Enemeez plus
Enemeez plus (docusate / benzocaine) is an over-the-counter (OTC) enema used to treat occasional constipation. It contains 2 active ingredients: docusate (a stool softener) and benzocaine (an anesthetic for pain relief). This medication can be used by people ages 2 and older, but younger children should only use it after their caregiver speaks with a pediatrician. It can be used 1 to 3 times daily and usually works within 15 minutes. Most people have few to no side effects when using Enemeez plus (docusate / benzocaine) as directed.
What is Enemeez plus (docusate / benzocaine)?
What is Enemeez plus (docusate / benzocaine) used for?
- Occasional constipation
How Enemeez plus (docusate / benzocaine) works
Enemeez plus (docusate / benzocaine) is a combination of two medications:
- Docusate is a stool softener. It pulls water and fat into your stool, making it softer. This helps the stool move through your gut, making it easier to empty your bowels to relieve constipation.
- Benzocaine is a local anesthetic or pain reliever. It works by blocking pain signals in your rectum, temporarily stopping you from feeling pain.
Drug facts
| Common Brands | Enemeez Plus, DocuSol Plus |
|---|---|
| Drug Class | Stool softener / Anesthetic |
| Controlled Substance Classification | Not a controlled medication |
| Generic Status | No lower-cost generic available |
| Availability | Over-the-counter |
Side effects of Enemeez plus (docusate / benzocaine)
The following side effects may get better over time as your body gets used to the medication. Let your healthcare provider know immediately if you continue to experience these symptoms or if they worsen over time.
Common Side Effects
Enemeez plus (docusate / benzocaine) serious side effects
Contact your healthcare provider immediately if you experience any of the following.
- Rectal bleeding: blood on the toilet paper when you wipe, red-colored water in the toilet, blood mixed in with or on the outside of your stool
- Serious allergic reaction: rash, itching, dizziness, swelling of the throat, trouble breathing
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Pros and cons of Enemeez plus (docusate / benzocaine)
Pros
- Available as an OTC medication
- Works within 2 to 15 minutes to relieve constipation
- Generally well tolerated
- Eases pain for people with painful bowel movements
Cons
- Might be difficult for some people to use
- Typically only be used short term
- Not for severe or chronic constipation
- Young children need pediatrician approval before use
Pharmacist tips for Enemeez plus (docusate / benzocaine)
- Let a healthcare professional (HCP) know if you have nausea or vomiting before using Enemeez plus (docusate / benzocaine). These symptoms can cause dehydration and worsen constipation. Stay hydrated while using Enemeez plus (docusate / benzocaine) to further help relieve constipation.
- If you've been using Enemeez plus (docusate / benzocaine) for more than a week, speak with your HCP. Using this medication for a longer than recommended can cause your body to rely on it to have bowel movements.
- If you have stomach pain or a sudden change in your bowel movements that last for more than 2 weeks before using Enemeez plus (docusate / benzocaine), talk to your HCP. They might need to rule out any serious medical conditions.
- Don't use mineral oil with Enemeez plus (docusate / benzocaine). Doing so can cause your body to absorb more mineral oil, which might lead to more side effects.
- If you experience rectal bleeding or don’t have a bowel movement after using Enemeez plus (docusate / benzocaine), stop using it and let your care team know. This could be a sign of a serious problem.
- Stop using Enemeez plus (docusate / benzocaine) and talk to your HCP if you feel resistance while inserting the tube. Forcing it can cause injury or damage to your rectum. If the product isn’t used correctly, serious problems can develop.
- Store Enemeez plus (docusate / benzocaine) up and away, out of children's reach and sight to prevent accidental swallowing. If you think a child might have swallowed Enemeez plus (docusate / benzocaine), call Poison Control at 1-800-222-1222 right away.
How to use Enemeez plus (docusate / benzocaine):
- Twist off and remove the tip from the tube. Then place a few drops of water or the product on the shaft of the applicator and into the rectum to make insertion easier and more comfortable.
- Lie on your left side with your knees bent. You can also try other positions, like sitting on the toilet or kneeling with your left arm folded comfortably and lowering your head and chest until the side of your face is resting on a surface.
- With steady pressure, gently insert the tube into the rectum. Be careful to avoid damage to the rectal wall.
- Squeeze the applicator to empty all of the medication into your rectum. Keep squeezing as you remove it. Throw away the empty applicator in regular trash.
- Stay in the same position until you feel a strong urge to go to the bathroom. This usually happens in 2 to 15 minutes, so you might want to stay near a toilet.
Risks and warnings for Enemeez plus (docusate / benzocaine)
Enemeez plus (docusate / benzocaine) can cause some serious health issues. This risk may be even higher for certain groups. If this worries you, talk to your doctor or pharmacist about other options.
For rectal use only
Enemeez plus (docusate / benzocaine) should only be used rectally. It's an enema, not a suppository. Don't take this medication by mouth. If you think that your child might have accidentally swallowed this medication, call Poison Control at 1-800-222-1222 right away.
Serious allergic reaction to benzocaine
Don't use Enemeez plus (docusate / benzocaine) if you're allergic to benzocaine, one of its ingredients. Watch out for signs and symptoms of allergic reactions, such as hives, shortness of breath, swelling of your face, lips, or throat. Get medical attention right away if you have any of these symptoms.
Interaction with mineral oil
Don't use mineral oil with Enemeez plus (docusate / benzocaine) because it can cause your body to absorb more mineral oil, raising your risk of serious side effects. Consider letting your primary care provider or pharmacist know about all the medications you're taking, including OTC products and supplements, before starting Enemeez plus (docusate / benzocaine). Talk with your care team if you have any questions about potential interactions.
Enemeez plus (docusate / benzocaine) dosage
| Dosage | Quantity | Price as low as | Price per unit |
|---|---|---|---|
| 30 mini-enemas of 283mg/20mg | 1 carton | $43.00 | $43.00 |
| 5 mini-enemas of 283mg/20mg | 6 cartons | $41.75 | $6.96 |
Typical dosage for Enemeez plus (docusate / benzocaine)
There are different manufacturers of docusate / benzocaine enema, and the strength, dose, and age recommendations can vary depending on the product. Always read the box for specific instructions.
Enemeez Plus: Each enema contains 283 mg of docusate and 20 mg of benzocaine.
- Adults and children 12 years and older: Insert and squeeze 1 enema into the rectum 1 to 3 times a day.
- Children 2 to 11 years old: Talk to your child's pediatrician first. The typical dose is to insert and squeeze 1 enema into the rectum once a day.