Sterculia
Indications
South African indications:
- Constipation
Cautions
Contraindications
- Hypersensitivity to the active ingredient or any of its excipients
- Intestinal obstruction
- Faecal impaction
- Total atony of colon
Cautions
- Renal impairment
- Hepatic impairment
- Ulcerative colitis
- Prolonged use
- Fluid and electrolyte depletion
- Fructose intolerance
- Glucose-galactose malabsorption
- Sucrase-isomaltase insufficiency
Adult dosage
Forms avail. in SA and covered in this monograph: gra
Relief of constipation
- During pregnancy
- Symptomatic relief in irritable bowel syndrome and diverticular disease
- Oral (gra): 1-2 heaped 5ml spoonfuls, 12-24hrly; Max duration: 7 days; Max: 14g/24hrs
Should be taken after meals
Granules should be placed dry on the tongue and swallowed with a full glass of liquid
The granules should not be chewed or crushed
Should not be taken immediately before bedtime or in a recumbent position
A bowel movement is generally produced in 12-72 hours
Paediatric dosage
Not approved for use in South Africa for children below 12 years
Special populations
Pregnancy
- Compatible
- Sterculia may be recommended during pregnancy
Breastfeeding
- Compatible
- Sterculia may be recommended during lactation
Renal Impairment
Hepatic Impairment
Elderly
Porphyria Information
Drugs in Sport
- Non-regulated product: Authorities caution athletes against the risk of using these product
Adverse reactions
Gastrointestinal Disorders
- Oesophageal obstruction
- Intestinal obstruction or impaction
- Abdominal distension
- Flatulence
- Diarrhoea
- Nausea
- Abdominal pain
Immune, Blood and Lymphatic System Disorders
- Allergic reactions
Interactions
No known significant interactions
Monitoring
None routine
Mechanism of action
Sterculia is an indigestible polysaccharide, which absorbs fluid from the digestive tract to form a soft, bulky stool. The presence of this bulky mass in the colon stimulates bowel action.
Dosage forms
- Granules
Formulation
Sterculia is available in several formulations. Please note the list below gives examples of products which are available and is not necessarily comprehensive. The listing of a product does not constitute endorsement of the product by EMGuidance; likewise, failure to list a product does not imply that EMGuidance disapproves of the product. This information is put together on the basis of the National Government's Medicines Price Registry at the time of publication
Granules (per 10g) 6.2g
- Normacol (Norgine)
References
1. SmPC: Sterculia (Normacol), Norgine Limited: Last update on eMC: 06 April 2016; Downloaded online; 19 October 2018 https://www.medicines.org.uk/emc/medicine/1246 2. PI: Sterculia (Normacol), Norgine (Pty) Ltd: Date of Registration: 01 March 2013 https://drive.google.com/drive/u/1/folders/1yOi8JttZYpjXFne3av4RJXNRb4AyyP8r?ogsrc=32 3. NAPOS The Drug Database for Acute Porphyria: Sterculia; Accessed online 19 October 2018 http://www.drugs-porphyria.org/languages/UnitedKingdom/s3.php?atc_code=A06AC03&l=gbr 4. South African Institute for Drug-Free Sport; Sterculia; Accessed online 19 October 2018 http://www.drugfreesport.org.za/online-medication-check
Brands & products
1 product · stale NAPPI snapshot · refreshed 5/28/2026 · 159 days oldsachetGeneric· 1 product
from R86.11/unit| Product | Strength | Pack | Sched | SEP | Unit | Disp fee | NAPPI |
|---|---|---|---|---|---|---|---|
| Klean-prep | 0.7425 g | 4 | S3 | R344.43 | R86.11 | R119.96 | 796808007 |
- Normacol
Medical aid coverage
data not yet integrated- Comprehensive Series—
- Executive Plan—
- KeyCare Series—
- Priority Series—
- Saver Series—
Formulary scraper pending — coverage tier, co-pay and authorisation requirements will appear here once data is ingested.
- BonClassic—
- BonComprehensive—
- BonEssential—
- BonFit Select—
- BonSave—
- BonStart—
Formulary scraper pending — coverage tier, co-pay and authorisation requirements will appear here once data is ingested.
- Beryl—
- Emerald—
- Onyx—
- Ruby—
- Sapphire—
- Tanzanite One—
Formulary scraper pending — coverage tier, co-pay and authorisation requirements will appear here once data is ingested.
- Aquarium Option—
- Efficiency Option—
- Marine Option—
Formulary scraper pending — coverage tier, co-pay and authorisation requirements will appear here once data is ingested.