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

Macropeg Junior

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

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

Sodium Hydrogen Carbonate, the active ingredient in Macropeg Junior, is an electrolyte and osmotic laxative presented as an oral powder for reconstitution for oral use. It helps manage constipation, supports bowel preparation, and provides electrolyte balance in both adults and children.

GNH India supplies Macropeg Junior as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Fairmed Healthcare Gmbh

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Indications & Clinical Uses

Macropeg Junior is used in the gastrointestinal and electrolyte‑balance therapeutic area. It assists several clinical situations:

  • Constipation: softens stool and promotes regular bowel movements.
  • Bowel preparation for colonoscopy: clears the intestinal tract to improve visualization.
  • Electrolyte replacement in mild dehydration: restores sodium, potassium and chloride levels after fluid loss.

How It Works

  • Macropeg Junior combines macrogol 3350, an osmotic polymer that retains water in the intestinal lumen, with sodium hydrogen carbonate, potassium chloride and sodium chloride, which supply essential electrolytes and buffer gastric acidity. The increased intraluminal water softens stool and stimulates peristalsis, while the salts help maintain electrolyte homeostasis during the cleansing process.

Side Effects

Common Side Effects

  • Abdominal bloating: feeling of fullness in the abdomen.
  • Flatulence: increased intestinal gas.
  • Nausea: mild upset stomach.
  • Mild abdominal cramps: transient discomfort.
  • Diarrhea: loose stools during treatment.
  • Thirst: increased fluid need.

Serious or Rare Side Effects

  • Severe electrolyte imbalance: abnormal sodium or potassium levels.
  • Allergic reaction: rash, itching, swelling.
  • Severe dehydration: excessive fluid loss.
  • Renal impairment: reduced kidney function in susceptible individuals.

Precautions & Warnings

Before using Macropeg Junior, consider the following precautions:

  • Renal function assessment: evaluate kidney health to avoid fluid overload.
  • Electrolyte monitoring: check serum sodium and potassium levels during therapy.
  • Heart failure caution: use carefully in patients with fluid retention.
  • Bowel obstruction avoidance: do not use if intestinal blockage is suspected.
  • Hypersensitivity check: discontinue if allergic signs appear.
  • Store at ambient temperature: keep in the original pack, protect from moisture.

Avoid Interactions

Macropeg Junior may interact with other medicines as follows:

Major Interactions (Avoid)

  • Concurrent osmotic laxatives: increase risk of severe diarrhea.
  • High‑dose potassium supplements: may cause hyperkalemia.
  • NSAIDs: can exacerbate renal stress when combined.
  • Diuretics: may lead to excessive electrolyte loss.

Moderate Interactions (Monitor Closely)

  • Antacids: may alter absorption of the formulation.
  • ACE inhibitors: monitor potassium levels.
  • Calcium channel blockers: watch for electrolyte shifts.
  • Oral rehydration solutions: adjust dosing to prevent overload.

Frequently Asked Questions

Macropeg Junior is an oral powder that provides an osmotic laxative effect and supplies key electrolytes. It is commonly used to relieve constipation, prepare the bowel for procedures such as colonoscopy, and replace lost sodium, potassium and chloride in mild dehydration.

Sodium hydrogen carbonate acts as a buffering agent that helps neutralize stomach acidity while contributing to the overall electrolyte composition. Together with macrogol 3350, it creates an osmotic gradient that draws water into the intestines, softening stool and promoting bowel movements.

The dose of Macropeg Junior is determined by the prescribing healthcare professional based on the patient’s age, weight, and clinical indication. The prescriber will specify the amount of powder to reconstitute and the frequency of administration.

Safety of Macropeg Junior in pregnancy or while breastfeeding has not been fully established. Healthcare providers should weigh the potential benefits against any possible risks and consider alternative treatments if appropriate.

To order Macropeg Junior, submit an enquiry on the product page at gnhindia.com, indicating 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.

Macropeg Junior combines an osmotic agent (macrogol 3350) with electrolyte salts, offering both bowel cleansing and electrolyte replacement. Compared with stimulant laxatives, it generally causes less cramping and provides a more balanced fluid shift, making it suitable for patients who need both cleansing and rehydration.

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

The product is supplied as a dry powder that is reconstituted with a specified volume of water according to the prescriber’s instructions. The resulting solution is taken orally, usually in divided doses, as directed for the intended indication.

Serious risks include severe electrolyte imbalance, allergic reactions, marked dehydration, and renal impairment, especially in patients with pre‑existing kidney disease or heart failure. Prompt medical attention is required if any of these symptoms develop.

Macropeg Junior should be avoided in individuals with known hypersensitivity to any component, those with complete bowel obstruction, severe renal or cardiac insufficiency, and patients on medications that could cause dangerous electrolyte shifts without close monitoring.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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