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Docusate sodium 50mg/5ml oral solution

Active Ingredient:
docusate sodium
Rosemont Pharmaceuticals Limited See contact details
ATC code: 
About Medicine
{healthcare_pro_orange} This information is for use by healthcare professionals
Last updated on emc: 29 Apr 2024
1. Name of the medicinal product

Docusate sodium 50mg/5ml oral solution

2. Qualitative and quantitative composition

5ml of the solution contains docusate sodium 50mg

Excipient(s) with known effect:

Methyl parahydroxybenzoate (E218) 10.0mg per 10ml dose

Propyl parahydroxybenzoate (E216) 5.0mg per 10ml dose

Sodium benzoate (E211) 10.0mg per 10ml dose

Sorbitol 70% (E420) 1680.0mg per 10ml dose

For the full list of excipients, see section 6.1.

3. Pharmaceutical form

Oral solution.

Clear, colorless liquid with strawberry odor.

4. Clinical particulars
4.1 Therapeutic indications

a) To prevent and treat chronic constipation

b) As an adjunct in abdominal radiological procedures

4.2 Posology and method of administration


Adults: 100mg (10ml) to 150mg (15ml) three times a day. Take as a single dose followed by plenty of water or flavoured drink e.g. milk or orange juice. Maximum daily dose 500mg (50ml).

Treatment should be commenced with large doses, which should be decreased as the condition of the patient improves.

For barium meals: 400mg (40ml) to be taken with the meal.

Elderly: There is no evidence to suggest that an adjustment of the dosage is necessary in the elderly.

Paediatric population

Children: For administration to children and infants over 6 months use Docusate sodium 12.5mg/5ml.

Method of administration

Oral use

4.3 Contraindications

Docusate sodium solution should not be taken

• by patients with a known hypersensitivity to docusate sodium or to any of the excipients listed in section 6.1.

• in the presence of abdominal pain, intestinal obstruction, nausea or if vomiting occurs.

4.4 Special warnings and precautions for use

Docusate sodium 50mg/5ml oral solution is not recommended for children aged 12 years and under..

Organic disorders should be excluded prior to the administration of any laxative.

The treatment of constipation with any medicinal product is only adjuvant to a healthy lifestyle and diet, for example:

• increased intake of fluids and dietary fibre

• advice on appropriate physical activity.

If laxatives are needed every day, or if there is persistent abdominal pain, consult your doctor.

Prolonged use can precipitate the onset of an atonic non-functioning colon and hypokalaemia.

Docusate sodium oral solution contains methyl parahydroxybenzoate and propyl parahydroxybenzoate. May cause allergic reactions (possibly delayed).

This medicine contains 10.0mg sodium benzoate in each 10ml dose.

This medicine contains 1680.0mg sorbitol in each 10ml dose. The additive effect of concomitantly administered products containing sorbitol (or fructose) and dietary intake of sorbitol (or fructose) should be taken into account. The content of sorbitol in medicinal products for oral use may affect the bioavailability of other medicinal products for oral use administered concomitantly. Patients with hereditary fructose intolerance (HFI) should not be given this medicinal product.

This medicinal product contains 57.5 mg sodium per 50 ml dose (maximum daily dose), equivalent to 2.9% of the WHO recommended maximum daily intake of 2g sodium for an adult.

4.5 Interaction with other medicinal products and other forms of interaction

Docusate sodium solution should not be taken concurrently with mineral oil. Anthraquinone derivatives should be taken in reduced doses, if administered with Docusate sodium as their absorption is increased.

4.6 Fertility, pregnancy and lactation


There is inadequate evidence of safety of the drug in human pregnancy, nor is there evidence from animal work that it is free from hazard, but it has been in wide use for many years without apparent ill consequence. Use in pregnancy only if the benefits outweigh the potential risks.


Docusate sodium is excreted in breast milk and should therefore be used with caution in lactating mothers.


Animal studies did not show an effect of docusate sodium on fertility.

There are no clinical data available about the effect of docusate sodium on fertility.

4.7 Effects on ability to drive and use machines

None known

4.8 Undesirable effects

Frequencies are defined as follows: Very common (≥ 1/10); common (≥ 1/100 to <1/10); uncommon (≥ 1/1,000 to <1/100); rare (≥ 1/10,000 to <1/1,000); very rare (<1/10,000), not known (cannot be estimated from the available data).

Gastrointestinal disorders:

Rare: diarrhoea, nausea, abdominal cramps

Skin and subcutaneous tissue disorders:

Not known: skin rash and pruritus.

There have been spontaneous reports of burning sensation in mouth and throat following the use of Docusate sodium. Patients are advised to drink plenty of water or flavoured drink after taking the solution.

Reporting of suspected adverse reactions

Reporting suspected adverse reaction after authorisation of the medicinal product is important. It allows continued monitoring of the benefit / risk balance of the medicinal product. Healthcare professionals are asked to report any suspected adverse reactions via the Yellow Card Scheme at: or search for MHRA Yellow Card in the Google Play or Apple App Store.

4.9 Overdose

In rare cases of overdose excessive loss of water and electrolytes should be treated by encouraging the patient to drink plenty of fluid.

5. Pharmacological properties
5.1 Pharmacodynamic properties

Pharmacotherapeutic group: Softeners, emollients, ATC code: A06AA02

Docusate sodium acts as a faecal softener by increasing the penetration of water and fats.

5.2 Pharmacokinetic properties

Docusate sodium exerts its effects by means of its physical surfactant properties. However, there is some evidence that it is absorbed from the gastrointestinal tract and excreted in bile.

5.3 Preclinical safety data

No relevant information additional to that contained elsewhere in the SPC.

6. Pharmaceutical particulars
6.1 List of excipients

Methyl parahydroxybenzoate (E218)

Propyl parahydroxybenzoate (E216)

Sodium benzoate (E211)

Sodium dihydrogen phosphate dihydrate (E339i)

Disodium hydrogen phosphate dihydrate (E339ii)

Glycerol (E422)

Kollidon 90F (E1201)

Sorbitol 70% (E420)

Sucralose (E955)

Citric acid (E330)

Strawberry flavor

Purified water

6.2 Incompatibilities

None known

6.3 Shelf life

36 months

Once opened use within one month

6.4 Special precautions for storage


6.5 Nature and contents of container

Docusate sodium 50mg/5ml oral solution is available in an amber glass bottle of 300ml with a plastic screw cap. It comes with a dosing cup with 2.5 / 5 / 10 / 15 ml graduations

6.6 Special precautions for disposal and other handling

Any unused product or waste material should be disposed of in accordance with local requirements.

7. Marketing authorisation holder

Rosemont Pharmaceuticals Ltd

Rosemont House

Yorkdale Industrial Park

Braithwaite Street


LS11 9XE


8. Marketing authorisation number(s)

PL 00427/0315

9. Date of first authorisation/renewal of the authorisation


10. Date of revision of the text


Rosemont Pharmaceuticals Limited
Company image
Rosemont House, Yorkdale Industrial Park, Braithwaite Street, Leeds, Yorkshire, LS11 9XE
+44 (0)113 244 1400
+44 (0)113 245 3567
Customer Care direct line
+44 (0)800 919 312
Out of Hours Telephone
+44 (0)795 762 3515
Out of Hours contact
[email protected]