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CosmoCol Orange

CosmoCol

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Order before 3pm for delivery from Tue. 01 Dec and Wed. 02 Dec.

Buy CosmoCol Online

CosmoCol is a widely used treatment for chronic constipation by working to soften stools and make them easier to pass. It is normally taken daily for up to two weeks to help clear any blockages and help return your bowel movements to normal.

CosmoCol sachets are available to buy over-the-counter without the need for a prescription. You can buy CosmoCol online from The Independent Pharmacy for delivery as quickly as the next working day.

CosmoCol Information

  • Age: 12 Years +

    Maximum per order: 4

  • Pregnancy: Suitable

    Breastfeeding: Suitable

What is CosmoCol?

CosmoCol is a laxative that comes in powder sachets that contain a mix of macrogol 3350 and electolytes. Macrogols act as laxatives by making your poo bigger and softer - this makes them easier to pass. It also contains electrolytes that regulate your levels of salts and water which can help to prevent dehydration or diarrhoea happening after your constipation has been relieved. 

CosmoCol is manufactured by Sterling Anglian and is available in pack sizes of 20 and 30 sachets. Cosmol is available in four different flavours:

  • Plain
  • Lemon & lime
  • Orange
  • Orange, lemon & lime

 

How long does CosmoCol take to work?

CosmoCol normally takes one to two days to pull enough water into the bowel and allow your poo to soften enough for you to pass it comfortably.

 

CosmoCol, Laxido or Movicol

ComsoCol, Movicol and Laxido are very similar treatments for constipation. Most people will decide to use one of the products based on what they have been prescribed by their doctor before. Some people may choose to use CosmoCol over Laxido due to the larger range of flavours available.

 

Sources

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

How to take CosmoCol

A course of treatment for chronic constipation with CosmoCol does not normally exceed 2 weeks, although this can be repeated if required. As for all laxatives, prolonged use is not usually recommended unless specifically at the direction of your doctor.

Adults, adolescents 12 years and over and the elderly: Take one to three sachets daily in divided doses, according to individual response.

Each sachet should be dissolved in 125ml of water. Reconstituted CosmoCol solution can be covered and stored in the refrigerator (2°C to 8°C), and should be used within 24 hours. After 24 hours, any unused solution should be discarded.

CosmoCol side effects

Side effects from CosmoCol don't occur often, however, those related to the gastrointestinal tract are the most likely to occur.

Gastro-intestinal Disorders

Potential gastro-intestinal effects that may occur include abdominal distension and pain, anal discomfort, flatulence, vomiting, borborygmi and nausea.

These reactions may occur as a consequence of expansion of the contents of the gastrointestinal tract, and an increase in motility due to the pharmacologic effects of CosmoCol Orange Lemon and Lime Flavour.

In the treatment of chronic constipation, diarrhoea or loose stools normally respond to a reduction in dose.

Diarrhoea, abdominal distension, anal discomfort and mild vomiting are more often observed during the treatment for faecal impaction. Vomiting may be resolved if the dose is reduced or delayed.

Immune System Disorders

Allergic reactions, including anaphylactic reaction. Other symptoms of allergic reactions include dyspnoea, urticaria and pruritus.

CosmoCol ingredients

Each CosmoCol sachet contains the following quantitative composition of active ingredients:

  • Macrogol 3350: 13.125g
  • Sodium Chloride: 0.3507g
  • Sodium Hydrogen Carbonate: 0.1785g
  • Potassium Chloride: 0.0466g

CosmoCol also contains colloidal anhydrous silica and saccharin sodium.

Depending on the flavour of CosmoCol you select, it may also contain the following ingredients:

Orange flavour

(Orange flavour contains: flavouring substances and flavouring preparations, maltodextrin, acacia gum, alpha-tocopherol)

Lemon lime flavour

(Lemon lime flavour contains: flavouring preparations, maltodextrin, mannitol, gluconolactone, sorbitol (E420), acacia gum, colloidal anhydrous silica)

CosmoCol warnings

When should you not use CosmoCol?

  • CosmoCol is contraindicated in intestinal obstruction or perforation caused by functional or structural disorder of the gut wall, ileus and in patients with severe inflammatory conditions of the intestinal tract (e.g. ulcerative colitis, Crohn's disease and toxic megacolon).
  • Hypersensitivity to the active substances or any of the excipients.

Precautions for using CosmoCol

  • Confirm diagnosis of faecal impaction / faecal loading of the rectum by physical or radiological examination of the abdomen and rectum.
  • Mild adverse drug reactions are possible as indicated in the side effects listed in the Patient Information Leaflet. If you develop any symptoms indicating shifts of fluids/electrolytes (e.g. oedema, shortness of breath, increasing fatigue, dehydration, cardiac failure) CosmoCol should be stopped immediately and you should see your doctor.
  • When using high doses of this medicine to treat faecal impaction, use caution in patients with impaired gag reflex, reflux oesophagitis or reduced levels of consciousness.
  • The lemon lime flavour in CosmoCol Orange Lemon and Lime Flavour contains sorbitol (E420). Patients with rare hereditary problems of fructose intolerance should not take this medicine.

Interaction with other medicines

Macrogol 3350 raises the solubility of medicinal products that are soluble in alcohol and relatively insoluble in water. It is a theoretical possibility that absorption of these drugs could be reduced transiently.

There have been isolated reports of decreased efficacy with some concomitantly administered medicinal products, e.g. anti-epileptics.

CosmoCol in pregnancy and lactation

There is no experience with the use of CosmoCol Orange Lemon and Lime Flavour during pregnancy and lactation and it should only be used if considered essential by the physician.

Effects of Cosmocol on the ability to drive and use machines

CosmoCol has no influence on the ability to drive and use machines.

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

Features:

  • 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.

 

DPD

Features:

  • 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
ZE1

 

We deliver within two working days by 17:30 to the following postcodes areas:
GY1 Herm (Channel Islands)
GY9 Sark (Channel Islands)
GY10
HS2
PA60 - 75, 78
ZE2, 3

 

We deliver within three working days by 17:30 to the following postcode areas:
KW16 - non-Town
KW17
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

CosmoCol 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  Leanne Sinclair

Leanne Sinclair

BPharm

Published on: 09-11-2020

Last modified on: 09-11-2020


Leanne is a clinical pharmacist with years of experience working in pharmacy.

Reviewed By:

A photo of  Andy Boysan

Andy Boysan

BPharm

Reviewed on: 09-11-2020

Next review date: 09-11-2022


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


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