Consumer Medicine Information
Please read this leaflet before you start to take this medicine
What is in this leaflet
This leaflet answers some common questions about Resonium A. It does not contain all the available information.It does not take the place of talking to your doctor or pharmacist.Keep this information with the powder. You may need to read it again.
What Resonium A is Used For
Resonium A is used for removing excessive amounts of potassium from the blood.A doctor's prescription is required in order to obtain Resonium A.How Resonium A Works
Resonium A contains sodium polystyrene sulfonate. It is a substance that contains sodium atoms. This sodium is swapped for potassium in the body, particularly in the large intestine.Resonium A does not enter the bloodstream from the intestine. It is passed (with the potassium atoms) with the faeces.Before you take Resonium AWhen you must not use it
You should not take Resonium A if you are allergic to polystyrene sulfonate resins or any of the ingredients listed under "Product Description". The symptoms of an allergic reaction may include a rash, asthma attack or hayfever.
Do not use Resonium A if you have a bowel obstruction.
Resonium A should never be given orally to neonates (newborn babies) - Orally administered Resonium A may cause bowel obstruction in newborns. Resonium A should only be given rectally to newborns.
Do not use Resonium A after the expiry date (EXP) printed on the pack. It may have no effect at all, or worse still an entirely unexpected effect if you take it after the expiry date.
Do not use Resonium A if the packaging is torn or shows signs of tampering.
Do not use it to treat any other condition unless your doctor says it is safe. Do not give this medicine to anyone else.
Before you start to take it
You must tell your doctor if you have any of these conditions:
any heart condition
high blood pressure
oedema (swelling with fluid)
You must tell your doctor if you are pregnant or intend to breastfeed.
It is not known whether Resonium A will affect your developing baby or whether it passes into breast milk.
If it is necessary for you to take Resonium A, your doctor will discuss the risks and benefits of taking Resonium A during pregnancy and breastfeeding.
If you have not told your doctor about any of these things tell them before you start to take Resonium A.
Taking other medicines
Tell your doctor if you are taking any other medicines, including any that you buy without a prescription from your pharmacy, supermarket or health food shop. Some medicines may interfere with Resonium A. These include:
digoxin, medicine for a heart condition
antacids containing aluminium or magnesium
thyroxine, medicine for hypothyroidism
These medicines may be affected by Resonium A or affect the way Resonium A works.Your doctor or pharmacist can tell you what to do if you are taking any of these medicines.Using Resonium AResonium A can be given by mouth or rectally (via the back passage) as an enema.PreparationOral
When it is given by mouth it is mixed with a small amount of water or some sweetened liquid (usually 3-4 mL of fluid per gram of resin).
It should not be mixed with fruit juice or sorbitol.
Once the mixture has been prepared it should be used straight away. If it needs to be stored, it should be stored for no longer than 24 hours.
Rectal (via the back passage)
In some cases it can be given rectally. When given rectally it is mixed with 150 mL water or 10% dextrose in water. Your pharmacist will make this up.
Resonium A should not be diluted in sorbitol.
The amount of Resonium A you need to take will depend upon the amount of potassium in your blood. Your doctor will decide exactly how much Resonium A you need to take.The usual doses are:Oral
Adults: 15 g three to four times daily. The spoon provided in the jar contains 15 g of powder when filled level.
Children: 0.5 - 1 g/kg body weight daily, in divided doses.
Resonium A should not be taken with fruit juices or sorbitol.
Rectal (via the back passage)
Adults: 30 to 50 g in 150 mL of water or 10% dextrose in water, as a retention enema. Your pharmacist will make this up.
Do not dilute in sorbitol.
Infants and children: as advised by your doctor.
Neonates (newborn babies): as advised by your doctor. Resonium A should NOT be given by mouth.
This enema should be retained for at least nine hours. Afterwards the colon needs to be irrigated to remove the Resonium A.
You will usually be given the enema by a doctor or nurse. You should speak with your doctor or nurse if you have any concerns about how to give the enema.
The directions given to you by your doctor or pharmacist may be different from the information in this leaflet. If you are unsure about what dose to take ask your doctor or pharmacist.
If you forget to take it
If you miss a dose take it as soon as you remember. If it is almost time for your next dose, skip the dose you missed and take your next dose when you are meant to.Do not take a double dose of Resonium A to make up for the dose missed.
Immediately telephone your doctor or the Poisons Information Centre (telephone 13 11 26) for advice or go to Accident and Emergency at your nearest hospital, if you think that you or anyone else has taken too much Resonium A.
Do this even if there are no signs of discomfort or poisoning. You may need urgent medical attention.
Large doses of Resonium A may cause serious potassium deficiency.
If you take too much you may feel irritable, confused, have muscle weakness, have diminished reflexes or paralysis.
While you are taking Resonium A
Things you must do
Take Resonium A exactly as prescribed.
Be sure to keep all of your appointments with your doctor so that your progress can be checked.
Your doctor will regularly check the potassium, calcium and magnesium levels in your blood. The doctor may change the dose or stop the Resonium A depending on what the results of these blood tests are.
Tell your doctor as soon as possible if you don't feel well while taking Resonium A. All medicines have side effects. Sometimes they are serious, most of the time they are not. You may need treatment if you get some of the side effects.
Side effects which may occur include:
nausea and vomiting
loss of appetite
low potassium levels
low calcium levels
high sodium levels
Tell your doctor if you notice any of the side effects above.
Tell your doctor if you notice anything else that is making you feel unwell.
After taking Resonium A
Resonium A should be stored in a cool dry place where the temperature stays below 30 degrees C. Heat and dampness can destroy some medicines.
Do not store Resonium A or any other medication in the bathroom or near a sink.
Keep Resonium A where young children cannot reach it. A locked cupboard at least one and a half metres above the ground is a good place to store medicines.
Please see your doctor or pharmacist to discuss any concerns you may have with Resonium A.
Resonium A is a buff coloured powder with a vanilla odour.Resonium A comes in a container containing 454 g of powder. The container also contains a spoon which, when filled level measures 15 g of powder.Active Ingredient
Each 100 g contains 99.934 g of Sodium Polystyrene Sulfonate.Other Ingredients
Resonium A is supplied by:
Sanofi-Synthelabo Australia Pty Limited
16 Byfield Street
NORTH RYDE NSW 2113
Australian Registration number: AUST R 15497.
This leaflet was prepared in October 2003