Product image of Macrogol 4000 Aurobindo (Macrogol 4000) supplied by GNH India

Macrogol 4000 Aurobindo

Active Ingredient:
Macrogol 4000
Origin:
EU

Macrogol 4000 Aurobindo (Macrogol 4000)

Macrogol 4000, the active ingredient in Macrogol 4000 Aurobindo, is an osmotic laxative presented as a powder for oral use. It increases intestinal water content to soften stool and facilitate bowel movements in adults and children with constipation.

GNH India supplies Macrogol 4000 Aurobindo as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide. The product conforms to European Union quality standards and is available for global distribution to meet diverse healthcare needs. Our robust supply chain ensures timely delivery and regulatory compliance.

Manufacturer / TM Owner

Aurobindo Pharma B.V.

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Indications & Clinical Uses

Macrogol 4000 is an osmotic laxative that acts on the gastrointestinal tract to relieve constipation and related disorders.

  • Constipation: softens stool, increases water content in the colon, and promotes regular bowel movements in patients with functional constipation.
  • Opioid‑induced constipation: counteracts opioid‑related reduction in intestinal motility, enhancing stool passage and reducing discomfort in patients receiving opioid therapy.
  • Chronic idiopathic constipation: improves stool frequency and consistency, aiding long‑term management of persistent constipation unresponsive to dietary measures.
  • Bowel preparation for diagnostic procedures: facilitates colon cleansing when used in appropriate regimens prior to colonoscopy.

How It Works

  • Macrogol 4000 exerts its laxative effect by osmotically retaining water within the intestinal lumen. The high molecular weight polymer is poorly absorbed, creating an osmotic gradient that draws water from the surrounding tissues into the gut. This increased fluid volume softens fecal mass, expands the intestinal lumen, and stimulates peristalsis, thereby facilitating the passage of stool. The resulting hydration of the colon promotes regular defecation without stimulating electrolyte secretion.

Side Effects

Macrogol 4000 may cause several adverse reactions, ranging from mild to serious.

Common Side Effects

  • Abdominal bloating: sensation of fullness or swelling in the abdomen.
  • Flatulence: increased passing of intestinal gas.
  • Diarrhea: loose, watery stools occurring more frequently than normal.

Serious or Rare Side Effects

  • Severe dehydration: excessive loss of body fluids leading to dizziness or fainting.
  • Electrolyte imbalance: abnormal levels of sodium, potassium or other ions.
  • Allergic reaction: rash, itching, swelling, or difficulty breathing.

Precautions & Warnings

Before using Macrogol 4000, consider the following precautions to ensure safe and effective therapy.

  • Assess hydration status: verify the patient is not severely dehydrated before initiating therapy.
  • Renal impairment: use with caution in patients with reduced kidney function.
  • Electrolyte monitoring: check serum electrolytes periodically during prolonged use.
  • Bowel obstruction: avoid in individuals with known intestinal blockage or perforation.
  • Dosage adherence: do not exceed the prescribed amount or duration.
  • Store at room temperature: keep in the original container, protect from moisture and direct sunlight.

Avoid Interactions

Macrogol 4000 can interact with certain medicines, affecting their efficacy or safety.

Major Interactions (Avoid)

  • Other osmotic laxatives: concurrent use may cause severe fluid loss and electrolyte disturbances.
  • Loop diuretics: combined effect can increase risk of dehydration and electrolyte imbalance.

Moderate Interactions (Monitor Closely)

  • Anticholinergic agents: may reduce the laxative effect of Macrogol 4000.
  • Mineral supplements (e.g., calcium, magnesium): can alter stool consistency and affect absorption.
  • NSAIDs: may increase risk of gastrointestinal irritation when used together.

Frequently Asked Questions

Macrogol 4000 is an osmotic laxative indicated for the relief of constipation, including functional constipation, opioid‑induced constipation, and preparation for certain diagnostic procedures. It works by increasing water in the intestinal lumen to soften stool and promote regular bowel movements. The medication is taken orally and should be used under the guidance of a healthcare professional to achieve optimal results and minimize adverse effects.

Macrogol 4000 is a high‑molecular‑weight polyethylene glycol that is minimally absorbed from the gastrointestinal tract. By retaining water osmotically within the colon, it creates a fluid‑rich environment that softens fecal material, expands the lumen, and stimulates peristaltic activity, thereby facilitating the passage of stool. Its action is localized to the intestine and does not involve systemic absorption.

The appropriate dose of Macrogol 4000 is determined by the prescribing healthcare professional based on the individual’s age, severity of constipation, and response to therapy. Patients should follow the specific instructions provided on the product label or by their clinician and should not adjust the amount without medical advice.

Safety data for Macrogol 4000 in pregnancy and lactation are limited, and the product is generally classified as category unknown. Healthcare providers should evaluate the potential benefits and risks before prescribing it to pregnant or nursing mothers, and use it only if the expected therapeutic advantage justifies possible exposure to the fetus or infant.

To place an order, visit the product page for Macrogol 4000 Aurobindo on the GNH India website (gnhindia.com) and submit an enquiry with 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.

Compared with stimulant laxatives such as bisacodyl, Macrogol 4000 works by drawing water into the bowel rather than stimulating intestinal muscle contractions, resulting in a gentler, more physiologic effect. It is less likely to cause cramping but may require longer onset time. Osmotic agents like lactulose have a similar mechanism, though Macrogol 4000 typically provides a more rapid and predictable stool softening effect.

Macrogol 4000 should be stored at room temperature, below 25 °C, in its original packaging to protect it from moisture and direct sunlight. Keep the container tightly closed and out of reach of children. Do not expose the product to excessive heat or humidity, as this may affect its stability and efficacy.

Macrogol 4000 is taken orally, usually dissolved in a measured amount of water or another suitable liquid as directed on the label or by a healthcare professional. The solution should be consumed promptly after preparation to ensure proper dosing. Patients should avoid mixing it with alcoholic beverages or other medications unless advised.

The most serious risks include severe dehydration and electrolyte disturbances, which can occur if the product is over‑used or combined with other laxatives or diuretics. Rarely, an allergic reaction such as rash, swelling, or difficulty breathing may develop. Prompt medical attention is required if any of these severe symptoms appear.

Macrogol 4000 is contraindicated in individuals with known or suspected intestinal obstruction, perforation, or severe inflammatory bowel disease. It should also be avoided in patients with hypersensitivity to polyethylene glycol or any of the product’s excipients. Persons with uncontrolled electrolyte imbalances should not use the medication until the condition is corrected.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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