How effective is magnesium citrate for colonoscopy preparation. What are the common side effects and patient experiences. Is magnesium citrate a suitable alternative to other bowel prep solutions. How long does the cleansing effect typically last.

Understanding Magnesium Citrate as a Colonoscopy Prep Solution

Magnesium citrate is a popular over-the-counter laxative often used as a bowel preparation solution for colonoscopies. This saline laxative works by drawing water into the intestines, promoting bowel movements and effectively cleansing the colon. While its effectiveness is well-documented, patient experiences can vary significantly.

How Magnesium Citrate Works

Magnesium citrate functions as an osmotic laxative, meaning it increases the amount of water in the intestinal tract. This additional fluid softens the stool and increases bowel activity, leading to more frequent and easier bowel movements. The solution typically comes in a flavored liquid form, making it relatively easy to consume compared to some other prep methods.

Effectiveness of Magnesium Citrate for Colonoscopy Preparation

The primary goal of any colonoscopy prep is to clear the colon of all solid matter, allowing for clear visualization during the procedure. Magnesium citrate has shown to be highly effective in achieving this goal for many patients.

Clinical Studies on Magnesium Citrate Efficacy

Several studies have examined the effectiveness of magnesium citrate as a bowel preparation solution. One study published in the World Journal of Gastrointestinal Endoscopy found that magnesium citrate, when combined with bisacodyl tablets, provided excellent or good bowel cleansing in 92% of patients. This level of efficacy is comparable to other commonly used prep solutions.

Factors Affecting Effectiveness

• Timing of administration
• Patient adherence to instructions
• Individual digestive system differences
• Dietary restrictions before the prep

Do these factors significantly impact the effectiveness of magnesium citrate? Indeed, they can. Proper timing and strict adherence to preparation instructions are crucial for optimal results. Patients who follow the prescribed regimen, including dietary restrictions, tend to experience better outcomes.

Patient Experiences and Satisfaction with Magnesium Citrate Prep

Patient satisfaction with magnesium citrate as a colonoscopy prep solution varies widely. While some individuals report a relatively smooth experience, others find the process challenging and uncomfortable.

Common Patient Feedback

1. Taste and palatability
2. Onset and duration of action
3. Side effects and discomfort
4. Overall effectiveness

How do patients generally rate their experience with magnesium citrate? Based on numerous reviews and testimonials, many patients find the taste more tolerable compared to other prep solutions. However, the rapid onset of action and potential for intense bowel movements can be distressing for some individuals.

Side Effects and Potential Complications

While generally considered safe when used as directed, magnesium citrate can cause several side effects. Understanding these potential issues is crucial for patients preparing for a colonoscopy.

Common Side Effects

• Abdominal cramping and bloating
• Nausea and vomiting
• Dehydration
• Electrolyte imbalances

Are these side effects severe enough to warrant concern? In most cases, the side effects are temporary and manageable. However, patients with certain medical conditions, such as kidney problems or heart issues, should consult their healthcare provider before using magnesium citrate.

Managing Side Effects

To minimize discomfort and potential complications, patients are often advised to:

• Stay well-hydrated throughout the prep process
• Follow the prescribed dosage and timing instructions carefully
• Consume clear liquids to maintain electrolyte balance
• Use wet wipes and barrier creams to prevent skin irritation

Comparing Magnesium Citrate to Other Colonoscopy Prep Methods

Magnesium citrate is one of several options available for colonoscopy preparation. Understanding how it compares to other methods can help patients and healthcare providers make informed decisions.

Polyethylene Glycol (PEG) Solutions

PEG solutions, such as GoLytely and MiraLAX, are widely used for colonoscopy prep. These solutions require consuming a large volume of liquid, which can be challenging for some patients. However, they are generally considered safe and effective.

How does magnesium citrate compare to PEG solutions in terms of effectiveness? Studies have shown that magnesium citrate can be as effective as PEG solutions when used correctly. The main advantage of magnesium citrate is the smaller volume of liquid required, which many patients find more manageable.

Sodium Phosphate Preparations

Sodium phosphate preps, once popular, have fallen out of favor due to potential kidney risks. Magnesium citrate is often considered a safer alternative, especially for patients with kidney concerns.

Tips for Successful Colonoscopy Prep with Magnesium Citrate

Proper preparation is key to a successful colonoscopy. Following these tips can help ensure the best possible outcome when using magnesium citrate as a prep solution.

Before the Prep

• Consult with your healthcare provider about any medications you’re taking
• Follow dietary restrictions in the days leading up to the prep
• Stay well-hydrated in the days before the prep begins
• Prepare comfortable clothing and set up a space near the bathroom

During the Prep

• Follow the prescribed dosage and timing instructions precisely
• Stay near a bathroom once you begin the prep
• Continue to drink clear liquids to prevent dehydration
• Use gentle wipes and creams to prevent skin irritation

Can these steps significantly improve the prep experience? Absolutely. Proper preparation and adherence to instructions can make the process more comfortable and effective.

Special Considerations for Different Patient Groups

While magnesium citrate is generally safe for most individuals, certain patient groups may require special considerations or alternative prep methods.

Elderly Patients

Older adults may be more susceptible to dehydration and electrolyte imbalances. Close monitoring and adjusted dosing may be necessary for this population.

Patients with Chronic Conditions

Individuals with kidney disease, heart conditions, or diabetes may need alternative prep methods or close medical supervision when using magnesium citrate.

Pregnant Women

Pregnant women should consult their healthcare provider before using magnesium citrate, as alternative prep methods may be recommended.

Are there specific precautions for these patient groups? Indeed, healthcare providers may recommend modified prep regimens, additional hydration measures, or alternative solutions based on individual patient needs and risk factors.

The Future of Colonoscopy Prep: Emerging Trends and Research

As medical science advances, new approaches to colonoscopy preparation are being explored. These innovations aim to improve patient comfort, compliance, and overall effectiveness of the prep process.

Low-Volume Prep Solutions

Researchers are developing new low-volume prep solutions that may offer similar efficacy to traditional methods while reducing the volume of liquid patients need to consume.

Personalized Prep Regimens

Emerging research is focusing on tailoring prep regimens to individual patient characteristics, such as age, medical history, and gut microbiome composition.

Alternative Delivery Methods

Novel delivery methods, such as pills or specially formulated foods, are being investigated as potential alternatives to liquid prep solutions.

Will these advancements revolutionize colonoscopy preparation? While it’s too early to say definitively, these developments hold promise for improving patient experiences and potentially increasing colonoscopy compliance rates.

Magnesium citrate remains a widely used and effective option for colonoscopy preparation. Its effectiveness, combined with the relatively small volume of liquid required, makes it a popular choice among patients and healthcare providers alike. However, individual experiences can vary, and it’s crucial for patients to follow their doctor’s instructions carefully and report any concerns or side effects promptly.

As research continues and new prep methods emerge, the goal remains the same: to ensure thorough colon cleansing while minimizing patient discomfort and maximizing compliance. Whether using magnesium citrate or another prep solution, the key to a successful colonoscopy lies in proper preparation and open communication between patients and their healthcare providers.

