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Movicol products

Movicol is designed to fit easily into your patient’s lifestyles, whatever they may be. Compare the range of products, which now includes a licensed option for 1-year olds.

Product range

The Movicol paediatric range1,2

Over 25 years, our product range has continued to evolve to meet patients’ needs. The latest update is an expansion of the Movicol Paediatric Plain license to include 1-year olds.

Product
Indication
Flavour
Preparation
Pack size
SPC

Movicol Paediatric Plain

Movicol Paediatric Plain
Indication

In those aged 1-11 years:
Chronic constipation

In those aged 5-11 years:
Faecal impaction

Flavour

Unflavoured

Preparation

Dissolve and drink

Pack size

6, 8, 10, 20, 30, 40, 50, 60 and 100 x 6.9 g sachets

SPC

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Movicol Paediatric Chocolate

Movicol Paediatric Chocolate
Indication

In those aged 2-11 years:
Chronic constipation

In those aged 5-11 years:
Faecal impaction

Flavour

Chocolate

Preparation

Dissolve and drink

Pack size

6, 8, 10, 20, 30, 40, 50, 60 and 100 x 6.9 g sachets

SPC

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The Movicol range for ≥12-year olds3-8

Movicol is available in a variety of different formulations and flavours to suit a variety of patients ≥12 years of age.

Product
Indication
Flavour
Preparation
Pack size
SPC

Movicol Ready to Take

Movicol Ready to Take
Indication

In those aged ≥12 years:
Chronic constipation
Faecal impaction

Flavour

Fruit

Preparation

Drink straight from the sachet

Pack size

10, 20, 30 and 50 x 13.8 g sachets

SPC

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Movicol

Movicol
Indication

In those aged ≥12 years:
Chronic constipation
Faecal impaction

Flavour

Lemon and lime

Preparation

Dissolve and drink

Pack size

2, 6, 8, 10, 20, 30, 50, 60 and 100 x 13.8 g sachets

SPC

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Movicol Plain

Movicol Plain
Indication

In those aged ≥12 years:
Chronic constipation
Faecal impaction

Flavour

Unflavoured

Preparation

Dissolve and drink

Pack size

6, 8, 10, 20, 30, 40, 50, 60 and 100 x 13.7 g sachets

SPC

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Movicol Chocolate

Movicol Chocolate
Indication

In those aged ≥12 years:
Chronic constipation
Faecal impaction

Flavour

Chocolate

Preparation

Dissolve and drink

Pack size

20 and 30 x 13.9 g sachets

SPC

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Movicol Liquid

Movicol Liquid
Indication

In those aged ≥12 years:
Chronic constipation

Flavour

Orange

Preparation

Dilute and drink

Pack size

1 x 500 ml bottle

SPC

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Movicol Half

Movicol Half
Indication

In those aged ≥12 years:
Chronic constipation
Faecal impaction

Flavour

Lemon and lime

Preparation

Dissolve and drink

Pack size

8, 20, 30 and 100 x 6.9 g sachets

SPC

View

How to take Movicol1-8

Movicol Paediatric Plain (1-11 year olds)

For chronic constipation

Usual starting dose

1 sachet/day for 1-6 year olds

1 sachet/day for 1-6 year olds

2 sachet/day for 7-11 year olds

2 sachet/day for 7-11 year olds

Dose adjustment

Adjust dose up or down as required to produce regular soft stools

If the dose needs increasing this is best done every second day

The maximum dose should not exceed 2 sachets/day for <2 year olds, and does not normally exceed 4 sachets/day for 2-11 year olds

Dissolve sachet in water

Dissolve each sachet in 62.5 ml of water

The correct number of sachets may be reconstituted in advance and kept covered and in the fridge for up to 24 hours

Repeat 6-12 months

Treatment can continue for 6-12 months, however; safety and efficacy of Movicol Paediatric has only been proven for up to 3 months

