This medication is used to treat a high level of potassium in your blood. Too much potassium in your blood can sometimes cause heart rhythm problems. Sodium polystyrene sulfonate works by helping your body get rid of extra potassium.
Read the product instructions and directions from your doctor or pharmacist before you start using this medication and each time you get a refill. If you have any questions, ask your doctor or pharmacist.
Shake the bottle well before using.
You may warm the suspension container to body temperature; however, do not heat this medication because doing so may change how well it works.
Follow instructions for the use of a cleansing enema before using this medication.
Use sodium polystyrene sulfonate rectally as an enema as directed by your doctor, usually every 6 hours as needed. Keep the enema in the rectum for several hours, if possible.
Use a non-sodium-containing cleansing enema after each dose as directed.
Prescription and non-prescription products should not be taken at the same time as sodium polystyrene sulfonate. See the Drug Interactions section for details - and talk to your doctor or pharmacist about your medicine schedule.
The dosage and length of treatment are based on your medical condition and response to treatment. Follow your doctor's instructions carefully. Do not use more of this medication or use it for longer than directed because your potassium blood level may drop too low.
Keep all laboratory and medical appointments so your doctor can check your potassium blood level.
To prevent constipation, eat a diet adequate in fiber, drink plenty of water, and exercise, unless otherwise directed by your doctor. Severe constipation can become very serious. Consult your doctor or pharmacist for help in selecting a laxative. Certain laxatives should not be taken with this medication. See the Drug Interactions section.
Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.
Tell your doctor right away if you have any serious side effects, including: muscle weakness/spasms, fast/irregular heartbeat, mental/mood changes (such as irritability, confusion, slowed thinking), swelling hands/ankles/feet.
Get medical help right away if you have any very serious side effects, including: severe constipation, bloating/swelling/pain in the stomach/abdomen, black/bloody stools, vomit that looks like coffee grounds, inability to move your muscles (paralysis), seizures.
A very serious allergic reaction to this drug is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.
This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.
In the US -
Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.
In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.
Before using sodium polystyrene sulfonate, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.
This medication contains a large amount of salt (sodium). Do not use salt substitutes that contain potassium without asking your doctor first. If you have any of these conditions, follow your doctor's instructions for limiting the amount of sodium in your diet: kidney problems, heart failure, high blood pressure, swelling hands/ankles/feet.
Before using this medication, tell your doctor or pharmacist your medical history, especially of: stomach/intestine/bowel problems (such as inflammatory bowel disease, bowel obstruction, chronic constipation, fecal impaction), low level of potassium in the blood.
Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products).
Older adults may be at greater risk for severe constipation.
This medication must not be given by mouth to newborns, especially premature infants. Also, newborns with slow gut function must not use this drug. Caution is advised when using this medication rectally in newborns and children. They may be more sensitive to the side effects of this drug, especially severe constipation and intestinal problems.
During pregnancy, this medication should be used only when clearly needed. Discuss the risks and benefits with your doctor.
Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor's approval.
Some products that may interact with this drug include: antacids/laxatives that contain aluminum/calcium/magnesium (such as aluminum carbonate, aluminum hydroxide, calcium carbonate, magnesium hydroxide), lithium.
This medication may decrease the absorption of medications (such as levothyroxine) into your body. If you take thyroid medication, take it at least 4 hours before or after using this medication. In fact, this product might decrease the absorption of many medications into your body. The FDA suggests that you take all other products at least six hours before or six hours after using this enema.
Taking the laxative sorbitol with sodium polystyrene sulfonate is not recommended because doing so may cause serious intestinal problems in some people. If you are using sorbitol, using a non-sodium-containing cleansing enema after the dose of sodium polystyrene sulfonate may help to decrease the risk of intestinal side effects. Consult your doctor or pharmacist for more details.
This medicine may be harmful if swallowed. If swallowing or overdose is suspected, contact a poison control center or emergency room right away. US residents can call their local poison control center at 1-800-222-1222. Canada residents can call a provincial poison control center. Symptoms of overdose may include: mental/mood changes, muscle weakness, fast/irregular heartbeat, slowed breathing, paralysis.
Do not share this medication with others.
Laboratory and/or medical tests (such as blood levels of potassium and other minerals, EKG) should be performed periodically to monitor your progress or check for side effects. Consult your doctor for more details.
If you miss a dose, use it as soon as you remember. If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule. Do not double the dose to catch up.
Store tightly closed at room temperature away from light and moisture. Do not freeze. Do not store in the bathroom. Keep all medications away from children and pets.
Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company.
Information last revised October 2015. Copyright(c) 2015 First Databank, Inc.
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