Ultimately, the choice of prep method should be a collaborative decision between patient and doctor, taking into account individual health factors, preferences, and the specific requirements of the upcoming colonoscopy procedure. By understanding the benefits and potential challenges of magnesium citrate prep, patients can approach their colonoscopy with confidence and contribute to the early detection and prevention of colorectal cancer.

Effectiveness, Ease of Use, and Satisfaction

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Most voted positive review

94 People found this comment helpful

I was stopped up, so my plan was to drink it in the morning and go straight to the office and get er done on the company roll of toilet paper. Three miles to go, though and it was already churning up powerful peristalsis. By the time I burst through the office door the pressure at my rear sphincter had built up to about 40 PSI at least. Bee line to the restroom, fired off the charge into the bo…

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Most voted negative review

11 People found this comment helpful

Took MC for colonoscopy. I had a order for two bottles. Just finished the first and rush to ER. I mix it different things,coke,ect. The cleaning process wasn’t good, I vomited more then anything.I was so weak and confused I thougth this was the end.

Shared reviews and ratings

SORT BY Condition: Incomplete or Infrequent Bowel Movements

Overall rating 4.0

EffectivenessEase of UseSatisfaction

Day 3. I’m writing this from the toilet at 1:00 am Thursday. I took MC around 4:00 pm Monday. Monday night around midnight I had 1 good BM. I woke up the next morning thinking wow that stuff isn’t so bad. I decided to go run my errands as usual directly after saying “MC didn’t work for me” I had to come home for a new pair of underwear. The rest of the day went smoothly until about midnight. My toilet will never be the same. I pooped chewed undigested food. Is that healthy? I’m pretty sure I got rid of gum that I swallowed less than 7 years ago. To say this stuff does the job is an understatement. Sooo… I thought I was in the clear until I got in the shower Wednesday night. Apparently at some point during the day I had a wet fart complete with corn. Is it normal for poop to sneak out without me knowing? As soon as I got our of the shower i I felt that familiar rumble from last night. Is MC nocturnal? It only seams to hit me at night. How long will it last???? SEND HELP!!!Read More Read Less

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Overall rating 4.7

EffectivenessEase of UseSatisfaction

What happens when you drink 10 oz of Magnesium Citrate? I’m glad you asked…
12:05 pm: It’s time. You shotgun a 10 oz bottle like it’s a lukewarm PBR. It’s suppose to be grape flavored but it’s becoming quite clear that whoever led the R&D team that day has never actually tasted anything grape in their life. You are already regretting this decision.
12:06 pm: You eat a handful of chips, It’s going to turn to liquid form before it even clears your throat but you don’t care. All is right in the world at this moment. Hold on to that. You’re about to enter a very dark period in your life.
12:37 pm: First sign of life. The pressure is growing. You already have 5 lbs of impacted crap in your colon and you basically just drank the “safe for humans” version of Drano. You feel a poop coming on finally. You think it’s time. You’re wrong. You get a little snake turd as a teaser.
Take note…this is the last semi-solid thing you will see leaving your body for the next 24 hours.
12:57 pm: That little science experiment you got cooking is about to reach it’s boiling point. Your stomach is angry now. It hates you…you can feel it. You have exactly .3 seconds to make it to the nearest toilet but you can’t run… NEVER run! You pray to god there is enough elasticity in your butthole to keep the gates closed 5 more steps as you start to preemptively undo your pants to save valuable time. Almost there. 3…2…1…
12:58 pm: Sweet Mary, mother of God…is this real life? Your cheeks barely hit the seat and all hell breaks loose. The crap/ water mixture you’ve just created comes out with such force that it actually sprays the back of the toilet bowl at a 45 degree angle thus deflecting it in every direction but down.
Is that blood?
False alarm.
That’s just the remnants of a cherry pie you ate at Thanksgiving…when you were 5. The smell is horrid…the sound is frightening. You try to clench whats left of your butthole to soften the blow but it’s not working. The whole house just heard your liquid fart as it gurgled out of your butt.
1:06 pm- 8:30 pm: Everything’s a blur. You have crapped out everything you have ever eaten since the day you were born, everything your ancestors have ever eaten since the early 1800’s, and your butt now feels like you have a flaming hot Cheeto and the tears of a thousand Jalapeno seeds stuck in it.
You’re now curled up in the bathtub crying because you have to remain within arm’s reach of the toilet at all times. You have the poop sweats.
You meet Jesus.
8:37 pm: You’re broken.
Your butthole is broken.
Your spirit’s broken.
Life as you know it will never be the same. But…tomorrow’s a new day. You’re going to wake up, throw on the only remaining pair of underwear have and you’re going to run up to Walmart with the last shred of dignity you have left…and buy yourself a new toilet brush. You’ve earned it.Read More Read Less

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Overall rating 5.0

EffectivenessEase of UseSatisfaction

30 minutes to two hours?!?! More like 30 seconds! I drank 6oz of a 10oz bottle and within one minute I was Naruto running towards the throne. As soon as I dropped my trousers, the lemon flavored plunger juice made my bottom erupt harder than Eddie Van Halen. Hopefully the teacher doesn’t come in here after I’m done. Whew. 5/5.

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Fill 3Created with Sketch. Condition: Low Amount of Magnesium in the Blood

Overall rating 4.0

EffectivenessEase of UseSatisfaction

It took over 4 hours for a complete wash out.

1

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Fill 3Created with Sketch. Condition: Emptying of the Bowel

Overall rating 1.0

EffectivenessEase of UseSatisfaction

It got flagged by my primary as a possible allergy since I’m allergic to codeine. Called hospital that prescribed and was told it was okay and I took it because I believed them. Spent the whole night vomiting and having the same reaction I have to codeine. Didn’t do anything else. Outside the vomiting. Didn’t poop at all that’s for sure. I couldn’t even move without vomiting I was so dizzy and sick from it. Pissed off at the ER that’s for sure.

1

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Overall rating 4.3

EffectivenessEase of UseSatisfaction

The key for me is the shot glass— warm or cold, shooting it down makes it palatable. And it worked as advertised—not sure you should do yard work in between bathroom runs. I’m feeling totally wired and a little anxious.

