Potassium Bitartrate/Sodium Bicarbonate, Rectal

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KEY POINTS

• This medicine is used in the rectum to relieve constipation. Use it exactly as directed.
• This medicine may cause unwanted side effects. Tell your healthcare provider if you have any side effects that are serious, continue, or get worse.
• Tell all healthcare providers who treat you about all the prescription medicines, nonprescription medicines, supplements, natural remedies, and vitamins that you take.

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What are other names for this medicine?

Type of medicine: laxative

Generic and brand names: potassium bitartrate/sodium bicarbonate, rectal; Ceo-Two

What is this medicine used for?

This medicine, in the form of a rectal suppository, is a laxative used to relieve constipation.

This medicine may be used to treat other conditions as determined by your healthcare provider.

What should my healthcare provider know before I take this medicine?

Before taking this medicine, tell your healthcare provider if you have ever had:

• An allergic reaction to any medicine
• A blockage in the intestines, Crohn's disease, or ulcerative colitis

Tell your healthcare provider if you are on a sodium-restricted diet.

If you have had a sudden change in bowel habits that has lasted more than 2 weeks or you have already used a laxative for more than 1 week, talk with your healthcare provider before using this medicine.

Many medicines may cause constipation. Tell your healthcare provider about all the medicines you are taking. Also tell your provider about laxatives you have taken before.

Females of childbearing age: Tell your healthcare provider if you are pregnant, plan to become pregnant, or are breast-feeding.

How do I use it?

This medicine is for rectal use only. Check the label on the medicine for directions about your specific dose. Use this medicine exactly as your healthcare provider prescribes. If your provider has not given you specific instructions, follow the directions that come in the medicine package. Do not use more or take it longer than prescribed. Ask your healthcare provider or pharmacist about anything you do not understand.

Check with your healthcare provider before using this medicine in children under age 12.

Wash your hands before using this medicine. Before using the suppository, remove the plastic wrapper and moisten the suppository with water or water-based lubricating jelly. If the suppository is too soft to insert easily, run cold water over it or put it in ice water until it is firm. If it is too dry or hard, moisten it with warm water. Lie on your left side and bend your right knee up toward your chest. Gently push the suppository into your rectum (pointed end first) deep enough so that it will not come out. Keep lying down for 10 to 30 minutes. This lets the medicine dissolve and keeps the suppository from coming out.

What if I overdose?

An acute overdose of this medicine is not likely to cause life-threatening symptoms. If you think that you or anyone else may have taken too much of this medicine, call the poison control center at 800-222-1222.

What should I watch out for?

Never use a laxative if you have symptoms of appendicitis or bowel inflammation (severe abdominal pain, fever, diarrhea, nausea, vomiting, bloody bowel movements).

Do not use this medicine with any other laxatives unless your healthcare provider tells you to.

Do not use laxatives unless you are constipated. Using laxatives too often or for too long may cause weakness, dizziness, or dependence on laxatives for a bowel movement. Laxatives are recommended for short-term use, usually no longer than 1 week. If you are often constipated, ask your healthcare provider what to do.

Call your healthcare provider if you do not have a bowel movement within 30 minutes, or if you notice rectal bleeding, burning, itching, or other irritation after using this product.

Drink extra liquids while using this medicine. Call your healthcare provider if you have signs of dehydration, such as feeling thirsty, feeling dizzy, vomiting, or urinating less often than normal.

If you need emergency care, surgery, lab tests, or dental work, tell the healthcare provider or dentist you are taking this medicine.

What are the possible side effects?

Along with its needed effects, your medicine may cause some unwanted side effects. Some side effects may be very serious. Some side effects may go away as your body adjusts to the medicine. Tell your healthcare provider if you have any side effects that continue or get worse.

Life-threatening (Report these to your healthcare provider right away. If you cannot reach your healthcare provider right away, get emergency medical care or call 911 for help.): Allergic reaction (hives; itching; rash; trouble breathing; chest pain or tightness in your chest; swelling of your lips, tongue, and throat).

Serious (Report these to your healthcare provider right away.): Bleeding from the rectum, severe stomach pain, continued constipation.

Other: Irritation of the rectal area, diarrhea, nausea, vomiting, stomach cramps, gas.

What products might interact with this medicine?

No significant drug interactions have been reported.

Do not use this medicine with any other laxatives unless your healthcare provider tells you to.

If you are not sure if your medicines might interact, ask your pharmacist or healthcare provider. Keep a list of all your medicines with you. List all the prescription medicines, nonprescription medicines, supplements, natural remedies, and vitamins that you take. Be sure that you tell all healthcare providers who treat you about all the products you are taking.

How should I store this medicine?

Store this medicine in a cool place but do not refrigerate. Keep the container tightly closed. Protect it from heat, high humidity, and bright light.

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This advisory includes selected information only and may not include all side effects of this medicine or interactions with other medicines. Ask your healthcare provider or pharmacist for more information or if you have any questions.

Ask your pharmacist for the best way to dispose of outdated medicine or medicine you have not used. Do not throw medicine in the trash.

Keep all medicines out of the reach of children.

Do not share medicines with other people.