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polyethylene glycol

Did you mean: polyethylene glycol, electrolyte (in electricity and medicine), Polyethylene Glycol; Electrolytes; Bisacodyl, glycol (in chemistry), polyethylene (material)

 
Dictionary: polyethylene glycol

n.
Any of a family of colorless liquids with high molecular weight that are soluble in water and in many organic solvents and are used in detergents and as emulsifiers and plasticizers.


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Drug Info: Polyethylene Glycol
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Brand names: GlycoLax™MiraLax®

Chemical formula:



Polyethylene Glycol powder

What is polyethylene glycol powder?

POLYETHYLENE GLYCOL 3350 powder (MiraLax®) is a laxative for treating constipation. Polyethylene glycol helps increase the water content of the stool. Bowel movements become easier and more frequent. Generic polyethylene glycol 3350 powder is not yet available.

What should I tell my health care provider before I take this medicine?

They need to know if you have any of these conditions:
• a history of blockage of the stomach or intestine
• current abdomen distension or pain
• difficulty swallowing
• diverticulitis, ulcerative colitis, or other chronic bowel disease
• phenylketonuria
• an unusual or allergic reaction to polyethylene glycol, other medicines, dyes, or preservatives
• pregnant or trying to get pregnant
• breast-feeding

How should I take this medicine?

Take polyethylene glycol by mouth. The bottle has a measuring cap that is marked with a line. Pour the powder into the cap up to the marked line (the dose is about 1 heaping tablespoon). Add the powder in the cap to a full glass (4—8 ounces or 120—240 ml) of water, juice, soda, coffee or tea. Mix the powder well. Drink the solution. Take exactly as directed. Do not take your medicine more often than directed.

Contact your pediatrician or health care professional regarding the use of this medicine in children. Special care may be needed.

What if I miss a dose?

If you miss a dose, take it as soon as you can. If it is almost time for your next dose, skip the missed dose and take your next dose on the normal schedule. Do not take double or extra doses.

What drug(s) may interact with polyethylene glycol 3350?

No drug interactions have been reported. However, if you regularly take other medications, check with your prescriber before taking this laxative on a regular basis.

Tell your prescriber or health care professional about all other medicines you are taking, including non-prescription medicines, nutritional supplements, or herbal products. Also tell your prescriber or health care professional if you are a frequent user of drinks with caffeine or alcohol, if you smoke, or if you use illegal drugs. These may affect the way your medicine works. Tell your prescriber or health care professional before stopping or starting any of your medicines.

What should I watch for while taking polyethylene glycol 3350?

Do not use for more than 2 weeks without advice from your prescriber or health care professional. It can take 2—4 days to have a bowel movement and to experience improvement in constipation. See your healthcare professional for any changes in bowel habits, including constipation, that are severe or last longer than three weeks.

Always take this laxative with plenty of water.

Do not inhale dust from the laxative powder. This can make breathing difficult or may cause sneezing or an allergic-type reaction.

What side effects may I notice from taking polyethylene glycol 3350?

Side effects that you should report to your prescriber or health care professional as soon as possible:
• diarrhea
• difficulty breathing (rare)
• itching of the skin, hives, or skin rash (rare)
• severe bloating, pain, or distension of the stomach
• vomiting

Side effects that usually do not require medical attention (report to your prescriber or health care professional if they continue or are bothersome):
• bloating
• lower abdominal discomfort or cramps
• nausea
• passing gas

Where can I keep my medicine?

Keep out of the reach of children in a container that small children cannot open.

Store between 15 and 30 degrees C (59 and 86 degreees F). Throw away any unused medicine after the expiration date.


Last updated: 7/1/2002

Important Disclaimer: The drug information provided here is for educational purposes only. It is intended to supplement, not substitute for, the diagnosis, treatment and advice of a medical professional. This drug information does not cover all possible uses, precautions, side effects and interactions. It should not be construed to indicate that this or any drug is safe for you. Consult your medical professional for guidance before using any prescription or over the counter drugs.

Medical Dictionary: pol·y·eth·yl·ene glycol
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(pŏl'ē-ĕth'ə-lēn')
n.