1

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Overall rating 3.7

EffectivenessEase of UseSatisfaction

I’m 76, live alone and was prepping for routine colonoscopy. Was told to drink 10 oz. of magnesium citrate at noon then two hours later start drinking the gallon of Gatoraide/Miralax solution during the next few hours. The MC didn’t taste bad but was very sweet tasting. Within 1/2 hour I could tell the it was starting to work (rumbling only) so went into the bathroom at sat. During the next 1/2 hour before I even had a BM, I had terrible things happen to my body. First I felt my pulse slow down to about 60 beats/min. and my heart was thumping hard. Shortly after that my face and head started to sweat profusely, with my hair actually dripping. Shortly after that I suddenly got a feeling of complete exhaustion. I’ve never had anything like that before in all my years, never during delivery of my kids nor with any illness I’ve ever had. I felt like I might not be able to make my body stay sitting and wanted so badly to lay on the bathroom floor but wasn’t sure I’d be able to get up off the floor and onto the toilet because I had no energy at all. I did very slowly manage to get off the toilet and go get a fan close by and train it on my face which helped some. I almost called the ambulance because all of this was very scary as I wasn’t sure what was happening to my body. The only thing that stopped me was that I knew at this point the medicine was going to start very soon and I wouldn’t be able to control my bowels in the ambulance. All these symptoms lasted about 1/2 hour and after that I started getting back to ‘normal’ and finally started evacuating stool. I’ve had several colonoscopies over the years, never before using MC just the Gatoraide/Miralax solution and if I happen to need one again I will not use it. My primary doctor said he’d not heard of anyone experiencing these symptoms after taking it. I sure wish I knew what caused this bad reaction in me.
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Overall rating 4. 7

EffectivenessEase of UseSatisfaction

DISCLAIMER – TMI: Drank half the bottle of the 10oz grape saline laxative, it took 2 hours and then it was quick and strong. Hit me again around 2 hours later. Very interested to know the science behind how suddenly everything is liquid, it was like the strongest pee stream of my life but from the other side ????

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Overall rating 4.3

EffectivenessEase of UseSatisfaction

Was way on vacation and did not have a bowel movement for over a week. I’m 5,5 and 135lbs and normally have a bowel movement every other day. I was very uncomfortable and need something to relive my situation. First tried natural remedies and they did not work. At night I drank 1 bottle of the lemon solution with a large glass of water. It was sour but not that bad of a taste. I did feel full and a bit bloated i went to bed and hat a good night sleep. About 10 hours later around 9 am my stomach started to make noise. I felt the urge to go but was able to hold it in for about another hour. Before taking this laxative it’s was extremely painful to pass stool. And I was just afraid of the pain . Once I went the first movement was very hard and then soft . The second bowel moment of the day was all liquid and my stomach felt so much better . I would use again no cramping and complete relief. Read More Read Less

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Overall rating 5.0

EffectivenessEase of UseSatisfaction

Use magnesium citrate oral laxative when nothing else works. My doctor prescribed after travel when constipation resulted from time changes and new foods and when 2 mild laxatives did nothing. I took 10 oz. bottle at 4 p.m with glass of water and at 10 p.m. I got an urge to head for the toilet. This continued every hour or two until 5 a.m. when I felt thoroughly cleaned out, drinking water to stay hydrated. Strong stuff but very effective.

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Overall rating 3.0

EffectivenessEase of UseSatisfaction

Okay so this is my second time taking this, the first time seemed easier I took the first half nothing then the second half of the bottle I pooped once than watery for about a few hours later. And was fine. So this time around I have been dealing with right awful awful cramping. I thought it was my appendix, after tests I was told I was backed up in my large intestine and too drink a half a bottle. So I went home and the next day at 7am took half the bottle, around 8:45am nothing so I drank the second half. Oh man, my experience this time was watery brown very thin substance in the toilet (sorry gross but your here for a laxative review right? Lol) and that stayed the same for a few hours, I had the rumbles but then it started to calm down. It’s currently 7:00 pm my stomach is definitely still rumbling I’ve gone the watery stuff a few more times. But I am crampy like period crampy, I’m a little uncomfortable to the touch. I might try taking an Advil this time around. I do like this stuff though. My advice to you, do it on a weekend, when your off, I also did it when my husband was around just in case for my 3 year old. I feel a little better, definitely tired of running to the bathroom and the cramping is still there. But it works. Read More Read Less

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Overall rating 4.7

EffectivenessEase of UseSatisfaction

So the other day I went to the doctor for really bad cramping in my stomach and lower right side. He did a CT scan and it showed that I was severely constipated. He told me to take half a magnesium citrate and 5 doses of miralax with an hour between each. I got home at like 9 at night from being in the hospital, and took the magnesium. It was good until I realized we were out of miralax. So my mom being the great mom she is, told me to drink the rest and have a ton of water so I did. Fell asleep, woke up. And blew the toilet sky-high. This stuff works wonders. I was reading everyone’s comments and was dying of laughter.Read More Read Less

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Overall rating 3.3

EffectivenessEase of UseSatisfaction

Had multiple bowel movements, the lemon flavor tastes absolutely horrible though.

2

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Overall rating 4.3

EffectivenessEase of UseSatisfaction

Have continuous issues with constipation from opiods. Dr. recommended this, along with glycerine suppository. I don’t feel like I am completely cleaned out when I drink 1 bottle, probably should drink 2, as others have done. I use the lemon flavored liquid, drank at room temp in past, I’ll try it cold, next time. Tastes not good, but it’s not too offensive. Does hep me, I need to start taking 3 times a week, or so-I need to have regularity.

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Overall rating 5.0

EffectivenessEase of UseSatisfaction

Usually I know better than to eat Panda Express for several days in a row without including occasional Taco Bell to chase things through the pipes and down the chute, but here I was, trying unsuccessfully to lay a pterodactyl egg. Hearing that magnesium citrate was about the most powerful laxative that one could buy OTC, I bought some of the Vons Signature brand and poured it on ice and got it good and cold. The taste, surprisingly, was pretty decent. In about 60 minutes it forced that egg out. Surprisingly, very little nausea and no other discomfort. About the only down side was that it kept cleaning me out every 15 minutes for the next six hours, but when all is said and done, I’d use this again. It’s the best.Read More Read Less

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Overall rating 5.0

EffectivenessEase of UseSatisfaction

I decided to cleanse my system since I had been feeling full for the past few days- I knew I had not been eating right and wanted to get the stuffed and dragging feeling off of me. I have taken this in the past and it worked amazingly well. I had only taken one bottle and drank plenty of water. It began working in about an hour or 2; this time taking it it began working in 2 hours with rumbling and hard stool. I must have more in the tank than last time- Wish me well!!

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Overall rating 4. 0

EffectivenessEase of UseSatisfaction

For colonoscopy prep, took one 10oz bottle at 4pm; second bottle at 6pm and third bottle at 2:45 am, about 4 hours before procedure. Took about 45 minutes to start working, settled down about 1am, then picked up afterfinal dose. Refrigerate and drink with water and white grape juice. Follow your providers directions!

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Overall rating 5.0

EffectivenessEase of UseSatisfaction

I wasn’t fully emptying my bowel, I felt very constipated. Took stool softening pills two days in a row and no bowel movement. I was on day 4. Vomited undigested food and that was my reason for deciding to go ahead with the laxative. I took one bottle, started working within the hour. I had one solid bowel movement and the rest were liquid. No problems with it, the taste is tolerable.

