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Fleet (Cleen) Enemas 133ml

Cleen (Fleet) Enema (133ml)

Order before 3pm for delivery from Tue. 22 Jun and Wed. 23 Jun.

Buy Cleen (Fleet) Enemas Online

Cleen (formerly Fleet) are ready-to-use enemas that offer a fast-acting solution to stubborn bouts of acute constipation. Each enema contains a high concentration of sodium, which quickly draws water into the bowel and produces a bowel movement within 2 - 5 minutes.

You can buy Cleen enemas online from The Independent Pharmacy by completing a short online consultation for our pharmacy team. Your order will be reviewed quickly and can be delivered as quickly as the next working day.

Cleen Enema Information

  • Age: 12 years +

    Maximum per order: 5

  • Pregnancy: Not suitable

    Breastfeeding: Not suitable

What are Cleen (Fleet) Enemas?

Cleen Ready-to-Use Enema is a bowel cleanser, which you administer yourself. It can be used in the relief of occasional constipation and where bowel cleansing is required, such as prior to your endoscopy, bowel surgery or X-ray examination.

Cleen acts by quickly drawing water into the bowel, increasing the water content of your stools (poo) which usually produces a soft, easy-to-pass bowel movement in two to five minutes. Bowel movements as a result of using Cleen should not be painful.

Cleen enemas are more commonly used when an urgent bowel movement is needed or the large intestine needs to be cleansed. For treatment of more regular or long-term constipation, you should view our other constipation treatments for advice on bulk-forming or osmotic laxatives.

Cleen enemas are a clear, colourless, odourless, solution, free from precipitation and turbidity. Each enema contains 133ml of liquid and 118ml is administered as the dose. Cleen enemas are manufactured by Casen Recordati and are latex-free.

Cleen enemas are no longer considered to be first-line enema treatment for constipation. Micralax micro-enemas are the recommended first line treatment. You should not use Cleen enemas unless they have been recommended to you by your doctor and they have explained how and when they are suitable for use.

Cleen enema patient information leaflet: https://www.medicines.org.uk/emc/files/pil.3772.pdf

*Prescription medicines are supplied subject to a medical consultation at the discretion of a doctor.

Cleen Enema dosage

Adults, elderly and children over 12 years old: 1 bottle (118ml delivered dose) no more than once daily or as directed by your doctor.

Cleen enemas should only be used for occasional constipation, rectal enemas are to be used to provide short-term relief only. If you need long-term constipation treatment, you should speak to your doctor to find the best treatment for your situation.


How to use Cleen (Fleet) Enemas

Cleen enemas are for rectal use only.

For best results use Cleen enemas as follows:

  • Lie on left side with both knees bent, arms at rest.
  • Remove orange protective shield.
  • With steady pressure, gently insert enema Comfortip into anus with nozzle pointing towards navel.
  • Squeeze bottle until nearly all liquid is expelled.
  • Discontinue use if resistance is encountered. Forcing the enema can result in injury.
  • Return enema to carton for disposal.
  • Generally, 2 to 5 minutes are sufficient to obtain the desired effect. If delayed discontinue further use and consult a physician

It is not necessary to empty the bottle completely. The bottle contains more than the amount of liquid needed for effective use, so a small residue will remain. 

Ensure you read the enclosed patient information leaflet for supporting diagrams to aid use.

Cleen (Fleet) Enema side effects

Cleen Ready-to-Use Enema is well tolerated when used as indicated. However, adverse events possibly associated with the use of Cleen Ready-to-Use Enema have been infrequently reported. In some cases, adverse events may occur, especially if the enema is misused.

Side effects from using Cleen enema are considered to be very rare and only occur in up to 1 in 10,000 patients. You can read about the very rare side effects in the patient information leaflet.

Cleen Enema ingredients

Each 118ml dose delivers the equivalent of 21.4g (18.1% w/v) Sodium Dihydrogen Phosphate Dihydrate and 9.4g (8.0% w/v) Disodium Phosphate Dodecahydrate.

Each dose also contains the following inactive ingredients: 

  • Disodium edetate
  • Benzalkonium chloride
  • Purified water

The nozzle lubricant is comprised of white soft paraffin.

