Precautions and Warnings With Sodium Picosulfate/Magnesium Oxide/Anhydrous Citric Acid
Although sodium picosulfate/magnesium oxide/anhydrous citric acid can be an effective bowel-prep product for many people, it may not be appropriate for those with an intestinal blockage, kidney disease, or a bowel perforation. Other important precautions for using sodium picosulfate/magnesium oxide/anhydrous citric acid safely include warnings of potentially serious electrolyte imbalances, colon ulcerations, and other complications.
You should talk with your healthcare provider prior to taking sodium picosulfate/magnesium oxide/anhydrous citric acid (Prepopik®) if you have:
- Kidney disease, such as kidney failure (renal failure)
- A history of seizures
- Difficulty swallowing
- Frequent vomiting
- A hole in the bowel (bowel perforation)
- Intestinal blockage (obstruction)
- Signs of a bowel obstruction, such as:
- Abdominal (stomach) pain
- Abdominal swelling (distention)
- An electrolyte imbalance, such as low blood sodium (hyponatremia) or potassium (hypokalemia)
- Been on a low-salt diet
- Gastric retention (a condition in which there is a delayed emptying of stomach contents into the intestines)
- Inflammatory bowel disease or other bowel problems, such as:
- Ulcerative colitis
- Toxic colitis
- Toxic megacolon
- Any allergies, including to foods, dyes, or preservatives.
Also, let your healthcare provider know if you are:
- Pregnant or thinking of becoming pregnant
You should also tell your healthcare provider about all other medications you are taking, including prescription and nonprescription medicines, vitamins, and herbal supplements.
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