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1) Read all the information below including the Patient Information Leaflet.
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4) Answer all medical questions during checkout before paying and then a doctor will inform you of his decision.
Please read all the information below (sections 1 to 5) before placing an order, it is very important and you must not skip this step.
Irritable Bowel Syndrome (IBS)
Irritable bowel syndrome, or IBS, is a long term disease that affects your large intestines. The large intestines, or bowels, are part of your digestive system. The bowel connects the small intestine with your anus (opening through which stool passes). The job of the bowel is to absorb water from digested food and turn the digested food into stool. Until the stool can be passed out through your anus, it is stored.
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About the condition
Irritable Bowel Syndrome (IBS)
Irritable bowel syndrome (IBS) is a mixture of abdominal symptoms for which there is no apparent cause.
Symptoms include constipation, diarrhoea, bloating and abdominal pain.
It is the most common condition seen by gastroenterologists and some estimates suggest that as many as one in five adults in the UK have IBS at any one time.
With IBS, your bowels are more sensitive to food, stress, emotions, and other things. Food does not move through your bowels normally. The food may be pushed too slowly or too quickly, causing bowel habit changes. These include bloating, increased gas, constipation and diarrhea. You may have symptoms for months which disappear, only to reappear again. There is no cure for IBS but symptoms can be controlled by medicine, diet, and coping with stress effectively.
The Causes of IBS
Caregivers do not exactly know what causes IBS. Nerves that control feeling and movement of the colon may cause IBS. Hormonal changes may also cause IBS, as women are affected more than men. IBS symptoms are often increased during a woman's monthly period.
Other factors may include:
* Diet: Foods and drinks, such as wheat, rye, milk, alcohol, coffee, and artificial sweeteners.
* Stress: Symptoms may worsen after stressful events, such as a change in daily routine or personal or family problems.
* Other illnesses: Celiac disease and infectious diarrhea may trigger IBS symptoms.
Symptoms of IBS
The most common symptoms of irritable bowel syndrome (IBS) are:
* abdominal pain and cramping which is often relieved by emptying your bowel,
* a change in your bowel habits, such as diarrhoea, constipation or, sometimes, both,
* bloating and swelling of your abdomen,
* excessive wind,
* experiencing an urgent need to go to the toilet, which can result in incontinence if a toilet is not nearby,
* a feeling that you have not fully emptied your bowel, and
* the passing of mucus from your rectum (back passage).
The symptoms of IBS are usually worse after eating. Most people will experience a 'flare-up' of symptoms, lasting between 2-4 days, after which the symptoms improve, or disappear altogether.
For reasons that are not completely understood, IBS can also cause symptoms in other parts of your body, as well as in your bowel. These symptoms include:
* lower back pain,
* muscle and joint pain,
* constant tiredness,
* nausea,
* headache,
* burping,
* bad breath, and
* a frequent and urgent need to urinate.
Diagnosis
Your GP will be looking for some specific symptoms that are needed for a positive diagnosis of IBS. These are either:
* abdominal pain, or discomfort, that goes away after you empty your bowel, or
* abdominal pain, or discomfort, with a change in your bowel habits - for example, you may go to toilet more often than you did before, or you may produce stools that look different from usual.
For IBS to be diagnosed, you will also need to have at least two of the following symptoms:
* a change in how you pass stools, such as needing to strain, feeling a sense of urgency, or feeling that you have not emptied your bowels properly,
* bloating, hardness or tension in your abdomen,
* symptoms that are worse after eating, or
* the passing of mucus from your rectum (back passage).
Treatments
A number of different medications are used to help treat IBS. These are.
* Antispasmodic medicines, which help to reduce abdominal pain and cramping,
* Laxatives, which help to treat the symptoms of constipation,
* Antimotility medicines, which help to treat the symptoms of diarrhoea, and
* Tricyclic antidepressants (TCAs), which were originally designed to treat depression, but also help to reduce the feeling of abdominal pain and cramping.
See below for more information on these medications.
There is also a medicine called Kolanticon, which contains an antispasmodic drug and three other ingredients. The other ingredients are simeticone, which relieves trapped wind, and two different antacids, which reduce stomach acid and treat heartburn. Kolanticon is available from your pharmacy without prescription.
Preventing IBS
Is there anything I can do to prevent IBS?
Since the cause of IBS is unknown, it's not possible to reliably prevent symptoms.
The following strategies can help your digestive system and so may improve the condition. * Drink lots of water, preferably two litres a day.
* A high-fibre diet improves digestion. The amount of fibre must be increased gradually to allow the stomach to get used to it.
* Avoid food or beverages that make the symptoms worse. Coffee and milk are frequent offenders.
* It may be helpful to keep a diary in which you note down the foods that seem to upset your stomach.
* Avoid strong spices and foods that give you wind.
* Avoid large meals, but eat regularly.
* Limit your alcohol intake.
About the Medicines
Medicines used in IBS
There is no single treatment to tackle all symptoms of IBS, although several types of serotonin antagonists are under trial, some with encouraging results.
Medicines can relieve specific symptoms of IBS, depending on which is giving you most trouble. But by controlling some symptoms, a medicine may make others worse.