Any of a family of high molecular weight compounds that can be liquid or waxlike in consistency, are soluble in water and in many organic solvents, and are used in detergents and as emulsifiers and plasticizers.

Wikipedia: Polyethylene glycol
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Polyethylene glycol
Polyethylene glycol chemical structure.png
IUPAC name
Other names Carbowax, GoLYTELY, GlycoLax, Fortrans, TriLyte, Colyte, Halflytely, Macrogol, MiraLAX, MoviPrep, and PEG-100 Stearate
Identifiers
CAS number 25322-68-3 Yes check.svgY
Properties
Molecular formula C2n+2H4n+6On+2
Molar mass 44n+62
Hazards
Flash point 182 - 287 °C
 Yes check.svgY (what is this?)  (verify)
Except where noted otherwise, data are given for materials in their standard state (at 25 °C, 100 kPa)
Infobox references

Poly(ethylene glycol) (PEG), also known as poly(ethylene oxide) (PEO), polyoxyethylene (POE) and under the tradename Carbowax is the most commercially important type of polyether. PEG, PEO or POE refers to an oligomer or polymer of ethylene oxide. The three names are chemically synonymous, but historically PEG has tended to refer to oligomers and polymers with a molecular mass below 20,000 g/mol, PEO to polymers with a molecular mass above 20,000 g/mol, and POE to a polymer of any molecular mass.[2] PEG and PEO are liquids or low-melting solids, depending on their molecular weights. PEGs are prepared by polymerization of ethylene oxide and are commercially available over a wide range of molecular weights from 300 g/mol to 10,000,000 g/mol. While PEG and PEO with different molecular weights find use in different applications and have different physical properties (e.g., viscosity) due to chain length effects, their chemical properties are nearly identical. Different forms of PEG are also available dependent on the initiator used for the polymerization process. The most common of which is a monofunctional methyl ether PEG (methoxypoly(ethylene glycol)), abbreviated mPEG. Lower molecular weight PEGs are also available as pure oligomers, referred to as monodisperse, uniform or discrete. Since purification and separation of pure oligomers is difficult, the price for this type of quality is often 10-1000 fold that of polydisperse PEG. PEGs are also available with different geometries. Branched PEGs have 3 to 10 PEG chains emanating from a central core group. Star PEGs have 10 - 100 PEG chains emanating from a central core group. Comb PEGs have multiple PEG chains normally grafted to a polymer backbone.

Their melting points vary depending on the Formula Weight of the polymer. PEG or PEO has the following structure:

HO-CH2-(CH2-O-CH2-)n-CH2-OH

The numbers that are often included in the names of PEGs indicate their average molecular weights, e.g., a PEG with n=9 would have an average molecular weight of approximately 400 daltons and would be labeled PEG 400. Most PEGs include molecules with a distribution of molecular weights, i.e., they are polydisperse. The size distribution can be characterized statistically by its weight average molecular weight (Mw) and its number average molecular weight (Mn), the ratio of which is called the polydispersity index (Mw/Mn). Mw and Mn can be measured by mass spectrometry.

PEGylation is the act of covalently coupling a PEG structure to another larger molecule, for example, a therapeutic protein (which is then referred to as PEGylated). PEGylated interferon alfa-2a or -2b is a commonly used injectable treatment for Hepatitis C infection.

PEG is soluble in water, methanol, benzene, dichloromethane and is insoluble in diethyl ether and hexane. It is coupled to hydrophobic molecules to produce non-ionic surfactants.

