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

Macrogol Balance Ratiopharm

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

Macrogol Balance Ratiopharm (Sodium Hydrogen Carbonate, Potassium Chloride, Sodium Chloride, Macrogol 3350)

Macrogol 3350, the active ingredient in Macrogol Balance Ratiopharm, is an osmotic laxative presented as an oral powder for solution for oral use. It treats constipation and assists in bowel preparation for diagnostic procedures in adults.
GNH India supplies Macrogol Balance Ratiopharm as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Ratiopharm Gmbh

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Indications & Clinical Uses

Macrogol Balance is an osmotic laxative used to manage conditions related to bowel motility.

  • Constipation: provides gentle, water‑based stool softening to facilitate regular bowel movements.
  • Bowel preparation for colonoscopy: clears the intestinal tract to improve visualization during endoscopic procedures.
  • Chronic idiopathic constipation: maintains long‑term bowel regularity in patients with persistent constipation.

How It Works

  • Macrogol 3350 is a high‑molecular‑weight polyethylene glycol that remains non‑absorbable in the gastrointestinal tract. It creates an osmotic gradient that retains water within the intestinal lumen, softening stool and increasing volume, which stimulates peristalsis. The accompanying electrolytes (sodium hydrogen carbonate, potassium chloride, sodium chloride) help maintain electrolyte balance during the increased fluid shift.

Side Effects

Macrogol Balance may cause several adverse reactions, most of which are mild and transient.

Common Side Effects

  • Abdominal bloating
  • Flatulence
  • Nausea
  • Diarrhea

Serious or Rare Side Effects

  • Electrolyte imbalance (e.g., hypernatremia, hypokalemia)
  • Severe abdominal pain
  • Allergic reaction (rash, angioedema)

Precautions & Warnings

When prescribing Macrogol Balance, consider the following safety measures.

  • Renal impairment: monitor electrolyte levels and fluid status.
  • Heart failure: avoid excessive fluid load.
  • Pregnancy: consult a healthcare professional before use.
  • Elderly patients: start with a lower dose and assess tolerance.
  • Concomitant diuretic therapy: watch for electrolyte disturbances.
  • Store at ambient temperature: keep in the original pack, protect from moisture.

Avoid Interactions

Macrogol Balance can interact with other medicines; awareness of the interaction level is important.

Major Interactions (Avoid)

  • Potassium‑sparing diuretics: risk of hyperkalemia.
  • Lithium: may increase lithium serum concentrations.
  • Other osmotic laxatives: additive effect leading to dehydration.

Moderate Interactions (Monitor Closely)

  • Sodium‑containing antacids: may increase sodium load.
  • ACE inhibitors: monitor renal function and electrolytes.
  • Loop or thiazide diuretics: watch for shifts in electrolyte balance.

Frequently Asked Questions

Macrogol Balance Ratiopharm is an oral osmotic laxative indicated for the relief of occasional constipation and for bowel cleansing prior to diagnostic procedures such as colonoscopy. The formulation combines macrogol 3350 with electrolytes to promote gentle stool softening while maintaining fluid and electrolyte balance.

Macrogol 3350 is a high‑molecular‑weight polyethylene glycol that is not absorbed from the gastrointestinal tract. It retains water in the intestinal lumen by creating an osmotic gradient, which softens the stool and increases its volume, thereby stimulating peristalsis and facilitating bowel movements.

The dose of Macrogol Balance Ratiopharm is individualized by the prescribing healthcare professional based on the patient’s condition, age, and response. The prescriber determines the appropriate amount of powder to dissolve in water and the frequency of administration.

Safety data for macrogol 3350 during pregnancy and lactation are limited. It should be used only if the potential benefit justifies the potential risk to the fetus or infant, and always under the guidance of a qualified healthcare provider.

To place an order, 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 (including any cold‑chain requirements) and necessary import documentation.

Macrogol Balance uses macrogol 3350, an osmotic agent that draws water into the colon without being metabolised, whereas lactulose is a synthetic disaccharide that is fermented by colonic bacteria to produce acids and osmotic pressure. Macrogol generally provides a faster onset, less gas production, and more predictable electrolyte balance compared with lactulose.

Store the product at ambient temperature, preferably below 25 °C. Keep the container tightly closed, protect it from moisture and direct sunlight, and retain it in its original packaging until use to preserve product integrity.

The powder is reconstituted by dissolving the prescribed amount in a measured volume of water, typically 200 ml, and the solution is taken orally. It should be consumed promptly after preparation and may be followed by additional fluid intake as advised by the prescriber.

Serious risks include significant electrolyte disturbances such as hypernatremia or hypokalemia, severe abdominal pain, and rare allergic reactions that may manifest as rash, angioedema, or anaphylaxis. Patients should seek immediate medical attention if any of these symptoms occur.

Macrogol Balance should be avoided in individuals with known or suspected intestinal obstruction, perforation, severe renal impairment, uncontrolled heart failure, or a documented hypersensitivity to macrogol or any of the electrolyte components.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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