* Medicines called antispasmodics can relieve stomach cramps. Examples are Spasmonal, Colofac, Buscopan and peppermint oil.
* If constipation is a major problem, bulk laxatives (Fybogel, Regulan, Isogel, Celevac) are usually tried first. More powerful types known as stimulant laxatives (Senokot, Dulco-lax) are not usually recommended for IBS because they can cause cramping.
* Fybogel mebeverine contains ispaghula husk and mebeverine. Ispaghula husk helps with constipation while mebeverine acts as an antispasmodic to relieve stomach cramps.
* Medicines can treat gas and stomach rumbling in cases where these are a major problem. Examples are charcoal tablets and simethicone, an anti-foaming agent that disperses trapped gas in the stomach and intestine. Products that contain simethicone are Wind-eze, Windsetlers and Rennie deflatine.
* Antidiarrhoeals such as loperamide (Imodium) can ease diarrhoea. Imodium plus also contains simethicone to ease cramps and bloating.
* Tricyclic antidepressants are sometimes used to relieve pain in people who have not responded to other treatments.
* Colestyramine (Questran) can help the small proportion of people with IBS whose diarrhoea is due to impaired handling of bile salts within the gut.
Type of Treatments
Antispasmodic medicines
Antispasmodic medicines work by helping to relax the muscles in your digestive system. Examples of antispasmodic medicines include mebeverine and therapeutic peppermint oil.
Side effects of antispasmodic medicines are uncommon. However, people taking peppermint oil can sometimes experience occasional heartburn and irritation on the area of skin around their anus.
Antispasmodic medicines are not recommended for use by pregnant women.
Laxatives
The type of laxative known as a bulk-forming laxative is usually recommended for people who are experiencing IBS-related constipation. Bulk-forming laxatives work by making your stools (faeces) denser and softer, which means that they should be easier to pass.
It is important to drink plenty of fluids when using a bulk-forming laxative because this will prevent the laxative causing an obstruction in your digestive system.
You should start on a low dose, and if necessary increase it every few days until one or two soft, formed stools are produced every one or two days. You should not take a bulk-forming laxative immediately before going to bed.
Side effects of taking laxatives can include bloating and flatulence (wind). However, side effects can usually be avoided or reduced by gradually increasing the dose.
Antimotility medicines
The antimotility medicine known as loperamide is usually recommended for the treatment of IBS-related diarrhoea. Loperamide works by slowing the contractions of the muscles in the intestines which, in turn, slows how fast food passes through your digestive system. This allows more time for your stools to harden and solidify.
Side effects of loperamide include:
* abdominal cramps,
* dizziness,
* drowsiness,
* skin rashes,
* bowel obstruction, and
* abdominal bloating.
Loperamide is not recommended for use by pregnant women.
Manufacturers and Brands
Abbott has been operating in the UK for more than 70 years and currently has operations in Maidenhead, Berkshire (UK Headquarters), Kent, Lancashire, the Midlands and Oxfordshire. An Investor in People and one of the UK's Top 50 Best Workplaces, Abbott employs more than 2,000 people nationwide. In 2008, our annual UK turnover was in the region of £380 million, including exports to 70 countries worldwide.
Abbott has been operating in the UK for more than 70 years and currently has operations in Maidenhead, Berkshire (UK Headquarters), Kent, Lancashire, the Midlands and Oxfordshire. An Investor in People and one of the UK's Top 50 Best Workplaces, Abbott employs more than 2,000 people nationwide. In 2008, our annual UK turnover was in the region of £380 million, including exports to 70 countries worldwide.
Caring for the world, one person at a time... inspires and unites the people of Johnson & Johnson. We embrace research and science - bringing innovative ideas, products and services to advance the health and well-being of people. Employees of the Johnson & Johnson Family of Companies work with partners in health care to touch the lives of over a billion people every day, throughout the world.
Product information leaflet
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These leaflets are provided for information only and should not be used for treatment or in contradiction with your Doctor or Pharmacist's advice. One Click Doctor will do its best to keep these leaflets up-to-date but will not accept liability for out of date leaflets. You need to refer to the leaflets in the packaging for the latest manufacturer's information.
Choose your preferred medicine (Please pick one option only!)
Colofac Mr Capsule (Mebeverine 200mg) - 120 capsules Colofac tablets contain the active ingredient mebeverine hydrochloride, which is a type of medicine called an antispasmodic. (NB. Mebeverine is also available without a brand na... read more. Size: 120 Capsules Max Quantity allowed to purchase: 2 Collect 16 points with this purchase!
£15.75 RRP: £19.00
Colofac Mr Capsule (Mebeverine 200mg) - 60 capsules Colofac tablets contain the active ingredient mebeverine hydrochloride, which is a type of medicine called an antispasmodic. (NB. Mebeverine is also available without a brand na... read more. Size: 60 Capsules Max Quantity allowed to purchase: 2 Collect 14 points with this purchase!
