Fleet Phospho-Soda oral laxative may be associated with a significant electrolyte disorders which can be fatal. These should not be used in patients with certain underlying diseases or only used with caution.
Organ
Absolute Contraindication
Relative Contraindication
cardiac
congestive heart failure
acute MI
unstable angina
other heart disease
gastrointestinal
bowel obstruction
megacolon
bowel perforation
ileus
acute inflammatory disease
colitis
colostomy
ileostomy
renal
renal failure or significant renal impairment
mild renal impairment
age
< 18 years of age
elderly
Other absolute contraindications:
(1) ascites
(2) hypersensitivity to any component of the enema solution
(3) in a patient with nausea and/or vomiting
(4) in a patient with abdominal pain
Other relative contraindications:
(1) debilitation
(2) drugs associated with prolonged QT interval
(3) patient on a low salt diet
(4) pregnant woman or woman nursing a baby
(5) dehydration or significant risk of becoming dehydrated
(6) person unable to take an adequate oral fluid load to prevent dehydration
(7) gastric retention
If a person has relative contraindications to its use, then the following serum chemistries should be monitored before and after administration:
(1) sodium
(2) potassium
(3) calcium
(4) chloride
(5) bicarbonate
(6) phosphate
(7) BUN (or urea)
(8) creatinine
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