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Overall rating 5.0

EffectivenessEase of UseSatisfaction

I was required to take this medication to do a routine colonoscopy. The nurse instructed me to buy 4 bottles. Liquid fast all day. Drink two bottles at 6pm and 2 more 4 hours before the procedure. Just after 6pm i drank one of the two bottles. I purchased the cherry flavored. It made my jaws draw up it was so tart. I then drank some water. I had been drinking liquids all day and felt like an over sized water balloon. By 7:15pm this stuff started to do it’s job. At about 8pm i drank another one. At this point I became very nauseous. I was using the restroom ever 15-30 minutes. At one point it was nothing but clear liquid coming out. I tried relaxing in bed and took in no more liquids he rest of the evening. I decided to skip the last two doses. It is now 6pm the following day. I’ve just had one solid meal all day but this stuff is still working. There are an extreme amount of air sound in my belly even at this hour. I couldn’t imagine why I using all 4 bottles of this stuff. 2 did the trick just fine. I will save the other two for another time.Read More Read Less

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Overall rating 4.0

EffectivenessEase of UseSatisfaction

Decided to needed to take a laxative due to no BM from the use of pain medication. Took it at 7pm — nothin other than feeling nauseous. 8 hours later, around 6am I woke up with some massive tootin’. I forgot I took a laxative and realized I couldn’t trust ‘em so I went to the bathroom. Ended up on the toilet for about an hour with EXPLOSIVE diarrhea. Explosive isn’t even an exaggeration. Anyways, here we are, almost 24 hours later and I’m still experiencing EXPLOSIVE diarrhea off an on. Ended up leaving work because I was scared I was going to chit my pants. Anyways, this stuff definitely works. Just make sure you are always near a toilet. Read More Read Less

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Magnesium Citrate (Citrate of Magnesia) Reviews

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5 Stars

Posted 17 months ago (1/9/2022) 5

Rated for Constipation — Chronic Report

The lemon flavor is SO SOUR and didnt make me gag but pucker my lips so it took me a long time to drink. Drank it at 7am and fell asleep untill 11…. Finally the explosion came at 1. Even if it is delayed IT WILL COME. I cant wait til it stops so i can take a shower. Been watching harry potter movies all day with the toilet nearby. Much needed

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5 Stars

Posted 21 months ago (8/29/2021) 5

Rated for Bowel Preparation Report

Plan at least 24 hours+++ of downtime just in case you don’t clear it out quickly! I made the mistake of leaving only 12-18 hours before having other obligations and had to cancel since it still was running through my system. That said, it works incredibly well at clearing you out.

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5 Stars

Posted 23 months ago (6/30/2021) 5

Rated for Constipation — Chronic Report

I was extremely constipated due to an episode of Diverticulitis. My GP recommended magnesium citrate. So I went to my local drug store and picked up their generic brand of lemon flavour. I drank the whole 10oz chug style, then chased it with 8oz of water. The taste wasn’t too bad. A bit salty. I felt extremely bloated and a bit nauseous. All that liquid at once is a lot for the belly to bear. I waited in agony for nearly 6 hours, then at about 6pm felt the urge to go. Solid at first, then very watery poo about every 20 mins until about 10pm. Took my sleeping pill, woke up at 630am and went another 4 or 5 times. Now I am feeling good and pain has all but disappeared. I must say, reading some of these reviews made me laugh so hard, was glad to be sitting on the throne already.

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1 Stars

Posted 24 months ago (6/6/2021) 1

Rated for Constipation Report

I will never take this again. .diarrhea pain several days. Painful spasms lower back and rectal pain/pressure…ended up in ER

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5 Stars

Posted 25 months ago (5/19/2021) 5

Rated for Constipation Report

Holy sh*tballs! So I cracked upon a bottle of lemon flavored satan water. At first I was like okay this doesn’t taste too bad. That didn’t last by the end of the 10oz bottle there was a lot of positive self talk as I reluctantly downed the last couple of sips. That being said I didn’t die. About 60 minutes I had to “go.” Gross but I’m pretty sure I swallowed some screams as I pushed out what felt like a cantaloupe, but again I didn’t die. The next few hours were filled with jogs back and forth to the porcelain god. It is inconceivable how much gook is built up in your digestive system. I feel like perhaps I’m on the back end of the poo express, but I’m not entirely certain. Side note: if you need to sneeze, I’d be already perched on the enchanted thrown. ..

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3 Stars

Posted 25 months ago (5/6/2021) 3

Rated for Constipation Report

These reviews are getting me through my time with the ring of fire. I was constipated after a new medication, and it was causing a bit of discomfort. So I went to the ER for an enema, no dice. Nothing. They sent me home with a bottle of MC. I downed it as soon as I got home at 2:30 am. I had the worst nausea, dizziness, weakness. I felt like I was going to pass out. Three hours later, the feelings passed and rock hard butt plug passed too. 6 hours later and I’m still a geyser blasting into the toilet. It works but it’s not fun.

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5 Stars

Posted 26 months ago (4/17/2021) 5

Rated for Constipation — Chronic Report

Constipation from using Suboxone for prescription pain pill addiction. U have to stay on top of this while taking this drug but for a few wks I didnt an ended up constipated with hard to pass huge plug. Took 1 bottle of mag citrate over a period of 12hrs. Went to bed woke up no urge Togo. Then drank more water an tried but failed toget plug out. Immediately used half a bottle of fleet saline enima an 4 min later the plug was gone. Omg!! I screamed the lords prayer I was so happy an relieved. Stayed on throne for about 15 more min slowly but surely rodding body of the rest. That was soft an not hard to pass. Spent rest of day every hr or so pushing rest out. I was backed up badly. No watery stools or bad cramping for me. Will drink half of another bottle starting 2morrow to make sure I empty it fully. I highly recommend an ur ur like me from opiods u may need a little push from an enima toget it going. I tried suppositories miralax everything. Nothin worked til magnesium. Hope this helps.

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5 Stars

Posted 26 months ago (4/16/2021) 5

Rated for Constipation — Chronic Report

I’ve been having bad abdominal pain to the point where at one point I couldn’t stand up. Went to the doctor and they said i was backed up with poop to my upper abdomen!!! Doctor recommended this or enema or prune juice. I was afraid of the painful cramping so I got this in the lemon flavor from CVS. The taste is really not that bad if you’ve ever had bowel prep for a colonoscopy this is leaps and bounds better in taste than that. I put the magnesium citrate in the fridge and drank it slowly, every sip i took of CM i chased with water. I was also super afraid of nausea but it was very very mild. I drank 1/4th at 10pm, moved my bowels a little drank half the next day at 10am. That got things moving. I would definitely take the day off, get some electrolytes so you don’t get dehydrated and find some good shows to watch on your phone bc you’ll be in and out the bathroom

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5 Stars

Posted 26 months ago (4/2/2021) 5

Rated for Constipation Report

I was soooo backed up to the point I was literally bleeding anytime I tried to push. I went to the store and bought some. I took it at 8am but it didn’t get relief until like 6. It was a lot slower than the other 2 times I took it.