PEGs potentially contain toxic impurities such as ethylene oxide and 1,4-dioxane. PEGs are nephrotoxic if applied to damaged skin.[3]

PEGs and methoxypolyethylene glycols are manufactured by Dow Chemical under the tradename Carbowax for industrial use and Carbowax Sentry for food and pharmaceutical use. They vary in consistency from liquid to solid, depending on the molecular weight, indicated by a number following the name. Used as surfactants in industry, including foods, cosmetics and pharmaceutics; in biomedicine, as dispersing agents, solvents, ointment and suppository bases, vehicles, tablet excipients, laxatives. Some specific groups are lauromacrogols, nonoxynols, octoxynols and poloxamers.[4]

Contents

Production

Poly (ethylene glycol) is produced by the interaction of ethylene oxide with water, ethylene glycol or ethylene glycol oligomers.[5] The reaction is catalyzed by acidic or basic catalysts. Ethylene glycol and its oligomers are preferable as a starting material instead of water, because it allows the creation of polymers with a low polydispersity (narrow molecular weight distribution). Polymer chain length depends on the ratio of reactants.

HOCH2CH2OH + n(CH2CH2O) → HO(CH2CH2O)n+1H

Depending on the catalyst type, the mechanism of polymerization can be cationic or anionic. The anionic mechanism is preferable because it allows one to obtain PEG with a low polydispersity. Polymerization of ethylene oxide is an exothermic process. Overheating or contaminating ethylene oxide with catalysts such as alkalis or metal oxides can lead to runaway polymerization which can end with an explosion after a few hours.

Polyethylene oxide or high-molecular polyethylene glycol is synthesized by suspension polymerization. It is necessary to hold the growing polymer chain in solution in the course of the polycondensation process. The reaction is catalyzed by magnesium-, aluminium- or calcium-organoelement compounds. To prevent coagulation of polymer chains from solution, chelating additives such as dimethylglyoxime are used.

Alkali catalysts such as sodium hydroxide NaOH, potassium hydroxide KOH or sodium carbonate Na2CO3 are used to prepare low-molecular weight polyethylene glycol.

Clinical uses

Polyethylene glycol has a low toxicity[6] and is used in a variety of products. It is the basis of a number of laxatives (e.g., macrogol-containing products such as Movicol and polyethylene glycol 3350, or SoftLax, MiraLAX or GlycoLax). It is the basis of many skin creams, as cetomacrogol, and sexual lubricants, frequently combined with glycerin. Whole bowel irrigation (polyethylene glycol with added electrolytes) is used for bowel preparation before surgery or colonoscopy and drug overdoses. It is sold under the brand names GoLYTELY, NuLytely, GlycoLax, Fortrans, TriLyte, Colyte, Halflytely, MiraLAX, Softlax and MoviPrep. When attached to various protein medications, polyethylene glycol allows a slowed clearance of the carried protein from the blood. This makes for a longer acting medicinal effect and reduces toxicity, and it allows longer dosing intervals. Examples include PEG-interferon alpha, which is used to treat hepatitis C, and PEG-filgrastim (Neulasta), which is used to treat neutropenia. It has been shown that polyethylene glycol can improve healing of spinal injuries in dogs.[7] One of the earlier findings that polyethylene glycol can aid in nerve repair came from the University of Texas (Krause and Bittner).[8] Polyethylene glycol is commonly used to fuse B-cells with myeloma cells in monoclonal antibody production. PEG has recently been proved to give better results in constipation patients than tegaserod.[9]

Research for new clinical uses

  • PEG when labeled with a near-infrared fluorophore has been used in preclinical work as a vascular agent, lymphatic agent and general tumor imaging agent by exploiting the Enhanced permeability and retention effect (EPR) of tumors.[10].
  • High-molecular weight PEG, e.g., PEG 8000, has been shown to be a dietary preventive agent against colorectal cancer in animal models.[11]

The Chemoprevention Database shows it is the most effective agent to suppress chemical carcinogenesis in rats. Cancer prevention in humans has not yet been tested in clinical trials.[12]

  • The injection of PEG 2000 into the bloodstream of guinea pigs after spinal cord injury leads to rapid recovery through molecular repair of nerve membranes.[13] The effectiveness of this treatment to prevent paraplegia in humans after an accident is not known yet.
  • Research is being done in the use of PEG to mask antigens on red blood cells. Various research institutes have reported that using PEG can mask antigens without damaging the functions and shape of the cell.

