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

Macrogol

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

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

Macrogol, the active ingredient in this product, is an osmotic laxative presented as an oral formulation for oral use. It works by retaining water in the intestinal lumen, thereby softening stool and facilitating bowel movements, and is indicated for the treatment of constipation and for bowel preparation prior to diagnostic procedures in both adult and pediatric patients under medical supervision.

GNH India supplies Macrogol as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide, including academic medical centres and community health providers.

Manufacturer / TM Owner

Norgine Healthcare B.V.

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Indications & Clinical Uses

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

  • Constipation: relieves infrequent or difficult stool passage by softening stool and increasing frequency.
  • Bowel preparation for diagnostic procedures: clears the intestinal tract to improve visualization during colonoscopy, sigmoidoscopy, or radiologic studies.
  • Pre‑operative bowel cleansing: reduces fecal bulk before surgical interventions involving the gastrointestinal tract.

How It Works

  • Macrogol 3350 is a high‑molecular‑weight polyethylene glycol that is not absorbed from the gastrointestinal tract. It exerts an osmotic effect by binding water molecules in the lumen, increasing intraluminal fluid volume and reducing stool hardness. The resulting rise in colonic water content stimulates peristalsis, promoting regular bowel movements without significant electrolyte shifts.

Side Effects

Macrogol may cause a range of adverse reactions, most of which are mild and transient.

Common Side Effects

  • Abdominal bloating
  • Flatulence
  • Nausea
  • Diarrhea

Serious or Rare Side Effects

  • Severe electrolyte imbalance
  • Acute renal failure
  • Allergic reaction (rash, angioedema)

Precautions & Warnings

Before prescribing Macrogol, clinicians should consider several safety aspects.

  • Renal function: assess baseline renal status, especially in patients with chronic kidney disease.
  • Electrolyte status: monitor serum sodium and potassium when used for prolonged periods.
  • Dehydration: ensure adequate fluid intake to prevent excessive fluid loss.
  • Pregnancy and lactation: use only if clearly needed and prescribed by a healthcare professional.
  • Age considerations: dose adjustments may be required for pediatric or elderly patients.
  • Store below 25°C: keep in the original container, protect from moisture.

Avoid Interactions

Macrogol can interact with other medications that affect fluid or electrolyte balance.

Major Interactions (Avoid)

  • Concomitant use with other potent osmotic laxatives (e.g., sodium phosphate) – risk of severe fluid loss.
  • Concurrent high‑dose diuretics – may exacerbate electrolyte disturbances.

Moderate Interactions (Monitor Closely)

  • Antacids containing magnesium – may increase osmotic load.
  • Mineral supplements (potassium, calcium) – monitor electrolytes.
  • NSAIDs – may affect renal function.
  • ACE inhibitors – monitor renal function and electrolytes.

Frequently Asked Questions

Macrogol is used as an osmotic laxative to treat constipation and to prepare the bowel for diagnostic procedures such as colonoscopy or radiologic imaging. It works by increasing the water content of stool, making it easier to pass.

Macrogol is a high‑molecular‑weight polyethylene glycol that remains in the gastrointestinal tract. It binds water molecules, creating an osmotic gradient that draws fluid into the intestinal lumen, softening stool and stimulating peristalsis without being absorbed into the bloodstream.

The dose of Macrogol is individualized by the prescribing healthcare professional based on the patient’s age, weight, severity of constipation, and the intended use (treatment versus bowel preparation). Patients should follow the prescriber’s instructions and not adjust the dose on their own.

Macrogol should be used during pregnancy or lactation only if clearly needed and after a risk‑benefit assessment by a qualified healthcare provider. Limited data are available, so the prescriber will decide whether the benefits outweigh potential risks.

To order Macrogol, submit an enquiry on the product page at gnhindia.com specifying the required quantity. GNH India supplies hospitals, pharmacies and procurement teams worldwide, and will request trade or institutional credentials before providing pricing, availability, shipping details and any necessary import documentation.

Compared with stimulant laxatives, Macrogol works by an osmotic mechanism, generally causing fewer cramping sensations and less electrolyte disturbance. It is often preferred for long‑term constipation management and for bowel cleansing before procedures, whereas stimulant agents act by stimulating intestinal muscle contractions.

Macrogol should be stored below 25 °C in its original packaging, protected from moisture and direct sunlight. Keep the product out of reach of children and avoid exposing it to high humidity, which could affect its stability.

Macrogol is taken orally, usually dissolved in a measured amount of water or other clear fluid as directed by the prescriber. It is important to drink the full volume of liquid to ensure proper distribution of the osmotic agent throughout the gastrointestinal tract.

Serious risks include severe electrolyte imbalance, acute renal failure, and allergic reactions such as rash or angioedema. Patients should seek immediate medical attention if they experience symptoms like persistent vomiting, severe abdominal pain, swelling of the face or throat, or sudden changes in blood pressure.

Macrogol should be avoided in individuals with known hypersensitivity to polyethylene glycol, those with intestinal obstruction, perforation, or severe inflammatory bowel disease, and patients with uncontrolled electrolyte abnormalities or severe renal impairment unless closely monitored by a physician.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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