What is the most important information I should know about citric acid, magnesium oxide, and sodium picosulfate?
This medicine can cause severe dehydration, which can lead to a serious electrolyte imbalance, seizures, kidney failure, or abnormal heartbeats that can cause death.
The risk of dehydration is highest in people with heart problems or kidney disease, or if you take certain other medicines. Tell your doctor about all your current medicines and any you start or stop using.
Call your doctor if you are sick with vomiting and cannot drink enough water for your bowel prep, or if you have a headache, dizziness, or decreased urination.
What is citric acid, magnesium oxide, and sodium picosulfate?
Citric acid, magnesium oxide, and sodium picosulfate is a combination medicine that causes diarrhea for the purpose of cleaning your colon before a colonoscopy. Cleaning the colon allows the inside of your colon to be seen more clearly on the colonoscopy.
This medicine is for use in adults and children at least 9 years old.
Citric acid, magnesium oxide, and sodium picosulfate may also be used for purposes not listed in this medication guide.
What should I discuss with my healthcare provider before taking citric acid, magnesium oxide, and sodium picosulfate?
You should not use this medicine if you are allergic to citric acid, magnesium oxide, or sodium picosulfate, or if you have:
- kidney disease;
- a bowel obstruction, ileus, colitis or toxic megacolon;
- a dilated intestine;
- a perforation (a hole or tear) of your intestines; or
- slow digestion.
Tell your doctor if you have ever had:
- dehydration and an electrolyte imbalance (such as low levels of potassium, magnesium, or sodium in your blood);
- a stomach or intestinal disorder, including ulcerative colitis;
- gastroesophageal reflux disease (GERD);
- kidney problems;
- heart problems;
- a seizure;
- alcohol withdrawal; or
- if you have recently used a sedative like Valium or Xanax (diazepam, alprazolam, lorazepam, and others).
Tell your doctor if you are pregnant or breastfeeding.
How should I take citric acid, magnesium oxide, and sodium picosulfate?
Follow all directions on your prescription label and read all medication guides or instruction sheets. Use the medicine exactly as directed.
Read and carefully follow any Instructions for Use provided with your medicine. Ask your doctor or pharmacist if you do not understand these instructions.
It is especially important to follow all instructions about what to eat or drink in the days before your colon prep.
You must dilute the powder form of this medicine with 5 ounces of cold water before taking it.
The oral solution (liquid) may be taken without adding water.
Do not eat solid food once you start taking this medicine. Stop drinking all fluids at least 2 hours before the colonoscopy.
You will need to drink extra water once you start your colon prep. Drink only clear liquids and avoid alcohol, milk, or any drink that is red or purple.
This medicine can cause severe dehydration, which can lead to a serious electrolyte imbalance, seizures, kidney failure, or abnormal heartbeats that can cause death.
Call your doctor if you are sick with vomiting and cannot drink enough water for your bowel prep, or if you have a headache, dizziness, or decreased urination.
Store at room temperature, away from moisture and heat.
What happens if I miss a dose?
Call your doctor if you cannot drink the entire amount of medicine and liquids as instructed in time for your colonoscopy.
What happens if I overdose?
Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.
Overdose can cause severe dehydration (severe headache or dizziness, vomiting, being unable to urinate). An overdose is unlikely to occur if you take this medicine exactly as directed.
What should I avoid while taking citric acid, magnesium oxide, and sodium picosulfate?
Do not take other laxatives during your colon prep.
What are the possible side effects of citric acid, magnesium oxide, and sodium picosulfate?
Get emergency medical help if you have signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat.
Call your doctor right away if you have:
- a light-headed feeling, like you might pass out;
- confusion;
- irregular heartbeats;
- a seizure;
- little or no urination;
- severe nausea or vomiting;
- painful bloating, severe stomach cramps;
- rectal bleeding; or
- trouble swallowing, trouble drinking liquids.
Common side effects may include:
- stomach pain;
- nausea, vomiting; or
- headache.
This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
What other drugs will affect citric acid, magnesium oxide, and sodium picosulfate?
This medicine can make it harder for your body to absorb other medicines you take by mouth within 1 hour before your colon prep.
If you take any of the following medicines, take them at least 2 hours before or not less than 6 hours after you take citric acid, magnesium oxide, and sodium picosulfate:
- chlorpromazine;
- digoxin;
- iron;
- penicillamine; o
- certain antibiotics, such as ciprofloxacin, doxycycline, levofloxacin, minocycline, moxifloxacin, norfloxacin, or tetracycline.
Tell your doctor about all your other medicines, especially:
- a laxative;
- a diuretic or "water pill";
- heart or blood pressure medication;
- medicine to treat a kidney problem;
- medicine to treat depression or mental illness;
- seizure medication; or
-
NSAIDs (nonsteroidal anti-inflammatory drugs) --aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve), celecoxib, diclofenac, indomethacin, meloxicam, and others.
This list is not complete. Other drugs may affect citric acid, magnesium oxide, and sodium picosulfate, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible drug interactions are listed here.
Where can I get more information?
Your doctor or pharmacist can provide more information about citric acid, magnesium oxide, and sodium picosulfate.
Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.
Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.
Copyright 1996-2020 Cerner Multum, Inc. Version: 1.01. Revision date: 8/13/2019.