PEG is being used in the repair of motor neurons damaged in crush or laceration incidence in vivo and in vitro. When coupled with melatonin, 75% of damaged sciatic nerves were rendered viable.[14]

Other uses

PEG is used in a number of toothpastes as a dispersant; it binds water and helps keep gum uniform throughout the toothpaste. It is also under investigation for use in body armor[15] and tattoos to monitor diabetes.[16]

Low mol weight (PEG 400) is used in Hp designjet printers as a ink dissolvent and lubricant for the print heads.

PEG is a popular precipitant for protein crystallization. X-ray diffraction of protein crystals can reveal the atomic structure of proteins.

Polymer segments derived from PEG polyols impart flexibility to polyurethanes for applications such as elastomeric fibers (spandex) and foam cushions.

Since PEG is a flexible, water-soluble polymer, it can be used to create very high osmotic pressures (tens of atmospheres). It also is unlikely to have specific interactions with biological chemicals. These properties make PEG one of the most useful molecules for applying osmotic pressure in biochemistry experiments, particularly when using the osmotic stress technique.[citation needed]

PEO (poly (ethylene oxide)) can serve as the separator and electrolyte solvent in lithium polymer cells. Its low diffusivity often requires high temperatures of operation, but its high viscosity even near its melting point allows very thin electrolyte layers. While crystallization of the polymer can degrade performance, many of the salts used to carry charge can also serve as a kinetic barrier to the formation of crystals. Such batteries carry greater energy for their weight than other lithium ion battery technologies.

When working with phenol in a laboratory situation, PEG 300 can be used on phenol skin burns to deactivate any residual phenol.

Poly (ethylene glycol) is also commonly used as a polar stationary phase for gas chromatography, as well as a heat transfer fluid in electronic testers.

PEG is traditionally also one of the main ingredients in Paintball fill because it is thick and flexible. However, as early as 2006, some Paintball manufacturers have been substituting PEG with cheaper alternatives.

PEG has also been used to preserve objects which have been salvaged from underwater, as was the case with the warship Vasa in Stockholm.[17], and the Mary Rose in England. It replaces water in wooden objects, which makes the wood dimensionally stable and prevents warping or shrinking of the wood.

PEG is often seen (as an internal calibration compound) in mass spectrometry experiments, with a characteristic fragmentation pattern.

In the field of microbiology, PEG precipitation is used to concentrate viruses and PEG is also used to induce complete fusion (mixing of both inner and outer leaflets) in liposomes reconstituted in vitro.

PEG is also used in lubricant eye drops. PEG derivatives such as narrow range ethoxylates are used as surfactants.

Dimethyl ethers of PEG are the key ingredient of Selexol, a solvent used by coal-burning, integrated gasification combined cycle (IGCC) power plants to remove carbon dioxide and hydrogen sulfide from the gas waste stream.

PEG has been used as the hydrophilic block of amphiphilic block copolymers used to create some polymersomes.[18]

Gene therapy vectors (such as viruses) can be PEG-coated to shield them from inactivation by the immune system and to de-target them from organs where they may build up and have a toxic effect.[19] The size of the PEG polymer has been shown to be important, with large polymers achieving the best immune protection.

PEG is used as an excipient in pharmaceutical products. Lower molecular weight variants are used as solvents in oral liquids and soft capsules whereas solid variants are used as ointment bases, tablet bindings, film coatings and lubricants.[20]

