Active Ingredients (in each 118 ml dose):
• Monobasic Sodium Phosphate  19g
• Dibasic Sodium Phosphate  7g

Inactive Ingredients:
Benzalkonium Chloride, Disodium EDTA, Purified Water

Bottle, Cap and Shield are Latex Free

Directions:
Single daily dosage
Do not use more unless directed by a doctor.  See Warnings.

• Adults and Children 12 years and over - 1 Bottle
• Children 2 to 11 years - 1/2 Bottle once daily
• Children under 2 years - DO NOT USE

How To Use This Enema
• REMOVE BLUE PROTECTIVE SHIELD BEFORE INSERTING.  Hold bottle upright grasping bottle cap with fingers.  Grasp protective shield with other hand and pull gently to remove.
• POSITIONING: 
• Left-side position: Lie on left side with knee bent and arms at rest.
• Knee-chest position: Kneel, then lower head and chest forward until left side of face is resting on surface.  Position arms comfortably.
• ADMINISTERING ENEMA:
• With steady pressure, gently insert enema tip into rectum with a slight side to side movement, with tip pointing toward naval.  Insertion may be easier if person receiving enema bears down, as if having a bowel movement.  This helps relax the muscles around the anus.
• Do not force the enema tip into rectum as this may cause injury.
• Squeeze bottle until nearly all liquid is gone.  It is not necessary to empty the bottle completely, as it contains more liquid than needed.
• Remove tip from rectum and maintain position until urge to evacuate is strong (usually 1-5 minutes).
• Discontinue use if resistance is encountered, forcing the enema can result in injury.
• Retain enema in accordance with doctor's instructions.

Warnings:
For rectal use only

Dosage Warning: 
Using more than one enema in 24 hours can be harmful

Ask a doctor before using this product if you:
• are on a sodium-based diet
• have kidney disease

Ask a doctor before using any laxative if you have:
• abdominal pain, nausea, or vomiting
• a sudden change in bowel habits lasting more than 2 weeks
• already used a laxative for more than 1 week

Stop use and ask a doctor if you have:
• rectal bleeding
• no bowel movement after the enema is given
• these symptoms may indicate a serious condition

If pregnant or breast-feeding, ask a health care professional before use.  Keep out of reach of children.  If swallowed, get medical help or consult a Poison Control Center right away.

Professional Use Warnings
Do not use in patients with congestive heart failure, clinically significant impairment of renal function, ascites, known or suspected gastrointestinal obstruction, megacolon, or imperforate anus.
Use with caution in patients with impaired renal function or pre-existing electrolyte disturbances, or in patients on diuretics or other medications which may affect electrolyte levels or where colostomy exists.  Since Quality Choice Enema contains sodium phosphates, there is a risk of elevated serum levels of sodium and phosphate and decreased levels of calcium and potassium, and consequently hypernatremia, hyperphosphatemia, hypocalcemia, hypokalemia and acidosis may occur.  This is of particular concern in children with megacolon and any other condition where there is retention of enema solution.  Additional liquids by mouth are recommended.

• This product generally produces a bowel movement in 1-5 minutes
• Carton sealed for safety.  If seal on top flap is broken or missing, do not use.