neobookRx
DrugsLevel 4 LocalisationS0GRAEML

Sterculia

Bulk-forming laxativeLaxative

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 old

sachetGeneric· 1 product

from R86.11/unit
ProductStrengthPackSchedSEPUnitDisp feeNAPPI
Klean-prep0.7425 g4S3R344.43R86.11R119.96796808007
Trade names (1)
  • Normacol

Medical aid coverage

data not yet integrated
Discovery Health
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.

Bonitas Medical Fund
not yet integrated
  • BonClassic—
  • BonComprehensive—
  • BonEssential—
  • BonFit Select—
  • BonSave—
  • BonStart—

Formulary scraper pending — coverage tier, co-pay and authorisation requirements will appear here once data is ingested.

GEMS — Government Employees Medical Scheme
not yet integrated
  • Beryl—
  • Emerald—
  • Onyx—
  • Ruby—
  • Sapphire—
  • Tanzanite One—

Formulary scraper pending — coverage tier, co-pay and authorisation requirements will appear here once data is ingested.

POLMED — Police Medical Aid Scheme
not yet integrated
  • Aquarium Option—
  • Efficiency Option—
  • Marine Option—

Formulary scraper pending — coverage tier, co-pay and authorisation requirements will appear here once data is ingested.

NeoHealth® ID 15691 · updated 7/12/2022