References

  1. ^ J. Kahovec, R. B. Fox and K. Hatada (2002). "Nomenclature of regular single-strand organic polymers". Pure and Applied Chemistry 74 (10): 1921–1956. doi:10.1351/pac200274101921. 
  2. ^ For example, in the online catalog of Scientific Polymer Products, Inc., poly(ethylene glycol) molecular weights run up to about 20,000, while those of poly(ethylene oxide) have six or seven digits.
  3. ^ "Final Report on the Safety Assessment of PEG-2, -3, -5, -10, -15, and -20 Cocamine". International Journal of Toxicology 18: 43. 1999. doi:10.1080/109158199225620.  edit
  4. ^ Carbowax web page from Dow
  5. ^ Polyethylene glycol, Chemindustry.ru
  6. ^ Victor O. Sheftel (2000). Indirect Food Additives and Polymers: Migration and Toxicology. CRC. pp. 1114–1116. http://www.mindfully.org/Plastic/Polymers/Polyethylene-Glycols-PEGs.htm. 
  7. ^ Lee Bowman (4 December 2004). "Study on dogs yields hope in human paralysis treatment". seattlepi.com. http://seattlepi.nwsource.com/health/202292_spinal04.html. 
  8. ^ T. L. Krause and G. D. Bittner (1990). "Rapid Morphological Fusion of Severed Myelinated Axons by Polyethylene Glycol". PNAS 87 (4): 1471–1475. doi:10.1073/pnas.87.4.1471. PMID 2304913. 
  9. ^ Di Palma, Jack A.; Cleveland, Mark vB.; McGowan, John; Herrera, Jorge L. (2007). "A Randomized, Multicenter Comparison of Polyethylene Glycol Laxative and Tegaserod in Treatment of Patients With Chronic Constipation". The American Journal of Gastroenterology 102 (9): 1964. doi:10.1111/j.1572-0241.2007.01365.x. PMID 17573794. 
  10. ^ Kovar, J., Wang, Y., Simpson, M.A., and Olive, D.M., "Imaging Lymphatics With A Variety of Near-Infrared-Labeled Optical Agents", World Molecular Imaging, (2009)
  11. ^ D. E. Corpet, G. Parnaud, M. Delverdier, G. Peiffer and S. Tache (2000). "Consistent and Fast Inhibition of Colon Carcinogenesis by Polyethylene Glycol in Mice and Rats Given Various Carcinogens". Cancer Research 60 (12): 3160–3164. PMID 10866305. 
  12. ^ Chemoprevention Database
  13. ^ R. B. Borgens and D. Bohnert (2001). "Rapid recovery from spinal cord injury after subcutaneously administered polyethylene glycol". Journal of Neuroscience Research 66 (6): 1179–1186. doi:10.1002/jnr.1254. 
  14. ^ G. Bittner el. al. (2005). "Melatonin enhances the in vitro and in vivo repair of severed rat sciatic axons". Neouroscience Letters 376: 98–101.. doi:10.1016/j.neulet.2004.11.033. 
  15. ^ Tonya Johnson (21 April 2004). "Army Scientists, Engineers develop Liquid Body Armor". http://www4.army.mil/ocpa/read.php?story_id_key=5872. 
  16. ^ "Tattoo to monitor diabetes". BBC News. 1 September 2002. http://news.bbc.co.uk/2/hi/health/2225404.stm. 
  17. ^ Lars-Åke Kvarning, Bengt Ohrelius (1998), The Vasa - The Royal Ship, ISBN 91-7486-581-1, pp. 133-141
  18. ^ Rameez, Shahid; Alosta, Houssam; Palmer, Andre F. (2008). "Biocompatible and Biodegradable Polymersome Encapsulated Hemoglobin: A Potential Oxygen Carrier". Bioconjugate Chemistry 19 (5): 1025. doi:10.1021/bc700465v. PMID 18442283. 
  19. ^ Kreppel, Florian; Kochanek, Stefan (2007). "Modification of Adenovirus Gene Transfer Vectors With Synthetic Polymers: A Scientific Review and Technical Guide". Molecular Therapy 16 (1): 16. doi:10.1038/sj.mt.6300321. PMID 17912234. 
  20. ^ Smolinske, Susan C. (1992). Handbook of Food, Drug, and Cosmetic Excipients. Boca Raton: CRC Press. p. 287. ISBN 084933585X. 

See also


 
 

Did you mean: polyethylene glycol, electrolyte (in electricity and medicine), Polyethylene Glycol; Electrolytes; Bisacodyl, glycol (in chemistry), polyethylene (material)


 

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Dictionary. The American Heritage® Dictionary of the English Language, Fourth Edition Copyright © 2007, 2000 by Houghton Mifflin Company. Updated in 2009. Published by Houghton Mifflin Company. All rights reserved.  Read more
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