£13.65 RRP: £19.00
Colofac Tablet 135mg - 100 tablets Colofac tablets contain the active ingredient mebeverine hydrochloride, which is a type of medicine called an antispasmodic. (NB. Mebeverine is also available without a brand na... read more. Size: 100 Tablets Max Quantity allowed to purchase: 2 Collect 16 points with this purchase!
£15.75 RRP: £19.00
Colofac Tablet 135mg - 200 tablets Colofac tablets contain the active ingredient mebeverine hydrochloride, which is a type of medicine called an antispasmodic. (NB. Mebeverine is also available without a brand na... read more. Size: 200 Tablets Max Quantity allowed to purchase: 2 Collect 28 points with this purchase!
£28.35 RRP: £40.00
The products below can be bought from OneClickPharmacy without a prescription
Colpermin Capsules (peppermint oil 0.2mls) - 100 capsules Colpermin is used to relieve the painful spasm and cramp which occurs in the large bowel in Irritable Bowel Syndrome, available in 20 or 100 capsules. read more. Size: 100 capsules Collect 39 points with this purchase!
£39.49 RRP: £67.13
Colpermin Capsules (peppermint oil 0.2mls) - 100 capsules Colpermin is used to relieve the painful spasm and cramp which occurs in the large bowel in Irritable Bowel Syndrome, available in 20 or 100 capsules. read more. Size: 100 capsules Collect 59 points with this purchase!
£59.24 RRP: £100.70
Colpermin Capsules (peppermint oil 0.2mls) - 100 capsules Colpermin is used to relieve the painful spasm and cramp which occurs in the large bowel in Irritable Bowel Syndrome, available in 20 or 100 capsules. read more. Size: 100 capsules Collect 19 points with this purchase!
£18.97 RRP: £25.30
Colpermin Capsules (peppermint oil 0.2mls) - 20 capsules Colpermin is used to relieve the painful spasm and cramp which occurs in the large bowel in Irritable Bowel Syndrome, available in 20 or 100 capsules. read more. Size: 20 Capsules Collect 5 points with this purchase!
£4.58 RRP: £6.34
Fybogel mebeverine (135mg+ispaghula husk 3.5 g) - 10 sachets The ispaghula husk contained in Fybogel Mebeverine is a natural plant material which is high in fibre. It works by increasing the bulk of the contents of the gut passing through t... read more. Size: 10 sachets Collect 4 points with this purchase!
£4.07 RRP: £6.92
Fybogel mebeverine (135mg+ispaghula husk 3.5 g) - 30 sachets The ispaghula husk contained in Fybogel Mebeverine is a natural plant material which is high in fibre. It works by increasing the bulk of the contents of the gut passing through t... read more. Size: 30 sachets Collect 4 points with this purchase!
£4.15 RRP: £7.06
Colpermin Capsules (peppermint oil 0.2mls) - 100 capsules Colpermin is used to relieve the painful spasm and cramp which occurs in the large bowel in Irritable Bowel Syndrome, available in 20 or 100 capsules. read more. Size: 100 capsules Collect 39 points with this purchase!
£39.49 RRP: £67.13
Colpermin Capsules (peppermint oil 0.2mls) - 100 capsules Colpermin is used to relieve the painful spasm and cramp which occurs in the large bowel in Irritable Bowel Syndrome, available in 20 or 100 capsules. read more. Size: 100 capsules Collect 59 points with this purchase!
£59.24 RRP: £100.70
Colpermin Capsules (peppermint oil 0.2mls) - 100 capsules Colpermin is used to relieve the painful spasm and cramp which occurs in the large bowel in Irritable Bowel Syndrome, available in 20 or 100 capsules. read more. Size: 100 capsules Collect 19 points with this purchase!
£18.97 RRP: £25.30
Colpermin Capsules (peppermint oil 0.2mls) - 20 capsules Colpermin is used to relieve the painful spasm and cramp which occurs in the large bowel in Irritable Bowel Syndrome, available in 20 or 100 capsules. read more. Size: 20 Capsules Collect 5 points with this purchase!
£4.58 RRP: £6.34
Fybogel mebeverine (135mg+ispaghula husk 3.5 g) - 10 sachets The ispaghula husk contained in Fybogel Mebeverine is a natural plant material which is high in fibre. It works by increasing the bulk of the contents of the gut passing through t... read more. Size: 10 sachets Collect 4 points with this purchase!
£4.07 RRP: £6.92
Fybogel mebeverine (135mg+ispaghula husk 3.5 g) - 30 sachets The ispaghula husk contained in Fybogel Mebeverine is a natural plant material which is high in fibre. It works by increasing the bulk of the contents of the gut passing through t... read more. Size: 30 sachets Collect 4 points with this purchase!
OneClickPharmacy is a GPhC registered online pharmacy, offering prescriptions, medicines and thousands of other health & beauty products at up to 90% off. OneClickPharmacy provides information only and is not a substitute for professional medical help. OneClickPharmacy recommend that you carefully read the information leaflets provided with your medication. You should always seek help from your doctor if you are currently being treated for any conditions and you should always inform your doctor and chemist/pharmacist of any medication you are taking. If you feel that you require further help, contact our online pharmacy team on 0844 44 11 800. Please see our Terms and Conditions for more information.
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