Description
A medical device with a laxative action, indicated for the symptomatic treatment of constipation.
It promotes peristalsis, helping to ensure adequate bowel evacuation, thereby counteracting constipation and preventing the formation of fecal impactions. It also facilitates the elimination of intestinal gases, reducing the feeling of bloating and abdominal distension.
Dicopeg esse comes in powder for oral solution.
Macrogol is an inert, water-soluble, high molecular weight polymer that has the ability to bind to the water used for intake, retaining it in the feces. It rehydrates and softens the fecal mass and facilitates its evacuation. It accelerates intestinal transit by promoting peristalsis. It is not absorbed or metabolized in the gastrointestinal tract and does not lead to hydro-electrolyte imbalances when taken with the indicated dose of liquid.
Simethicone is a substance that can reduce the surface tension of gas bubbles present in the gastrointestinal tract, facilitating their expulsion.

Directions for use
Children aged between 6 months and 12 years (adults/children ≤43 kg)
- 6-10 kg: 1 sachet per day;
- 10-15 kg: 1-2 sachets per day;
- 16-20 kg: 2-3 sachets per day;
- 21-43 kg: 3-4 sachets per day.
The dose should be increased or decreased, depending on the individual response to treatment, to allow for regular evacuation of soft stools.
The maximum necessary dose does not normally exceed 4 sachets per day.
Dissolve the powder in water or other liquid (60 ml for each sachet) and take immediately. It is recommended to administer the product in the morning if the minimum dose (1 sachet per day) is to be taken. For larger doses, divide the intake between morning and evening.

Adults and children over 12 years of age (>43 kg)
- 2 to 8 sachets per day.
The dose should be increased or decreased, depending on the individual response to treatment, to allow for regular evacuation of soft stools.
The maximum necessary dose does not normally exceed 8 sachets per day.
Dissolve the powder in water or other liquid (60 ml for each sachet) and take immediately. It is recommended to administer the product in the morning if the minimum dose (2 sachets per day) is to be taken. For larger doses, divide the intake between morning and evening.

Ingredients
Macrogol, silicon dioxide, simethicone, sucralose.

Gluten-free.

Warnings
It is advisable to use the product in pediatric age after consulting a doctor. Administration to children must be carried out under the direct supervision of an adult.
Consult your doctor before use during pregnancy and breastfeeding.
Do not use after the expiry date indicated on the package and on the sachet.
Do not use if the package is open or damaged.
Do not exceed the maximum daily dose.
The product is for single use: do not use sachets partially or opened at unknown times, as such use could lead to risks of product contamination.
Keep the product or the resulting solution out of the reach of children.
If no improvement is noticed after 7 days of treatment, it is advisable to consult a doctor.
The product may reduce the residence time in the intestine and therefore the absorption of oral medicines. It is therefore advisable to consult a doctor if oral medicines are taken simultaneously, which in any case must be administered at least 2 hours apart.
In case of undesirable reactions, even if different from those listed, discontinue treatment and consult your doctor. Some gastrointestinal disorders may occur (stomach ache, flatulence, abdominal bloating, nausea and fecal incontinence). Diarrhea is a side effect of taking excessive doses of Dicopeg esse and can be avoided by decreasing the dose. Cases of hypersensitivity reactions (skin rash) following the use of macrogol-containing products have rarely been reported. In this case, discontinue treatment and consult your doctor.
Do not take Dicopeg esse in case of known hypersensitivity to macrogol or other components, perforation, intestinal obstruction or stenosis, paralytic ileus, severe inflammatory bowel diseases such as Crohn's disease, ulcerative colitis and toxic megacolon.
The use of laxatives is contraindicated in cases of acute or unknown origin abdominal pain, nausea and vomiting, rectal bleeding of unknown origin and in cases of severe dehydration.

Storage
Store in a cool, dry place, away from light and heat sources.
The indicated expiry date refers to the product correctly stored in an intact package.
Shelf life unopened: 24 months.

Format
Pack of 20 sachets of 5 g