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

Macrolief

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

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

Sodium hydrogen carbonate, potassium chloride, sodium chloride, and macrogol 3350, the active ingredients in Macrolief, are presented as an oral solution for oral use. The combination provides electrolyte replacement and osmotic laxative action, useful in managing dehydration and constipation.

GNH India supplies Macrolief as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide, ensuring quality, regulatory compliance and robust logistics support across global markets.

Manufacturer / TM Owner

Rowex Ltd

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Indications & Clinical Uses

Macrolief is used to address conditions related to electrolyte imbalance and bowel function.

  • Constipation: provides osmotic laxative effect to facilitate stool passage in occasional constipation.
  • Dehydration: supplies sodium, potassium and chloride ions to help restore fluid and electrolyte balance in mild to moderate dehydration.
  • Bowel preparation: used as part of a bowel cleansing regimen prior to colonoscopy or other diagnostic procedures.

How It Works

  • The sodium hydrogen carbonate component acts as a systemic alkalinizing agent, while potassium chloride and sodium chloride replenish essential electrolytes. Macrogol 3350 (polyethylene glycol 3350) is a high‑molecular‑weight polymer that remains largely unabsorbed, retaining water in the intestinal lumen and creating an osmotic gradient that softens stool and promotes bowel evacuation. Together, the formulation restores electrolyte homeostasis and facilitates gastrointestinal transit.

Side Effects

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

Common Side Effects

  • Abdominal bloating or distension.
  • Nausea or mild vomiting.
  • Flatulence or gas.
  • Diarrhea or loose stools.
  • Taste disturbance or mild metallic aftertaste.
  • Electrolyte shifts (e.g., mild hypernatremia).

Serious or Rare Side Effects

  • Severe electrolyte imbalance (hyperkalemia, hyponatremia).
  • Allergic reactions such as rash, itching or angioedema.
  • Persistent abdominal pain or cramping.
  • Severe dehydration despite therapy.
  • Anaphylactic reaction requiring emergency care.

Precautions & Warnings

When using Macrolief, consider the following safety measures.

  • Assess electrolyte status: evaluate baseline sodium, potassium and chloride levels before initiation.
  • Monitor renal function: avoid in patients with severe renal impairment.
  • Caution in heart failure: excess sodium may exacerbate fluid overload.
  • Avoid in known hypersensitivity to any component.
  • Use under medical supervision in pediatric or geriatric populations.
  • Store at ambient temperature: keep below 25 °C, in the original container, protected from moisture and direct sunlight.

Avoid Interactions

Macrolief can interact with other medicines that affect electrolyte balance or renal function.

Major Interactions (Avoid)

  • Loop diuretics: may precipitate significant electrolyte loss.
  • ACE inhibitors or ARBs: increased risk of hyperkalemia.
  • Potassium‑sparing diuretics: additive potassium elevation.

Moderate Interactions (Monitor Closely)

  • Antacids: may alter gastric pH and affect absorption.
  • Other laxatives or osmotic agents: risk of excessive diarrhea and dehydration.
  • Oral rehydration solutions: cumulative electrolyte load may require dose adjustment.

Frequently Asked Questions

Macrolief is an oral solution that combines electrolytes with macrogol 3350. It is used to help restore fluid and electrolyte balance in mild to moderate dehydration, to provide osmotic laxative action for occasional constipation, and as part of bowel‑cleansing regimens before diagnostic procedures such as colonoscopy.

The formulation supplies sodium, potassium and chloride ions to replace lost electrolytes, while macrogol 3350 (polyethylene glycol 3350) remains in the gastrointestinal tract, drawing water into the lumen. This osmotic effect softens stool and promotes bowel movements, while the bicarbonate component helps neutralize excess gastric acid.

The specific dose of Macrolief is determined by the prescribing healthcare professional based on the patient’s condition, age, weight and electrolyte status. Dosage may vary for dehydration versus constipation, and the prescriber will provide detailed instructions on volume and frequency.

Safety data for Macrolief in pregnancy and lactation are limited. It should only be used if the potential benefit to the mother outweighs any possible risk to the fetus or infant. Healthcare providers should evaluate the individual situation and discuss alternatives when appropriate.

To request Macrolief, 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 temperature requirements) and the necessary import documentation.

Macrolief combines electrolyte replacement with macrogol 3350, offering both rehydration and osmotic laxative effects. Unlike stimulant laxatives, macrogol 3350 works by retaining water in the bowel, resulting in a gentler, more predictable stool softening. The added electrolytes also help prevent the fluid shifts sometimes seen with pure laxative preparations.

Macrolief should be stored at ambient temperature, preferably below 25 °C. Keep the container tightly closed, protect it from moisture, direct sunlight and extreme temperatures. Do not freeze the solution. Follow any additional handling instructions provided on the label to maintain product integrity.

Macrolief is taken orally as a liquid solution. The prescriber will specify the volume to be consumed and the frequency, which may be a single dose or divided doses throughout the day. It can be taken with or without food unless otherwise directed.

Serious risks include severe electrolyte disturbances such as hyperkalemia or hyponatremia, especially in patients with renal or cardiac disease, and rare allergic reactions that can lead to anaphylaxis. Persistent abdominal pain, severe diarrhea or signs of dehydration should prompt immediate medical evaluation.

Macrolief should be avoided in individuals with known hypersensitivity to any of its components, in patients with severe renal impairment, uncontrolled heart failure, or in those who are already receiving high‑dose electrolyte supplements that could cause overload. A healthcare professional should assess suitability before prescribing.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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