Amaro giuliani elixir of well-being 300 ml

NAME
AMARO MEDICINAL GIULIANI ORAL SOLUTION

PHARMACOTHERAPEUTIC CATEGORY
Constipation medications.

ACTIVE PRINCIPLES
100 g of solution contain: rhubarb soft extract 356 mg, cascara dry extract 121 mg, gentian soft extract 111 mg, boldo soft extract 100 mg.

EXCIPIENTS
Natural flavors, Glycerin, Caramel, Sodium bicarbonate, Esters of p-hydroxy-benzoic acid, sodium salt, Alcohol, Essences, Sucrose, Water.

INDICATIONS
Used in adults and children (over 10 years of age) in case of: digestive difficulties (such as feeling of heaviness in the stomach, drowsiness after meals); lack of appetite; short-term treatment of occasional constipation.

CONTRAINDICATIONS / SECONDARY EFFECT
Hypersensitivity 'to the active substances or to any of the other components of this medicine. Laxatives are contraindicated in subjects with acute abdominal pain or of unknown origin, nausea or vomiting, intestinal obstruction or stenosis, rectal bleeding of unknown origin, severe dehydration.

DOSAGE
Adults. To promote digestion by stimulating biliary function: in the case of the bottle formulation, a measuring cup (equal to 20ml, measurable with the included dispenser) after the two main meals, in the case of the vial formulation, a single-dose vial after the two main meals . To stimulate the appetite: in the case of the bottle formulation, a measuring cup (equal to 20 ml, measurable with the dispenser included) before the two main meals, in the case of the vial formulation, a single-dose vial, before the two main meals. As a laxative: in the case of the bottle formulation 1-2 measuring glasses (equal to 20-40 ml, measurable with the dispenser included in the evening, before bedtime, in the case of the vial formulation, 1-2 single-dose vials, preferably in the evening , before going to bed. Laxatives should be used as infrequently as possible and for no more than 7 days. Use for longer periods of time requires a doctor's prescription, after adequate evaluation of the individual case. Pediatric population: use in children older than 10 years requires that the doses be halved and that the product is diluted in water. The correct dose is the minimum sufficient to produce an evacuation of soft faeces. It is advisable to initially use the minimum doses provided. When necessary, the dose can then be increased, but without ever exceeding the maximum indicated. The medicine can be taken as it is or diluted in water. In any case, ingest the medicine together with an adequate quantity of water (a large glass). A diet rich in liquids favors the effect of the medicine.

STORAGE
No special storage precautions.

WARNINGS
The abuse of laxatives (frequent or prolonged use or with excessive doses) can cause persistent diarrhea with consequent loss of water, mineral salts (especially potassium) and other essential nutritional factors. In the most severe cases the onset of dehydration or hypokalaemia is possible which can cause cardiac or neuromuscular dysfunctions, especially in the case of simultaneous treatment with cardiac glycosides, diuretics or corticosteroids. The abuse of laxatives, especially contact laxatives (stimulant laxatives), can cause addiction (and, therefore, possible need to gradually increase the dosage), chronic constipation and loss of normal intestinal functions (intestinal atony). If episodes of constipation occur repeatedly, a doctor should be consulted. The treatment of chronic or recurrent constipation always requires the intervention of the doctor for the diagnosis, the prescription of drugs and the surveillance during the course of therapy. Consult your doctor when the need for thexative derives from a sudden change in previous bowel habits (frequency and characteristics of bowel movements) that lasted for more than two weeks or when the use of the laxative fails to produce effects. It is also advisable that elderly or in poor health conditions consult their doctor before using the medicine. Pediatric population In children under 10 years the medicine can 'be used only after consulting your doctor. Important information about some of the excipients The product contains sucrose, which should be taken into account in case of diabetes or low calorie diets Patients with rare hereditary problems of fructose intolerance, glucose-galactose malabsorption, or sucrase isomaltase insufficiency , should not take this medicine. The product contains parahydroxybenzoates. It can cause allergic reactions (even delayed). This medicine contains 10 vol% ethanol (alcohol), i.e. up to 1.5 g of alcohol per dose, equivalent to 38 ml of beer or 16 ml of wine per dose. It can be harmful to alcoholics. To be taken into consideration for pregnant or lactating women, children and high-risk groups such as people with liver disease (especially those with chronic alcoholism) or epilepsy. This medicinal product contains 1.12 mmol sodium per dose (in the case of vials 1.06 mmol per dose). To be taken into consideration in people with impaired renal function or who follow a low sodium diet.

INTERACTIONS
Laxatives can reduce the time spent in the intestine, and therefore the absorption, of other drugs administered simultaneously orally. Therefore, avoid ingesting laxatives and other drugs at the same time: after taking a medicine, leave an interval of at least 2 hours before taking the laxative. Milk or antacids can modify the effect of the drug; leave an interval of at least 1 hour before taking the laxative.

SIDE EFFECTS
Occasionally: isolated cramping pains or abdominal colic, more frequent in cases of severe constipation. Report any suspected adverse reactions via the national reporting system.

PREGNANCY AND BREASTFEEDING
There are no adequate and well-controlled studies on the use of the medicinal product in pregnancy or breastfeeding. Therefore the medicine should be used only in case of need, under the direct supervision of the doctor, after evaluating the expected benefit for the mother in relation to the possible risk for the fetus or infant.