Understanding Normacol Plus : A Comprehensive Guide to Its Uses, Benefits, and Precautions
Normacol Plus is a therapeutic product designed primarily for the management of gastrointestinal disorders. It contains brown, coated granules that help relieve constipation and other related conditions. This blog post will provide an in-depth overview of Normacol Plus, including its composition, indications, dosage, precautions, side effects, and more.
Composition
The key ingredients in Normacol Plus include:
- Sterculia (BP): A natural laxative derived from the Sterculia tree, which helps soften stools and promote bowel movements [a bodily function involving the expulsion of waste material from the intestines].
- Frangula (BP) 8%: Another plant-based ingredient known for its stimulant laxative properties, aiding in relieving constipation [a condition characterized by infrequent bowel movements and difficulty passing stools].
Each sachet of Normacol Plus contains 7 grams of granules. These granules should be consumed as directed to ensure optimal effectiveness.
Indications
Normacol Plus is used as a laxative to treat:
- Constipation [a common digestive issue where individuals experience hard stools and difficulty defecating].
- Intestinal/colonic obstruction or impaction [blockage or clogging of the intestines or colon, preventing normal passage of waste].
- Abdominal cramps [painful sensations in the abdomen often caused by digestive issues].
However, it is important to note that oesophageal obstruction [blockage of the esophagus, the tube connecting the mouth to the stomach] may occur if the product is not adequately washed down with fluids.
Warnings and Precautions
Contraindications
Normacol Plus should NOT be used in the following cases:
- Intestinal obstruction: A blockage in the intestines that prevents the passage of food or liquid.
- Faecal impaction: Severe constipation where dry, hard stool becomes stuck in the rectum or colon.
- Total atony of the colon: A condition where the muscles of the colon lose their ability to contract properly.
- Known hypersensitivity to the ingredients: Individuals allergic to any component of the product should avoid its use.
Precautions
- Patients with ulcerative colitis [an inflammatory bowel disease causing ulcers in the colon and rectum] should use Normacol Plus with caution.
- Adequate fluid intake is essential while using this product to prevent dehydration [loss of body water and electrolytes].
- Avoid taking Normacol Plus immediately before going to bed or in a recumbent position [lying down], especially for elderly patients, as it may increase the risk of choking.
- If no bowel movements occur within four days of starting treatment, discontinue use and consult a healthcare professional.
- Prolonged and excessive use of stimulant laxatives can lead to dependence and loss of normal bowel function.
Special Considerations
- Individuals with rare hereditary problems such as fructose intolerance [inability to digest fructose], glucose-galactose malabsorption [difficulty absorbing glucose and galactose], or sucrase-isomaltase insufficiency [enzyme deficiency affecting carbohydrate digestion] should avoid using this medicine.
- Each sachet of Normacol Plus contains 1.25–2.5 mmol (equivalent to 0.029–0.057 grams) of sodium. This should be considered by patients on a controlled sodium (low-salt) diet.
- Normacol Plus is not a substitute for healthy eating habits.
Dosage and Administration
Adults (Including the Elderly)
- Take 1–2 sachets once or twice daily after meals.
- Place the granules dry on the tongue and swallow them immediately with plenty of water or a cool drink. Do NOT chew or crush the granules.
Children (6–12 Years)
- A reduced amount may be given at the discretion of a physician. The granules can be mixed with a small amount of jam for easier administration.
Overdosage
Overdosing on Normacol Plus can lead to intestinal obstruction, particularly when combined with inadequate fluid intake. Profound diarrhea [frequent, watery bowel movements] may result in dehydration and electrolyte depletion [imbalance of essential minerals in the body]. Management involves addressing the symptoms as one would for intestinal obstruction.
Side Effects
Possible side effects associated with Normacol Plus include:
- Immune system disorders: Allergic reactions [adverse immune responses to the product’s components].
If you experience any side effects, report them to the National Pharmacovigilance Centre via:
- Fax: +966-1-205-7662
- Email: npc.drug@sfda.gov.sa
- Website: www.sfda.gov.sa/npc
Use in Pregnancy and Breastfeeding
Normacol Plus is not recommended during pregnancy or breastfeeding. However, Normacol (Sterculia alone) is available as an alternative for these periods. Always consult your doctor or pharmacist before using this product during pregnancy or while breastfeeding.
Latest Information
Normacol Plus was last revised in May 2012. It is manufactured under license by Riyadh Pharma Medical and Cosmetic Products Co. Ltd., Saudi Arabia, in collaboration with Norgine Pharma. The product is trademarked under the name Normacol Plus (ITEM CODE: Pl10464).
Conclusion
Normacol Plus is an effective solution for managing constipation and related gastrointestinal issues. However, it is crucial to follow the prescribed dosage, maintain adequate hydration, and adhere to all warnings and precautions. For further clarification or concerns, always seek advice from a qualified healthcare professional.
Stay informed and prioritize your health!

About the Author
Dr. Ahmad Baker, PharmD
He is a senior pharmacist and health educator with extensive experience in the Middle East and North Africa region. Through his writing, Dr. Ahmad aims to empower communities by providing reliable, evidence-based health information. With expertise in clinical pharmacy and regulatory affairs, he strives to offer unique insights into healthcare and simplify complex medical concepts, making them accessible to everyone.
Legal Disclaimer
The information provided in this blog is for educational purposes only and is not a substitute for professional medical advice. We do not guarantee the accuracy or completeness of information regarding medications or medical products, and official sources should be verified before making any decisions. By using this blog, you agree to assume personal responsibility for relying on the information provided.
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