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5 Stars

Posted 27 months ago (3/17/2021) 5

Rated for Constipation — Chronic Report

I was diagnosed with colitis aaand frequently get constipated. I take the citrate and usually within hours I’m going. Today was different. I took it at apx 11am and nothing. I also took a stool softener and dulcolax so I was seriously mad by 3 when nothing. I rank a 2nd and still nothing. I downed 2 water bottles and my abdomen was 9 months ready to give birth size and hard as a rock. It’s now 8pm and nothing, downed 2 more water bottles and at 8:35 I figured I’d try again, FINALLY Such explosive hard rocks followed by the poo Pee of liquid. I usually have no issue and am going in a few hours, this time was different, now I’m typing from the throne because its allllll coming out, I think something from 1st grade came out too, but finally Relief

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5 Stars

Posted 27 months ago (3/12/2021) 5

Rated for Constipation — Chronic Report

I have had to drink this a few times for constipation due to lactose intolerance. I always mix half the bottle with 3-4 glasses of water. Makes the taste a little better. Drank it at 11 now pooping at 1. Don’t leave the house !!

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5 Stars

Posted 27 months ago (3/12/2021) 5

Rated for Constipation — Chronic Report

After a kidney stone removal I thought I still had pieces of stone in me that was causing me some more pain. So my dr had me get another ct scan and come to find out I had abt 6pds of poop in me. After taking laxatives and fiber I got a bottle of this stuff the grape flavor tangy but wasn’t that bad. Within 45 min I was on the toilet. It worked fast for me but it’s now 10pm and I’m still on the toilet, and I drank the stuff at 7pm

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4 Stars

Posted 27 months ago (3/2/2021) 4

Rated for Constipation Report

I took at 5 pm. Still nothing at 9 pm. I fid eat dinner in the middle of it. Drank alot of water. Hoping the brown wave comes soon because the pian in my stomach and pain sucks.

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5 Stars

Posted 28 months ago (2/1/2021) 5

Rated for Constipation Report

First off I reading all the other reviews made my day. I had been backed up for a couple of days and decided to take this to clean everything out. Engulfed the entire bottle around 5:30pm and had a mixture of Powerade and water right after. Also the Lemon flavor is the complete worst. Less than an hour later my ass was a fire hydrant. Me thinking this was only going to last 6 to 8 hours was just a hallucination. It is now 9:00am and I am still scared to eat and move since my stomach is still bubbling and ass is ready to explode for the millionth time. Overall it definitely works. Just works too damn well lmfao. CHEERS!!

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5 Stars

Posted 28 months ago (1/27/2021) 5

Rated for Constipation — Chronic Report

Easy to take 10oz bottle and a couple glasses of water. Nothing began until about 7 hours later. Hard pebbles, followed by soft stool, then black diarrhea. That was killer at the end. Made my impending hemorrhoids pop out, and oh the pain! This ordeal lasted 32 hours for me. Even though I’m empty and clean, I’m now managing my hemorrhoids. First time for me, but I knew it would happen eventually having to deal with it due to having constipation since I have been doing chemotherapy for a year and a half for stage 4 colon cancer

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5 Stars

Posted 29 months ago (1/1/2021) 5

Rated for Constipation Report

My 11 year old went to er 2 nights ago as we thought he had appendicitis. Nope just so constipated he was having severe pain and issues eating since he was so severely backed up. I gave him a half bottle at 10 this morning (now wishing I read reviews and gave it earlier) let’s just say he currently hates what I’ve done to him as he can’t leave the bathroom for long and it’s 10pm with no sign of letting up. However he was happy he could eat dinner like normal and his insane pain has ended. I can’t wait for it to be over but I am quite confident when this is over he will be all cleared out.

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5 Stars

Posted 29 months ago (12/30/2020) 5

Rated for Constipation Report

Been having some bloating, gas, and constipation a few weeks ago causing incredible lower back pain for the past four days. I started drinking the bottle of M.C at 9:00 am on an empty stomach and got the whole bottle drank by 2:00pm plus two bottles of water. The brown wave began at 4:30pm and it’s 10:36pm and I am still pissing out my asshole. It’s clear, but still pissing out me arsehole! I I don’t have cramps and my back pain is GONE. OMG my back pain is gone. This is an all day event. I wouldn’t be trying to go anywhere after drinking this stuff. Oh, and the stuff?! Yeah, I got cherry and it taste like pure cherry syrup. The last drink was the worse, lol. If you are backed up, this is what you need.

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5 Stars

Posted 30 months ago (12/10/2020) 5

Rated for Constipation Report

So I was backed up for 6 days, 22 & hadn’t experienced constipation like this EVER. I tried everything from increasing fiber, fiber supplements, Miralax, & finally 2 bottles of MC. I chugged the first bottle as soon as i woke up on the 6th day, about 9:40. Big mistake. Threw the whole thing up by 11 with very disappointing amount of BM. At about 2, more BM but still not what i was hoping. 6 hours after my first bottle I decided to drink a second, about 4pm. By 8pm the brown wave came… HARD. had to run to the bathroom every 20 minutes. it’s 3:30am & i think i’m finally done pissing out my ass…. my asshole HURTS but i am finally feeling somewhat relieved. Honestly don’t know if i’m even done but i’m tired & need sleep.

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4 Stars

Posted 31 months ago (11/16/2020) 4

Rated for Constipation — Chronic Report

Well, when they tell you that you’ll be in the bathroom a while if you take the whole thing, it’s true! Never thought the term “peeing out your butt” would be accurate ‘butt’ here we are (Sorry, bad joke). Anyways, took 10 oz around 2pm. Took a nap, and by 8:30 pm I was glued to my bathroom. So if it does not work for you in the typical time-frame, don’t panic. Just drink plenty of water! However, be sure to stay in contact with your doctor as the tell you if you feel at all unsure of taking this.

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5 Stars

Posted 31 months ago (11/13/2020) 5

Rated for Constipation Report

Beware of delayed reaction to this Was feeling a little irregular/backed up, so I drank the entire 10oz bottle(per recommended directions on bottle) at around 630pm and went to bed around 11pm all as normal, woke up out of a dead sleep and needed the bathroom quicker then I could get there… and ruined a set of a silk pajamas. This stuff works, use with caution!

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4 Stars

Posted 32 months ago (10/26/2020) 4

Rated for Constipation — Chronic Report

I bought the great value (cherry) at Walmart. I took this at 4pm and nothing has happened. I took the entire bottle and mixed it with white cherry powerade. The 2 mixed was a strong cherry flavor, a little sour, but wasn’t bad. I did use a straw as recommended by other reviews. Here it is 11 hours later and completely nothing. I’ve followed the prep to a tee. I hate the thought of rescheduling the procedure and go through this prep again.

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4 Stars

Posted 32 months ago (10/11/2020) 4

Rated for Constipation — Chronic Report

So for anyone who drank this and wasn’t one of the lucky ones who gets hit with the brown wave within 2-4 hours, don’t automatically panic. I went to crucial care thinking my organs were exploding to find out my colon isn’t functioning properly and it wasn’t flushing my waste as it should be. Dr. Recommended one 10 oz bottle. Drank in 1/4 portions mixed with 16 oz of water because this can dehydrate you. I drank it all by 3 p. m. and i went to bed still not having anything happen. Besides one huge wave of nausea where i did throw up. Then 1:30 a.m hit and i was riding that brown wave for a long hot minute. It does what it needs to but everyone is different!

