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Clinical FAQ

Clinical FAQ

Find answers to the most common questions regarding use of the Macy Catheter® and rectal administration for pain relief and symptom management.
Which medications can be used via the rectal route?

Most medications used for symptoms such as pain, nausea, agitation, and shortness of breath and even some antibiotics can be given effectively with rapid onset of action via the rectal route.

Hospi has curated a list of medications and bioavailability as reported in the literature.

Do I need to change dosing when using the Macy Catheter?

Sometimes, depending on the medication. Dosing is the same as oral for the majority of medications.

The prescriber is responsible for the route and the dose of delivery. If you have specific questions, ask a pharmacy specialist.

Hospi has curated a list of medications and bioavailability as reported in the literature.

Which fluids can be administered via the Macy Catheter and at what rate?

Per the literature, hypotonic solutions such as water, Pedialyte, ½ NS, and ¼ NS are typically used, and infusion rates of 250ml/hr are tolerated well.

Hospi’s Policy and Procedure template includes a fluid administration procedure.*

The template is for illustrative purposes only. Further modification by the agency and its prescribers is intended/expected.

Hospi’s Clinical Team can answer further questions.

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Why choose the Macy Catheter?

It’s effective

It’s effective.

The catheter facilitates rapid symptom control. Patients experience relief 10-15 minutes after administration.

It’s comfortable and dignified

It’s comfortable and dignified.

The catheter is small and soft. It’s accessed at the patient’s thigh or abdomen after the initial, painless insertion.

It’s simple

It’s simple.

The catheter makes it easy to administer medications already at the bedside.