Cleen (Fleet) Enema warnings

Do not use Cleen Ready-to-Use Enema and tell your doctor if you:

  • Are allergic (hypersensitive) to sodium dihydrogen phosphate dihydrate, disodium phosphate dodecahydrate or any of the other ingredients of this medicine.
  • Have a swollen large bowel (also known as megacolon).
  • Have a narrowing or incomplete opening of the anus or rectum.
  • Have a blockage of the lower colon (Hirschsprung’s disease).
  • Have a suspected blockage of the gut.
  • Have blockage of the gut or failure of normal bowel movements (sometimes called paralytic ileus).
  • Have been told by your doctor that you may have:
    • Appendicitis
    • A pierced/damaged or blocked gut
    • An active inflammatory bowel disease (such as Crohn’s disease or ulcerative colitis)
  • Have undiagnosed bleeding of the back passage.
  • Have kidney problems.
  • Have congestive heart failure (your heart is unable to properly pump blood around the body).
  • Have recently been sick or feel sick or thirsty.
  • Have a pain in your stomach (abdominal pain).
  • The patient is under 3 years of age.

Talk to your doctor or pharmacist before using Cleen Ready-to-Use Enema if:

  • You are frail or elderly. You may need assistance from a carer or healthcare professional to use Cleen Ready-to-Use Enema.
  • You have uncontrolled blood pressure.
  • You have a heart or kidney condition.
  • You suffer from ascites (excess fluid in the peritoneal cavity).
  • You suffer from rectal ulceration (ulceration of the back passage) or fissures (tears in the skin of the back passage).
  • You have had a colostomy.
  • You suffer from electrolyte disturbances (changes in the salt levels in the body such as low calcium, low potassium, high phosphate or high sodium levels). Please consult your doctor, even if these statements were applicable to you at any time in the past. You may need to be more closely supervised during treatment.


Cleen Ready-to-Use Enema and other medicines 

Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines, especially:

  • medicines for the treatment of high blood pressure (hypertension) such as ACE-inhibitors (e.g. enalapril, ramipril, lisinopril) and angiotensin receptor blockers (e.g. losartan, candesartan, eprosartan, irbesartan, olmesartan, telmisartan, valsartan) or angina (calcium channel blockers).
  • medicines to empty the bladder (diuretics).
  • certain medicines for mental disorders (lithium).
  • any other medicines that could make you dehydrated or alter the salt levels (potassium, sodium, phosphate or water) in your body, known as your electrolyte balance.
  • certain medicines for cleaning the bowel (sodium phosphates).
  • medicines that alter the rhythm of your heart (prolong the QT interval); such as amiodarone, arsenic trioxide, astemizole, azithromycin, erythromycin, clarithromycin, chlorpromazine, cisapride, citalopram, domperidone, terfenadine, procainamide.
  • non–steroidal anti-inflammatory drugs (NSAIDs) such as aspirin or ibuprofen.


Pregnancy and breast-feeding

If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine. As the main ingredients contained in Cleen Ready-to-Use Enema may pass into breast milk, it is advised that breast milk is expressed and discarded for at least 24 hours after receiving the Cleen Ready-to-Use Enema.

Delivery & Shipping Information

Please note that due to the current situation with COVID-19, Royal Mail are experiencing some delays. This may mean that your order takes longer to arrive than you would normally expect. We are working hard to ensure that, where possible, all orders placed before 15:00 are still dispatched the same working day.


UK Orders

We offer FREE standard tracked delivery on orders over £40.

The following delivery options are available:

  • Standard Tracked Delivery - 2 - 3 day delivery - £2.95
  • Express Tracked Delivery - 1 - 2 day delivery - £4.45
  • DPD Next Day - 1 - 2 working days - £6.95
  • Special Delivery (Guaranteed before 21:00) - £8.95
  • Saturday Guaranteed before 21:00 - £10.45

Important Delivery Information

All our orders are sent out using Royal Mail (unless stated). We always aim to dispatch all Royal Mail & DPD orders received before 15:00 the same working day. Any orders received after 15:00 or over the weekend will be dispatched the next working day. Orders will not be dispatched on weekends or bank holidays.

All orders are subject to approval by our team of doctors and pharmacists. Your delivery date in the checkout is subject to your consultation being approved by our healthcare team.

All orders can be fully tracked from your dispatch email, in your online account and from any notifications from your courier.

We ensure all parcels are in plain packaging for discreet delivery of your medicines and pharmacy goods. Where possible, we will attempt to size all parcels to fit through your letterbox in tamper-proof packaging. By placing an order on our website, you confirm that it is safe and appropriate for a package containing medicines to be posted through your letterbox, if the carrier is able to do so. You should notify our customer support team if it is not safe for the package to be posted through the letterbox, for example due to animals or small children.

Deliveries containing pharmacy-only or prescription medicines may require a signature on receipt. 

Delivery is free for all NHS prescriptions.


Royal Mail


  • Fully tracked delivery
  • SMS & email notifications
  • Four-hour delivery window
  • Change delivery date directly with Royal Mail
  • Update delivery location - add a Safeplace, preferred neighbour, or update your delivery location to a local Post Office or Royal Mail Customer Service Point.