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4 Stars

Posted 32 months ago (10/6/2020) 4

Rated for Constipation — Chronic Report

Was told that I was “mildly constipated”. Drank 5oz (a child size dose even though I’m 19) and drank water with it. It’s been 20 hours and I’m still peeing out of my butt & insanely uncomfortable unless I’m laying down. I can’t find anything online about when it should stop. SOS. I haven’t been able to take my daily medications because I fear the magnesium citrate will interfere with it getting absorbed. I can find endless info about how long it should take to start working but nothing about when it’ll start. Setting aside only 12 hours for it was a rookie mistake. Have at LEAST 24 hours.

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5 Stars

Posted 33 months ago (9/21/2020) 5

Rated for Constipation — Chronic Report

I’ve always had constipation issues. This stuff is absolutely disgusting, but it does the job so well. I took at around 6pm, and by 11pm, I was peeing out of my butt. Like, trip to the bathroom every 20 minutes. I drank the entire 10 oz bottle, and it definitely did the trick. Keep in mind that you should be drinking a lot of water with this stuff, as the liquid stools are known to dehydrate you.

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5 Stars

Posted 33 months ago (9/20/2020) 5

Rated for Constipation Report

I have been stopped up for 3 days in HORRIBLE pain, couldn’t sleep, straining, had to call off work. I took a whole bottle around 11 am on day two, drank the second 3 hours later without BM. Had a little success that night but still in pain. This morning, drank another bottle out of desperation, and I passed the biggest log I’ve ever seen. I did get worsening cramps and bloating, but I was already in so much pain I didn’t care. I am now trapped on the toilet, with liquid just pouring out. DON’t take this and plan to go anywhere, but if you’re desperate this will clean you out.

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4 Stars

Posted 33 months ago (9/14/2020) 4

Rated for Bowel Preparation Report

I took the whole 10 ounce bottle as directed by my surgeon at 6 am the day before surgery. At about 8 I had a soft bowel movement that looked like a cow patty. Then about every 15 minutes I had a very watery diarrhea like movement for about 2 more hours. I had gas and cramps throughout. This is all so far. I wouldn’t recommend the whole bottle unless directed by doctor.

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4 Stars

Posted 33 months ago (9/1/2020) 4

Rated for Constipation — Chronic Report

Aside from the horrible taste and the nausea, it’s not bad. I downed a whole bottle of the lemon, and haven’t left the toilet for more than 20 minutes in about 4 hours. It works really well, just keep hydrated

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5 Stars

Posted 34 months ago (8/19/2020) 5

Rated for Constipation — Chronic Report

Hi everyone I’m am 15 and constipated(since I was 4)I will be on my 8th bottle tomorrow and still am not cleared needless to say I have a appointment in two days.I can never drink the last sip because I gag it back up it does work but not fast enough for me.The taste was horrendous and I don’t think I will ever look at a lemon the same.I made the flavor a little better by adding a drink mix but still it came back up at the last sip.

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1 Stars

Posted 34 months ago (7/28/2020) 1

Rated for Constipation — Chronic Report

Was having trouble pooping magnesium citrate really cleared me out for some relief. I must have used it too much and now I can barely defecate it’s like my asshole cannot relax enough to get anything out. Don’t know what to do.

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5 Stars

Posted 35 months ago (7/13/2020) 5

Rated for Constipation Report

In 2 hours I was peeing out of my butt Like a insane amount of nasty juice came out of me and cleaned my insides up real good Made sure I took this on my day off because if I was at work like this I would have pooped on my pants ?? ??

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5 Stars

Posted 35 months ago (6/30/2020) 5

Rated for Constipation — Chronic Report

I have GRED and sometimes the food I eat don’t agree with me. I ate something bad and I woke up and pooped really bad on my self. I when to the doctor and they did x-rays on my stomach and lest just say I had a massive about of gas and poop in me. They gave me a bottle of MC and told me to Dino the whole bottle. Within the first 5 mins of me chugging I had to vomit and poop at the same time resulting in me to take a few showers because I wasn’t quick enough. I took the bottle at 4pm and it’s now 9pm and the vomiting has stoped. I just wonder how long w. I have to suffer lol but I would totally recommend that u have quick access and plenty of tissues hand.

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5 Stars

Posted 36 months ago (6/23/2020) 5

Rated for Constipation Report

Like most people here I turned to Mag Cotrate after trying everything else. Colace, senna, Miralax, fiber, salads, prune juice. Nothing worked to let me feel better. I had small bowel movements but continued to be distended and painfully uncomfortable. Cherry flavored. Put in the fridge and downed it on the car ride home with my water. Ended up drinking close to 50oz of water and it finally broke through 3 hours later. The amount of relief that is quite literally flowing through me is amazing. Will definitely use again.

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5 Stars

Posted 36 months ago (6/21/2020) 5

Rated for Bowel Preparation Report

I was instructed to take a whole bottle of this stuff in preparation for a colonoscopy. I drank it pretty quickly at 5pm(just wanted to get it down as quickly as possible). It was lemon and I personally didn’t think it tasted bad at all, a bit sour. Immediately after I became extremely bloated and sweaty, dizzy and nauseous. That passed after about an hour. Finally around 8pm I had a bowl movement. Basically peeing out my butthole. Not a solid turd at all. Then nothing until 2:30am and I’ve been up since then, again, peeing out my butthole. Just a straight up waterfall. So yeah, this works.

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5 Stars

Posted 36 months ago (5/30/2020) 5

Rated for Constipation Report

Horrid taste. The most sour drink I ever had. (Cherry) Had at 7am & still was pooping at 9 pm. Very dark brown liquid almost black at times. Cleaned me out big time. It felt like I was reborn. Incredible stuff.

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5 Stars

Posted 36 months ago (5/30/2020) 5

Rated for Constipation Report

For me it works great. Just don’t plan anything for the day.

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endoscopic examinations

PREPARATION FOR ENDOSCOPIC EXAMINATION METHODS

Mandatory list of documents for examination

Referral (form No. 057/y) and extract from the MKAB (form No. 27/y) –

if the examination will be carried out in another building of the clinic or another MO.

Data from previous studies/hospital care, if available.

Test results: RW, HIV, Hepatitis B and C at least 6 months old. OAK and Coagulogram – as needed.

Patient preparation

Examination is carried out strictly on an empty stomach! The last meal is the night before no later than 19:00.

If the patient is constantly taking any drugs, they must be taken three hours before the examination with a small amount of water!

If the patient is taking drugs that affect blood coagulation (anticoagulants: heparin, sodium hydrocitrate, neodicoumarin, sincumar; antiplatelet drugs: acetylsalicylic acid, dipyridamole, pentoxifylline, ticlopidine), it is necessary to consult with the doctor who prescribed these drugs the day before to resolve the issue about an upcoming study with a possible biopsy.

