Pregnancy & Lactation: Risk data not available
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.
Warnings
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 use Citric Acid, Magnesium Oxide, And Sodium Picosulfate
Use Citric Acid, Magnesium Oxide, And Sodium Picosulfate (Oral) exactly as directed on the label, or as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended.
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.
Call your doctor if you cannot drink the entire amount of medicine and liquids as instructed in time for your colonoscopy.
Citric Acid, Magnesium Oxide, And Sodium Picosulfate side effects
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?
Do not take other laxatives during your colon prep.