleansing before colonoscopic procedures. It helps soften stool and promote regular evacuation, making it useful in both therapeutic and diagnostic settings.

The polyethylene glycol component draws water into the intestinal lumen by osmosis, while the added electrolytes maintain fluid balance. This increased intraluminal water softens the stool, expands its volume, and stimulates peristalsis, facilitating easier bowel movements without systemic absorption.

The dosage of Isopeg is individualized by the prescribing clinician based on the patient’s condition, age, renal function and response. The prescriber determines the appropriate volume and frequency, and the product should be taken exactly as directed on the prescription label.

Safety data for Isopeg in pregnancy and lactation are limited. It should only be used if the potential benefit justifies any potential risk to the fetus or infant, and the decision must be made by a qualified healthcare professional after evaluating the clinical situation.

To order Isopeg, submit an enquiry on the product page at gnhindia.com specifying the required quantity. GNH India works with hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details and any necessary import documentation.

Isopeg combines polyethylene glycol with electrolytes, offering a balanced osmotic effect that reduces the risk of severe electrolyte shifts compared with plain PEG solutions. Unlike stimulant laxatives, it works by water retention rather than stimulating intestinal muscle, providing a gentler and more predictable cleansing profile.

Isopeg should be stored at ambient temperature, preferably below 25 °C. Keep the container tightly closed, protect it from moisture and direct sunlight, and store it in its original packaging to maintain product stability throughout its shelf life.

Isopeg is supplied as an oral solution. The prescribed volume is measured using the provided dosing device or a calibrated syringe, then ingested with water. It is usually taken on an empty stomach, but patients should follow the specific instructions given by their healthcare provider.

Serious risks include severe dehydration and significant electrolyte disturbances such as hyponatraemia, hyperkalaemia or hypochloraemia. Patients should be monitored for signs of excessive fluid loss, dizziness, muscle cramps or cardiac irregularities, especially if they have underlying renal or cardiac disease.

Isopeg is contraindicated in individuals with known or suspected mechanical bowel obstruction, intestinal perforation, severe renal impairment, uncontrolled heart failure, or hypersensitivity to any of its components. It should also be used with caution in the elderly and in patients on medications that affect fluid or electrolyte balance.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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