MiraLax capsules contain 250 mg of the active ingredient penicillamine. This drug is a chelating agent used to treat Wilson's disease, cystinuria, and severe rheumatoid arthritis. The capsules are taken orally and include inactive ingredients such as lactose monohydrate and magnesium stearate.

How should I use this medication?

Take this medication by mouth. Take it as directed on the label. Add the right dose to 4 to 8 ounces or 120 to 240 mL of water, juice, soda, coffee, or tea. Do not mix this medication with foods or other liquids. Do not combine with starch-based thickeners (e.g., flour, cornstarch, arrowroot, tapioca, xanthan gum). Mix well. Drink the solution. Do not use it more often than directed. Talk to your care team about the use of this medication in children. While it may be given to children as young as 16 years for selected conditions, precautions do apply.

Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once. NOTE: This medicine is only for you. Do not share this medicine with others.

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, take only that dose. Do not take double or extra doses.

Where should I keep my medication?

Keep out of the reach of children and pets. Store at room temperature between 20 and 25 degrees C (68 and 77 degrees F). Get rid of any unused medication after the expiration date. To get rid of medications that are no longer needed or have expired: -Take the medication to a medication take-back program. Check with your pharmacy or law enforcement to find a location. -If you cannot return the medication, check the label or package insert to see if the medication should be thrown out in the garbage or flushed down the toilet. If you are not sure, ask your care team. If it is safe to put it in the trash, pour the medication out of the container. Mix the medication with cat litter, dirt, coffee grounds, or other unwanted substance. Seal the mixture in a bag or container. Put it in the trash.

NOTE: This sheet is a summary. It may not cover all possible information. If you have questions about this medicine, talk to your doctor, pharmacist, or health care provider.

What side effects may I notice from receiving this medication?

Side effects that you should report to your care team as soon as possible: -Allergic reactions—skin rash, itching, hives, swelling of the face, lips, tongue, or throat Side effects that usually do not require medical attention (report to your care team if they continue or are bothersome): -Bloating -Gas -Nausea -Stomach cramping

This list may not describe all possible side effects. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

What should I tell my care team before I take this medication?

They need to know if you have any of these conditions: -History of blockage in your bowels -Nausea -Phenylketonuria -Stomach or intestine problem -Stomach pain -Sudden change in bowel habit lasting more than 2 weeks -Vomiting -An unusual or allergic reaction to polyethylene glycol (PEG), other medications, foods, dyes, or preservatives -Pregnant or trying to get pregnant -Breast-feeding

What may interact with this medication?

Interactions are not expected.

This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.

What should I watch for while using this medication?

Do not use for more than one week without advice from your care team. If your constipation returns, check with your care team. Drink plenty of water while taking this medication. Drinking water helps decrease constipation. Stop using this medication and contact your care team if you experience any rectal bleeding or do not have a bowel movement after use. These could be signs of a more serious condition.