Royal Mail are the most widely recognised mail delivery company in the UK. Being on the UK’s 29 million doorsteps six days a week means they offer unparalleled price and convenience. The Independent Pharmacy uses Royal Mail’s Tracked 48, Tracked 24, and Special Delivery Guaranteed parcel services to offer reliable, fully-tracked delivery at very competitive prices. Your Royal Mail parcel will arrive with your normal daily delivery of post.

Please note: Royal Mail do not deliver on Sundays or Bank Holidays - this should be taken into account when ordering. 

If you are not home to accept your delivery, a card should be left by the Royal Mail representative. This card will provide details of where you can collect the order or how to arrange re-delivery.

Should you be unable to collect your missed delivery or arrange for your medication to be redelivered by Royal Mail, the pharmacy can resend your medication to the same, or a different address provided it has been returned to us and this happens within a 30 day window.

Once a package has been shipped with Royal Mail we advise that you are bound to the terms and conditions of their use together with the terms and conditions contained herein.

You have the right to cancel your order up to the point when your treatment is dispatched. The pharmacist must destroy any medication within 30 days of it being returned, even un-opened boxes, so we are not able to offer refunds once your treatment has been dispatched.




  • Fully tracked delivery
  • SMS & email notifications
  • One-hour delivery window
  • Change delivery date directly with DPD
  • Update delivery location - add a Safeplace, preferred neighbour, or update your delivery location to a local collection point.

DPD Local is the most innovative parcel carrier around. Thanks to their industry-leading Predict service, they provide parcel recipients with a one hour delivery window, notified by email, so you don't have to wait in all day. What's more, it enables receivers to watch the progress of their delivery on a real-time map, all the way down to a final 15 minute time-slot. 

As well as keeping customers informed at every stage of the journey, DPD believe in maximising choice and convenience. That's why DPD provide access to a suite of options both on the day of delivery and the night before, allowing customers to take delivery of their goods in a way that suits. If you wish to reschedule, you can:

  • Select an alternative delivery date
  • Opt for delivery to a nominated neighbour
  • Have the parcel left in a specified safe place
  • Collect the parcel from your local DPD Pickup Shop
  • Upgrade delivery to By 12

Please note: DPD do not deliver on Saturdays, Sundays or Bank Holidays - this should be taken into account when ordering. 

Once a package has been shipped with DPD we advise that you are bound to the terms and conditions of their use together with the terms and conditions contained herein.

You have the right to cancel your order up to the point when your treatment is dispatched. The pharmacist must destroy any medication within 30 days of it being returned, even un-opened boxes, so we are not able to offer refunds once your treatment has been dispatched.


Forwarding houses

We are unable to ship orders to mailing or forwarding houses for onwards shipping to locations outside of the UK.


BFPO Postcodes

Unfortunately we are unable to deliver medicines to BFPO postcodes.


Remote Areas

Please be aware that Royal Mail Guaranteed services are not available to all customers in the UK, especially those that live in remote postcodes. Royal Mail advise customers of the following:

We deliver by 17:30 the next working day in the following postcode areas:
AB30 - 39, 41 - 45, 51 - 56
GY9 Alderney (Channel Islands)
HS1, 3 - 9
IV21 - 28, 40 - 49, 51 - 56
KA27, 28
KW1 - 3, 5 - 15
KW16 Stromness Town only
PA20 (0&9)
PA28 - 38, 41 - 49, 76, 77
PH15, 17 - 26, 31 - 40, 49, 50


We deliver within two working days by 17:30 to the following postcodes areas:
GY1 Herm (Channel Islands)
GY9 Sark (Channel Islands)
PA60 - 75, 78
ZE2, 3


We deliver within three working days by 17:30 to the following postcode areas:
KW16 - non-Town
PH30, 41 - 44


Please note: This applies to our 'Special Delivery' and 'Saturday Guaranteed' services.


International Orders

We are currently unable to ship orders outside of the UK.

We are unable to ship orders to mailing or forwarding houses for onwards shipping to locations outside of the UK.

Need to know more about Constipation?

Visit our advice area or contact our support team

Cleen (Fleet) Enema Reviews

Unsure about a treatment?
Ask our medical team for impartial information and advice about any treatment we provide or medical condition that we treat before you buy.

Authored By:

A photo of  Scott McDougall

Scott McDougall


Published on: 17-11-2020

Last modified on: 17-11-2020

Scott is one of the two founders of The Independent Pharmacy. He is a registered pharmacist and the registered manager of our service with the CQC.

Reviewed By:

A photo of  Andy Boysan

Andy Boysan


Reviewed on: 17-11-2020

Next review date: 17-11-2022

Andy is a co-founder, the superintendent pharmacist and director at The Independent Pharmacy.

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