5 days before the procedure, the patient should avoid taking iron-containing preparations, activated charcoal, bismuth-containing preparations. Important: EGDS is indicated for patients with epilepsy only under conditions of intravenous sedation! Patients with arrhythmia, myocardial infarction, stroke should consult with a cardiologist and neurologist the day before. Patients with diabetes need to sign up for an EGD in the morning and take their medications with them (tablets, insulin). Be sure to check your glucose levels before testing. Check blood glucose levels in the morning before the test. Patients with asthma should take an inhaler with them.

COLONOSCOPY

DIET

The patient must follow a diet with the exclusion of plant fiber 3 days before the examination.

For chronic constipation:

• dietary recommendations must be followed for 5 days

• 3 days before the examination, start or continue taking laxatives: forlax 20 mg (two packets) in 2 glasses of water

Absolutely do not take: activated charcoal, drug De-nol, iron preparation 3 days before the study

ALLOWED

Products:

• Cheese, sour cream, butter, yoghurt without additives and fillers

products

• Eggs

• Meat soy, poultry and fish of low-fat varieties

(boiled, steamed or stewed)

• Well-cooked white rice

(except for pilaf)

• Sugar, honey (not in combs)

• Permitted foods must not

contain small bones, grains, seeds,

bran

Liquids:

• Broths (clear, strained)

• Juice without pulp

• Tea

• Water

• Non-alcoholic neo colored drinks

PROHIBITED

Products:

• All bakery, flour and pasta

products

• Vegetables, including potatoes, herbs, mushrooms, seaweed

• Cereals, cereals, legumes, cereals, nuts, seeds, sesame, poppy seeds, grains, bran and other seeds, spices

• Hard meat with cartilage, canned food

• Sausages, sausages

• Seafood

• Fruits, berries, including dried fruits, jam, jam, marmalade, jelly

• Chips, hamburgers , chocolate

• Any other products

Liquids:

• Alcohol

• Carbonated Drinks

• Coffee

• Compote, jelly

• Milk

PREPARATION YOU FOR COLON PREPARATION FOR COLONOSCOPY

Attention! All of the listed preparations for preparing for a colonoscopy have contraindications. Before use, consult a specialist and read the instructions!

Preparing with Eziclen

The day before the procedure:

The evening before the procedure (for example, at 18:00):

The contents of one vial of Eziclen® should be poured into the supplied measuring cup and diluted with water to the mark (i.e. up to volume 0.5 l).

Over the next two hours, the patient should drink the resulting solution and an additional two measuring cups of water or clear liquid (ie, about 1 liter).

Approximately 2 hours after the start of the first dose:

The contents of the second bottle of the drug Eziklen® should be poured into the supplied measuring cup and diluted with water to the mark (ie, to a volume of 0.5 l).

Over the next two hours, the patient should drink the resulting solution and an additional two measuring cups of water or clear liquid (ie, about 1 liter).

The intake of the full volume of the diluted solution of Eziclen® and additional water or clear liquid must be completed at least 2 hours and no later than 4 hours before the start of the procedure.

1.INN Macrogol 4000

Fortrans (RU P No. 014306/01) — powder for solution preparation. One sachet weighing 73.69 g contains: macrogol 4000 – 64 g, potassium chloride – 0.75 g, sodium bicarbonate – 1.68 g, anhydrous sodium sulfate – 5.7 g, sodium chloride – 1.46 mg; sodium saccharinate – 0.1 g.

Lavacol (RU LS-000443) — powder for solution preparation. One 14 g sachet contains: macrogol 4000 – 12 g, potassium chloride – 0.2 g, sodium bicarbonate – 0.6 g, sodium sulfate – 1 g, sodium chloride – 0.2 g. full volume of antegrade intestinal lavage (4 L) PEG-ELR (split dose)

During the three days prior to the study, the patient is advised to follow a non-slag diet, and on the eve of the study, switch to clear liquids. The last intake of clear liquids should be completed at least 2 hours before the start of PEG-ELR.

PEG electrolyte solution is recommended to be prepared in advance and cooled to room temperature. Fortrans solution, in particular, is prepared by dissolving 1 sachet of the drug in 1 liter of boiled and cooled water, and Lavacol solution in 1 glass (200 ml) of drinking water (carbonated water cannot be used).

For 1 hour, it is recommended to drink 1 liter of PEG-ELR gradually and evenly – 1 glass (250 ml) in 15 minutes. It is allowed to reduce the time of taking each liter of the drug to half an hour with its good tolerance.

To overcome the idiosyncrasy to the taste of the drug, you can drink the drug with a small amount of sweet tea with lemon juice or add freshly squeezed lemon juice directly to the drug solution, and also suck on lozenges (for example, “Barberry”). You can also take clear apple juice.

If you experience nausea while taking PEG-ELR, you can stop taking the drug for half an hour. The first 2 liters of PEG-ELR are recommended to be drunk on the evening before the study. It is recommended to start taking the next two liters of the drug (3rd and 4th) no less than 6 hours and no more than 10 hours before the scheduled time of the study, that is, in the morning on the day of the study.

Immediately prior to starting the second dose of PEG-ELR, take 30 ml of a defoamer (simethicone; sub-simplex) in liquid form. An antifoam agent can be taken at the same dose and with the first dose of PEG-ELR.

While taking PEG-ELR, the patient is advised to move (walk, perform circular movements with the body) and perform self-massage of the anterior abdominal wall.

The end result of the preparation should be the appearance of yellowish or greenish, but necessarily light and clear intestinal secretions.

Preparation for colonoscopy with reduced volume (2 L) antegrade intestinal lavage of PEG electrolyte solution in combination with bisacodyl

The last intake of clear liquids should be completed at least 2 hours before the start of bisacodyl administration. The dosage of bisacodyl is 10 to 20 mg (2 to 4 tablets of 5 mg).

The laxative effect of the drug occurs on average after 6-8 hours, is prescribed before bedtime (approximately at 22-23 hours).

It is recommended to start taking 2 L of PEG-ELR in the early morning of the study day, 5-6 hours before the colonoscopy. If colonoscopy is scheduled for late afternoon, PEG is recommended to be used with a time shift, also focusing on the 6-hour interval between the start of the drug and the time of the colonoscopy.

2. INN Macrogol 4000

Endofalk (R No. LSR-005714/08) – powder for solution preparation.

One sachet contains: macrogol 3350 – 52.5 g, sodium chloride – 1.4 g, sodium bicarbonate – 0.715 g, potassium chloride – 0.185 g; excipients: colloidal silicon dioxide – 0.00046 g, fruit flavor – 0.4 g, orange flavor – 0.1 g, sodium saccharinate – 0.018 g.

PEG 3350 without sodium sulfate is recommended to be prepared immediately before use. Endofalk’s solution is prepared by dissolving 2 sachets of the drug in 1 liter of warm drinking water, followed by cooling.

