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: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 (48 ounces or 120240 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.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.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 24 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.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:Where can I keep my medicine?
Keep out of the reach of children in a container that small children cannot open.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.
| podophyllum, podophyllotoxin, plerixafor | |
| polymyxin B sulphate, polysaccharide–iron complex, polyvinyl alcohol |
| polyethylene, polyester, polyenoic acid | |
| polyfructosan, polygalactan, polygalacturonase |
| Polyethylene glycol | |
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poly(oxyethylene) {structure-based}, |
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Other names
Carbowax, GoLYTELY, GlycoLax, Fortrans, TriLyte, Colyte, Halflytely, Macrogol, MiraLAX, MoviPrep |
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| Identifiers | |
| CAS number | 25322-68-3 |
| ChEMBL | CHEMBL1201478 |
| Properties | |
| Molecular formula | C2nH4n+2On+1 |
| Molar mass | variable |
| Hazards | |
| Flash point | 182 – 287 °C |
| Except where noted otherwise, data are given for materials in their standard state (at 25 °C, 100 kPa) |
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| Infobox references | |
Polyethylene glycol (PEG) is a polyether compound with many applications from industrial manufacturing to medicine. It has also been known as polyethylene oxide (PEO) or polyoxyethylene (POE), depending on its molecular weight, and under the tradename Carbowax.
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Contents
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It has been suggested that PEG-150 Jojoba , PEG-120 Jojoba , PEG-16 macadamia glycerides and PEG-10 Sunflower Glycerides be merged into this article or section. (Discuss) Proposed since March 2011. |
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 purer oligomers, referred to as monodisperse, uniform or discrete. Very high purity PEG has recently been shown to be crystalline, allowing determination of a xray crystal structure.[3] 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 three to ten 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:
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, and dichloromethane and is insoluble in diethyl ether and hexane. It is coupled to hydrophobic molecules to produce non-ionic surfactants.
PEGs contain potential toxic impurities such as ethylene oxide and 1,4-dioxane. PEGs are nephrotoxic if applied to damaged skin.[4]
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. They are used in industry as surfactants, including foods, cosmetics, and pharmaceutics; in biomedicine, as dispersing agents, solvents, ointment, and suppository bases; as tablet excipients; and as laxatives. Some specific groups are lauromacrogols, nonoxynols, octoxynols and poloxamers.[5]
Macrogol, used as a laxative, is a form of polyethylene glycol. The name may be followed by a number which represents the average molecular weight, e.g. macrogol 4000, macrogol 3350 or macrogol 6000.
Polyethylene glycol is produced by the interaction of ethylene oxide with water, ethylene glycol, or ethylene glycol oligomers.[6] The reaction is catalyzed by acidic or basic catalysts. Ethylene glycol and its oligomers are preferable as a starting material instead of water, because they allow the creation of polymers with a low polydispersity (narrow molecular weight distribution). Polymer chain length depends on the ratio of reactants.
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.
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). Whole bowel irrigation (polyethylene glycol with added electrolytes) is used for bowel preparation before surgery or colonoscopy. It is sold under the brand names GoLYTELY, GaviLyte-C, NuLytely, GlycoLax, Fortrans, TriLyte, Colyte, Halflytely, Softlax, Lax-a-Day, ClearLax and MoviPrep. In the United States, MiraLAX and Dulcolax Balance are sold without prescription for short term relief of chronic constipation, although there is now growing consensus in the medical community that these medications can be taken indefinitely to treat chronic constipation.[citation needed] A 2007 comparison showed that patients suffering from constipation had a better response to these two medications than to tegaserod.[7] These medications work by softening the fecal mass and making the gut very slippery. Although very effective, fecal incontinence is a common side effect of this medication.
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 PEGfilgrastim (Neulasta), which is used to treat neutropenia. It has been shown that polyethylene glycol can improve healing of spinal injuries in dogs.[8] One of the earlier findings that polyethylene glycol can aid in nerve repair came from the University of Texas (Krause and Bittner).[9] Polyethylene glycol is commonly used to fuse B-cells with myeloma cells in monoclonal antibody production.
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 binders, film coatings, and lubricants.[10]
PEG is also used in lubricant eye drops.
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This section needs additional citations for verification. Please help improve this article by adding citations to reliable sources. Unsourced material may be challenged and removed. (March 2012) |
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Polyethylene glycol has a low toxicity and is used in a variety of products.[16] The polymer is used as a lubricating coating for various surfaces in aqueous and non-aqueous environments.[17]
It is the basis of many skin creams, as cetomacrogol, and sexual lubricants, frequently combined with glycerin.
PEG is used in a number of toothpastes as a dispersant; it binds water and helps keep xanthan gum uniformly distributed throughout the toothpaste. It is also under investigation for use in body armor and tattoos to monitor diabetes.[18][19]
Low-molecular-weight (PEG 400) is used in Hewlett-Packard designjet printers as an ink solvent and lubricant for the print heads.
Nitrate ester plasticized polyethylene glycol is used in Trident II solid rocket fuel[20] .
PEG is commonly used as a precipitant for plasmid DNA isolation and 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, in particular when using the osmotic stress technique.[citation needed]
PEO (polyethylene 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.
Polyethylene 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 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 cheaper alternatives for PEG.[citation needed]
PEG has also been used to preserve objects that have been salvaged from underwater, as was the case with the warship Vasa in Stockholm,[21] the Mary Rose in England and the Ma'agan Michael Ship in Israel.[22] It replaces water in wooden objects, which makes the wood dimensionally stable and prevents warping or shrinking of the wood when it dries. In addition, PEG is used when working with green wood as a stabilizer and to prevent shrinkage.[23]
PEG is often used (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. PEG is also used to induce complete fusion (mixing of both inner and outer leaflets) in liposomes reconstituted in vitro.
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.[24]
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.[25] The size of the PEG polymer has been shown to be important, with large polymers achieving the best immune protection.
PEG is a component of stable nucleic acid lipid particles (SNALPs) used to package siRNA for use in vivo.[26][27]
PEG is also used as a polymer host for solid polymer electrolytes. Although not yet in commercial production, many groups around the globe are engaged in research in solid polymer electrolytes involving PEG, with the aim of improving their properties, permitting their use in batteries, electro-chromic display systems and other products in the future.
PEG is also as a food additive used as an anti-foaming agent;[28] its INS number is 1521[29] or E1521 in the EU.[30]
PEG has been used as the gate insulator in an electric double layer transistor to induce superconductivity in an insulator [31]
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