Stop treatment gradually and resume if constipation recurs

Movicol Paediatric Chocolate (2-11 year olds)

For chronic constipation

Usual starting dose

1 sachet/day for 2-6 year olds

1 sachet/day for 2-6 year olds

2 sachet/day for 7-11 year olds

2 sachet/day for 7-11 year olds

Dose adjustment

Adjust dose up or down as required to produce regular soft stools

If the dose needs increasing this is best done every second day

The maximum dose needed does not normally exceed 4 sachets/day

Dissolve sachet in water

Dissolve each sachet in 62.5 ml of water

The correct number of sachets may be reconstituted in advance and kept covered and in the fridge for up to 24 hours

Repeat 6-12 months

Treatment can continue for 6-12 months, however; safety and efficacy of Movicol Paediatric has only been proven for up to 3 months

Stop treatment gradually and resume if constipation recurs

Movicol Paediatric Plain (1-11 year olds) / Movicol Paediatric Chocolate (2–11 year olds)

For faecal impaction

  • For children aged 5-11 years, follow this course for up to 7 days until disimpaction occurs:
Day 1
Day 2
Day 3
Day 4
Day 5
Day 6
Day 7
4 sachets
6 sachets
8 sachets
10 sachets
12 sachets
12 sachets
12 sachets

  • After disimpaction, dose as for chronic constipation to prevent re-impaction
  • The daily number of sachets should be taken in divided doses, all within a 12-hour period
  • The correct number of sachets may be reconstituted in advance and kept covered and in the fridge for up to 24 hours; e.g. 12 sachets can be made up in 750 ml of water

Movicol Ready to Take (≥12-year olds)

For chronic constipation

1-3 sachets/day

1-3 sachet/day in divided doses according to response

Taking Movicol

Use directly from the sachet. This product does not need to be diluted with water

Continue for 2 weeks

A course does not normally exceed 2 weeks, but it can be repeated if required

Adjusted to 1-2 sachets/day

For extended use, the dose can be adjusted to 1 or 2 sachets/day

For faecal impaction

  • 8 sachets/day, all taken within a 6-hour period
  • Use directly from the sachet. This product does not need to be diluted with water
  • A course does not normally exceed 3 days

Movicol Plain (≥12-year olds)

For chronic constipation

1-3 sachets/day

1-3 sachet/day in divided doses according to response

Dissolve dose

Each sachet is dissolved in 125ml water

Continue for 2 weeks

A course does not normally exceed 2 weeks, but it can be repeated if required

Adjusted to 1-2 sachets/day

For extended use, the dose can be adjusted to 1 or 2 sachets/day

Reconstituted solution can be covered and stored in a fridge at 2-8°C for
up to 24 hours

For faecal impaction

  • 8 sachets/day, all taken within a 6-hour period
  • Each sachet is dissolved in 125 ml water, or 8 sachets can be dissolved in 1 L of water
  • A course does not normally exceed 3 days
  • Reconstituted solution can be covered and stored in a fridge at 2-8°C for up to 24 hours

Movicol / Movicol Chocolate (≥12-year olds)

For chronic constipation

1-3 sachets/day

1-3 sachet/day in divided doses according to response

Dissolve dose

Each sachet is dissolved in 125ml water

Continue for 2 weeks

A course does not normally exceed 2 weeks, but it can be repeated if required

Adjusted to 1-2 sachets/day

For extended use, the dose can be adjusted to 1 or 2 sachets/day

Reconstituted solution can be covered and stored in a fridge at 2-8°C for
up to 6 hours

For faecal impaction

  • 8 sachets/day, all taken within a 6-hour period
  • Each sachet is dissolved in 125 ml water, or 8 sachets can be dissolved in 1 L of water
  • A course does not normally exceed 3 days
  • Reconstituted solution can be covered and stored in a fridge at 2-8°C for up to 24 hours

Movicol Liquid (≥12 year olds)

