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What is Sodium picosulfate Magnesium oxide Anhydrous citric acid
Sodium picosulfate magnesium oxide anhydrous citric acid is a combination of a stimulant and osmotic laxative used for bowel cleansing prior to colonoscopy.
The preparation consists of 2 doses taken at separate times; additional fluid intake is necessary for appropriate bowel cleansing and in order to reduce the risk of fluid and electrolyte imbalance.
In clinical evaluation, the most common side effects reported included nausea, headache, and vomiting. Prepopik is approved for use in adults and pediatric patients 9 years of age and older; clenpiq is only approved for use in adults.
Brand Names
- CLENPIQ
- Prepopik
Indications & Dosage
- bowel preparation
For use as a bowel evacuant to clean the colon prior to colonoscopy (bowel preparation)
Side Effects
- abdominal pain
- anaphylactoid reactions
- arrhythmia exacerbation
- bowel ischemia
- colitis
- diarrhea
- fecal incontinence
- fecal urgency
- headache
- hypermagnesemia
- hypocalcemia
- hypochloremia
- hypoglycemia
- hypokalemia
- hyponatremia
- nausea
- orthostatic hypotension
- purpura
- rash
- seizures
- urticaria
- vomiting
Monitoring Parameters
- blood glucose
- serum creatinine/BUN
- serum electrolytes
Contraindications
- angina
- breast-feeding
- cardiac arrhythmias
- cardiomyopathy
- children
- colitis
- dehydration
- electrolyte imbalance
- gag reflex depression
- gastroparesis
- geriatric
- GI obstruction
- GI perforation
- heart failure
- hypocalcemia
- hypoglycemia
- hypokalemia
- hypomagnesemia
- hyponatremia
- ileus
- inflammatory bowel disease
- myocardial infarction
- orthostatic hypotension
- pregnancy
- pyloric stenosis
- QT prolongation
- renal failure
- renal impairment
- seizure disorder
- seizures
- toxic megacolon
- ulcerative colitis
- vomiting
Interactions
- Aliskiren; Amlodipine; Hydrochlorothiazide, HCTZ
- Aliskiren; Hydrochlorothiazide, HCTZ
- Aliskiren; Valsartan
- Amiloride
- Amiloride; Hydrochlorothiazide, HCTZ
- Amitriptyline
- Amitriptyline; Chlordiazepoxide
- Amlodipine; Benazepril
- Amlodipine; Celecoxib
- Amlodipine; Hydrochlorothiazide, HCTZ; Olmesartan
- Amlodipine; Hydrochlorothiazide, HCTZ; Valsartan
- Amlodipine; Olmesartan
- Amlodipine; Telmisartan
- Amlodipine; Valsartan
- Angiotensin II receptor antagonists
- Angiotensin-converting enzyme inhibitors
- Antibiotics
- Aripiprazole
- Asenapine
- Atenolol; Chlorthalidone
- atypical antipsychotic
- Azilsartan
- Azilsartan; Chlorthalidone
- Benazepril
- Benazepril; Hydrochlorothiazide, HCTZ
- Bendroflumethiazide; Nadolol
- Bisoprolol; Hydrochlorothiazide, HCTZ
- Brexpiprazole
- Bumetanide
- Candesartan
- Candesartan; Hydrochlorothiazide, HCTZ
- Captopril
- Captopril; Hydrochlorothiazide, HCTZ
- Carbamazepine
- Cariprazine
- Celecoxib
- Chlorothiazide
- Chlorpromazine
- Chlorthalidone
- Chlorthalidone; Clonidine
- Clomipramine
- Clozapine
- Desipramine
- Dichlorphenamide
- Diclofenac
- Diclofenac; Misoprostol
- Diflunisal
- Digoxin
- Diphenhydramine; Ibuprofen
- Diphenhydramine; Naproxen
- Diuretics
- Doxepin
- Enalapril, Enalaprilat
- Enalapril; Felodipine
- Enalapril; Hydrochlorothiazide, HCTZ
- Eprosartan
- Eprosartan; Hydrochlorothiazide, HCTZ
- Esomeprazole; Naproxen
- Ethacrynic Acid
- Ethinyl Estradiol; Norethindrone Acetate; Ferrous fumarate
- Ethinyl Estradiol; Norethindrone; Ferrous fumarate
- Etodolac
- Famotidine; Ibuprofen
- Fenoprofen
- Fluoxetine; Olanzapine
- Fluphenazine
- Flurbiprofen
- Fosinopril
- Fosinopril; Hydrochlorothiazide, HCTZ
- Furosemide
- Haloperidol
- Hydralazine; Hydrochlorothiazide, HCTZ
- Hydrochlorothiazide, HCTZ
- Hydrochlorothiazide, HCTZ; Irbesartan
- Hydrochlorothiazide, HCTZ; Lisinopril
- Hydrochlorothiazide, HCTZ; Losartan
- Hydrochlorothiazide, HCTZ; Methyldopa
- Hydrochlorothiazide, HCTZ; Metoprolol
- Hydrochlorothiazide, HCTZ; Moexipril
- Hydrochlorothiazide, HCTZ; Olmesartan
- Hydrochlorothiazide, HCTZ; Propranolol
- Hydrochlorothiazide, HCTZ; Quinapril
- Hydrochlorothiazide, HCTZ; Spironolactone
- Hydrochlorothiazide, HCTZ; Telmisartan
- Hydrochlorothiazide, HCTZ; Triamterene
- Hydrochlorothiazide, HCTZ; Valsartan
- Hydrocodone; Ibuprofen
- Ibuprofen
- Ibuprofen; Oxycodone
- Ibuprofen; Pseudoephedrine
- Iloperidone
- Imipramine
- Indapamide
- Indomethacin
- Irbesartan
- Iron
- Iron Salts
- Ketoprofen
- Ketorolac
- Lansoprazole; Naproxen
- Lisinopril
- Losartan
- Loxapine
- Lumateperone
- Lurasidone
- Meclofenamate Sodium
- Mefenamic Acid
- Meloxicam
- Mesoridazine
- Methyclothiazide
- Metolazone
- Moexipril
- Molindone
- Nabumetone
- Naproxen
- Naproxen; Pseudoephedrine
- Naproxen; Sumatriptan
- Nebivolol; Valsartan
- Nonsteroidal antiinflammatory drugs
- Nortriptyline
- Olanzapine
- Olmesartan
- Oxaprozin
- Paliperidone
- Penicillamine
- Perindopril
- Perindopril; Amlodipine
- Perphenazine
- Perphenazine; Amitriptyline
- Pimozide
- Piroxicam
- Polyethylene Glycol
- Polyethylene Glycol; Electrolytes
- Polyethylene Glycol; Electrolytes; Ascorbic Acid
- Polyethylene Glycol; Electrolytes; Bisacodyl
- Polysaccharide-Iron Complex
- Prochlorperazine
- Protriptyline
- Quetiapine
- Quinapril
- Ramipril
- Risperidone
- Rofecoxib
- Sacubitril; Valsartan
- Selective serotonin reuptake inhibitors
- Sodium Ferric Gluconate Complex; ferric pyrophosphate citrate
- Spironolactone
- Sulindac
- Telmisartan
- Thioridazine
- Thiothixene
- Tolmetin
- Torsemide
- Trandolapril
- Trandolapril; Verapamil
- Triamterene
- Tricyclic antidepressants
- Trifluoperazine
- Trimipramine
- Valdecoxib
- Valsartan
- Ziprasidone