Before taking methylcellulose

Before taking methylcellulose make sure your doctor or pharmacist knows:

• If you find it difficult to swallow.
• If you are so constipated that you think you may have a blockage.
• If you have been told you have a bowel infection.
• If you are pregnant or breast-feeding. (Methylcellulose may be used during pregnancy or breast-feeding, but it is important that your doctor or pharmacist knows about this.)
• If you are taking other medicines, including those available to buy without a prescription, herbal and complementary medicines.
• If you have ever had an allergic reaction to this or to any other medicine.

How to take methylcellulose

• Before starting this treatment, read the manufacturer's printed information leaflet from inside the pack. The leaflet will give you more information about the brand of methylcellulose you have been given.
• Take methylcellulose tablets exactly as you have been told to. Your doctor or pharmacist will tell you how many tablets to take and when to take them, and these instructions will also be on the label of the pack. It is usual to be given a dose between 3 and 6 tablets, twice a day. Do not take methylcellulose just before bedtime.
• Methylcellulose should only be taken by children on the advice of a doctor or a healthcare professional experienced in the management of constipation in children.
• If you are taking methylcellulose for constipation, swallow the correct number of tablets with a large glass (300 ml) of water. You can break up the tablets in your mouth before you swallow. It is important for you to drink plenty of water at the same time as taking methylcellulose.
• If you are taking methylcellulose for diarrhoea, swallow the correct number of tablets with just a drink of water. You can break up the tablets in your mouth before you swallow. Avoid drinking any other fluid for 30 minutes before and 30 minutes after you take the tablets. It is, however, important that you drink plenty of water for the rest of the day, to prevent you from becoming dehydrated.
• If you forget to take a dose, do not worry, just take the next dose when it is due. Do not take two doses together to make up for a forgotten dose.

Getting the most from your treatment

The following information applies if you are constipated:

• Sometimes it may take a few days before you feel the full benefit from a bulk-forming laxative such as methylcellulose. However, if after several days you do not feel your symptoms are improving, or if they get worse, you should speak with your doctor.
• It is important to drink plenty. You should aim to drink at least two litres (about 8-10 cups) of fluid per day. Most sorts of drink will do but, as a start, try just drinking a glass of water 3-4 times a day in addition to what you normally drink.
• Try to eat a balanced diet containing high-fibre foods such as wholemeal and whole-grain breads and cereals, fruit and vegetables, brown rice and wholemeal pasta. If you are not used to a high-fibre diet, it may be best to increase the amount of fibre you eat gradually.
• Keeping your body active will help you to keep your digestive system moving, so try to take some regular daily exercise.
• Drinks containing caffeine (tea, coffee, colas) or alcohol can make constipation worse as they have a diuretic effect. This means they cause a loss of fluid from your body, which causes dehydration and makes your stools hard and dry. It is best to reduce the number of caffeinated or alcoholic drinks that you have, or avoid them altogether.
• You may wish to include some foods that contain sorbitol in your diet. Sorbitol is a naturally occurring sugar. It is not digested very well and draws water into your bowel, which has an effect of softening stools. Fruits (and their juices) that have a high sorbitol content include: apples, apricots, gooseberries, grapes (and raisins), peaches, pears, plums, prunes, raspberries and strawberries.

Can methylcellulose cause problems?

Along with their useful effects, most medicines can cause unwanted side-effects although not everyone experiences them. These usually improve as your body adjusts to the new medicine, but speak with your doctor or pharmacist if any of the following side-effects continue or become troublesome.

If you experience any other symptoms which you think may be due to this medicine, speak with your doctor or pharmacist.

How to store methylcellulose

• Keep all medicines out of the reach and sight of children.
• Store in a cool, dry place, away from direct heat and light.

Important information about all medicines

References

• British National Formulary; 62nd Edition (Sep 2011) British Medical Association and Royal Pharmaceutical Society of Great Britain, London (link to current BNF)