For chronic constipation

Measure Movicol

25 ml should be measured out using the dosing cup provided or 5 x 5 ml teaspoonfuls and diluted in 100 ml of water

Repeat 1-3 times per day

1-3 times/day in divided doses according to response

Continue for 2 weeks

A course does not normally exceed 2 weeks, but it can be repeated if required

Adjusted to 1-2 sachets/day

For extended use, the dose can be adjusted to 1 or 2 doses/day

Any unused solution can be covered and kept for
up to 24 hours

Movicol Half (≥12-year olds)

For chronic constipation

2-6 sachets/day

2-6 sachet/day in divided doses according to response

Dissolve dose

Each sachet is dissolved in 62.5ml water

Continue for 2 weeks

A course does not normally exceed 2 weeks, but it can be repeated if required

Adjust to 2-4 sachets per day

For extended use, the dose can be adjusted to 2-4 sachets/day

Reconstituted solution can be covered and stored in a fridge at 2-8°C for
for up to 6 hours

For faecal impaction

  • 16 sachets/day, all taken within a 6-hour period
  • Each sachet is dissolved in 62.5 ml water, or 16 sachets can be dissolved in 1 L of water
  • A course does not normally exceed 3 days
  • Reconstituted solution can be covered and stored in a fridge at 2-8°C for up to 6 hours

Safety considerations1-8

Some information regarding possible side effects, contraindications and interactions is provided here. For further details, please refer to the respective Movicol product SPCs.


Possible side effects

The most common side effects with Movicol products are related to the gastrointestinal tract. This is likely to be a result of the expansion and increased motility of the contents of the gastrointestinal tract due to the pharmacological effects of Movicol. Mild diarrhoea usually responds to a dose reduction.

With Movicol Paediatric, diarrhoea, abdominal distension, anorectal discomfort and mild vomiting are more often observed during the treatment of faecal impaction. Vomiting may be resolved by reducing or delaying the dose.

Reporting suspected adverse reactions after authorisation of the medicinal product is important. It allows continued monitoring of the benefit/risk balance of the medicinal product. Adverse events should be reported to your regulatory agency. Adverse events should also be reported to either your local distributor, Norgine Limited, Norgine House, Moorhall Road, Harefield, Uxbridge, Middlesex, UB9 6NS, United Kingdom or by emailing GPharmacoVigilance@norgine.com.

Contraindications for Movicol

  • Intestinal perforation or obstruction due to structural or functional disorder of the gut wall or ileus
  • Severe inflammatory conditions of the intestinal tract, such as Crohn’s disease and ulcerative colitis and toxic megacolon
  • Hypersensitivity to the active substances or to any of the excipients
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Possible interactions

Magnifying glass
  • Macrogol raises the solubility of medicinal products that are soluble in alcohol and relatively insoluble in water
  • There is a possibility that the absorption of other medicinal products could be transiently reduced during use with MOVICOL
  • There have been isolated reports of decreased efficacy with some concomitantly administered medicinal products, e.g. anti-epileptics

References

  1. Movicol Paediatric Plain 6.9 g sachet, powder for oral solution. SmPC (Accessed October 2020).
  2. Movicol Paediatric Chocolate flavour 6.9 g sachet, powder for oral solution. SmPC (Accessed October 2020).
  3. Movicol Ready to Take oral solution in sachet. SmPC (Accessed October 2020).
  4. Movicol 13.8 g sachet, powder for oral solution. SmPC (Accessed October 2020).
  5. Movicol Plain 13.7 g sachet, powder for oral solution. SmPC (Accessed October 2020).
  6. Movicol Chocolate 13.9 g sachet, powder for oral solution. SmPC (Accessed October 2020).
  7. Movicol Liquid orange flavour, concentrate for oral solution. SmPC (Accessed October 2020).
  8. Movicol Half 6.9 g sachet, powder for oral solution. SmPC (Accessed October 2020).