For 1 hour it is recommended to drink 1 liter of solution gradually and evenly – 1 glass (250-300 ml) in 15-20 minutes.

For better tolerance of the drug, you can drink it with a small amount of sweet tea with lemon juice, clear apple juice.

If you experience nausea while taking PEG-ELR, you can stop taking the drug for half an hour.

It is recommended to drink the first 2 liters of Endofalk solution on the evening before the examination. It is recommended to start taking the next two liters of the drug (3rd and 4th) no less than 6 hours and no more than 10 hours before the scheduled time of the study, that is, in the morning on the day of the study. Immediately before starting the second dose of the drug, it is necessary to take 30 ml of a defoamer (simethicone or sub-simplex) in liquid form. It is recommended to take a defoamer in the same dose and with the first dose of Endofalk on the evening before the study.

While taking Endofalk, the patient is advised to move (walk, perform circular movements with the body) and perform self-massage of the anterior abdominal wall.

Features of preparation for colonoscopy using antegrade intestinal lavage with a reduced volume (2 l) of PEG without sodium sulfate in combination with sennosides

The dosage of Senade is from 27 mg (2 tablets of 13. 5 mg). The laxative effect of the drug occurs on average after 6-8 hours, is prescribed before bedtime (approximately at 22 hours).

It is recommended to start 2 liters of Endofalk in the early morning (5:30–7:30) on the day of the examination, 5–6 hours before the colonoscopy. If colonoscopy is scheduled for late afternoon, PEG is recommended to be used with a time shift, also focusing on the 6-hour interval between the start of the drug and the time of the colonoscopy.

Moviprep® (RU LP-002630) — powder for solution preparation.

One sachet (sachet A) contains: macrogol 3350 – 100 g, sodium sulfate – 7.5 g, sodium chloride – 2.691 g, potassium chloride – 1.015 g; excipients: aspartame (E951) – 0.233 g, acesulfame potassium – 0.117 g, lemon flavor (V3938-1 N1) – 0.34 g.

The second bag (sachet B) contains: ascorbic acid – 4.7 g, sodium ascorbate – 5.9 g.

The package of Moviprep® contains two sachets A and two sachets B and is designed to prepare 2 liters of oral solution. Regardless of the weight of an adult patient, for high-quality bowel cleansing, the total volume of the Moviprep® solution is 2 liters.

To prepare each liter of Moviprep® solution, 1 sachet A and 1 sachet B are used, the contents of which are dissolved in a small amount of non-carbonated drinking water at room temperature until completely dissolved, and then the volume of the solution is adjusted to 1 liter with water and mixed.

Note: dissolving the contents of the sachet directly in 1 liter of water is less preferable, since it is more difficult to control the complete dissolution of the powder in water in this way, which is deposited on the bottom of the container used.

It is advisable to store the prepared solution in the refrigerator.

The prepared solution of Moviprep® should be taken in divided doses over 1-2 hours, eg 1 glass (250 ml) every 15-30 minutes.

While taking Moviprep®, the patient is strongly advised to drink at least 1 liter of other clear liquids: still water, broth, fruit juice without pulp, soft drinks, tea or coffee without milk (possible with sugar or honey). This is necessary to prevent hyperosmolarity of intestinal contents and increase the effectiveness of the drug.

Note: it is also necessary to take 1 liter of additional liquid in fractions (after each 1 liter of the drug solution taken, take 500 ml of additional liquid).

While taking the solution of the drug, it is necessary to observe motor activity: walk, perform circular movements of the body, tilt to the sides, back and forth, squats. The onset of action of the drug develops individually: on average, after 1-2 hours from the start of administration, the first stool appears. The active effect of the drug also lasts individually, on average for 2 hours. The criterion for readiness for colonoscopy is the appearance of a liquid transparent or almost transparent, slightly colored stool.

Depending on the time of the colonoscopy and the daily activity of the patient, preparation for colonoscopy with Moviprep® can be carried out according to two schemes: separate (two-stage) or one-stage morning.

For colonoscopy scheduled for the first half of the day, a separate (two-stage) preparation regimen is best, in which the first liter of the drug solution and at least 500 ml of additional clear liquid are taken the evening before the procedure, and the second liter of the drug solution and another 500 ml of additional clear liquid liquids – early in the morning on the day of the procedure.

For colonoscopy scheduled in the afternoon, a one-stage morning preparation regimen is best, in which the first liter of drug solution and at least 500 ml of additional clear liquid are taken within 1-2 hours on the morning of the procedure and 1 hour later are taken in the same way the second liter of the drug solution and another 500 ml of additional clear liquid.

Less preferred for colonoscopy preparation is a one-stage evening regimen, as the time from the end of the drug and the start of the colonoscopy exceeds the ESGE recommended 4 hours. A one-stage evening scheme is more suitable for preparing for surgical interventions.

3. Liquid sodium phosphate

Phospho-soda (RU LS-002170).

Liquid Sodium Phosphate is a small volume hyperosmotic solution containing 48 g (400 mmol) monobasic sodium phosphate and 18 g (130 mmol) dibasic sodium phosphate per 100 ml.

Only clear liquids are allowed on the day of taking the drug.

Give two doses of 45 ml solution at least 10 to 12 hours apart.

Sodium phosphate solution must be diluted with water (120 ml) before ingestion to prevent vomiting. Before taking the drug, it is recommended to drink at least 1 glass of water. After that, the first dose of the drug is taken.

Take at least 1 glass (240 ml) of liquid, such as cold water or tea, with each dose. After taking the first dose, it is recommended to consume at least 3 glasses (720 ml) of liquid. The amount of liquid in the preparation process is unlimited.

The second dose should be taken at least 3 hours before the study

4. INN Sodium picosulfate and magnesium citrate

Picoprep (R No. LP-002537): – effervescent powder for solution preparation.

One sachet contains: anhydrous citric acid 12 g, magnesium oxide 3.5 g, sodium picosulfate monohydrate 10.0 mg; excipients: potassium bicarbonate – 0.5 g, sodium saccharinate dihydrate – 0.06 g, orange flavor * – 0.06 g.

* Orange flavor contains dry orange extract, lactose, xanthine gum, ascorbic acid and butylhydroxyanisole (E320).

The day before the examination, it is recommended to go on a diet and limit the amount of food consumed. In order to avoid dehydration while taking Picopre®, it is recommended to observe a drinking regimen.

Dissolve the contents of 1 sachet in 150 ml of water, stir for 2-3 minutes, cool to an acceptable temperature and drink. If the colonoscopy is scheduled for the first half of the day: the contents of the first sachet are taken after lunch or in the early evening (16-18 hours) with at least 5 glasses (250 ml each) of water or clear liquid (water, non-carbonated soft drinks, tea, coffee, fruit juice without pulp).

Take the contents of the second sachet at night (22-24 hours) with at least 3 glasses (250 ml each) of water or clear liquid. The last glass can be drunk no later than 1 hour before the study (if the study is carried out without anesthesia).

If the procedure is scheduled for the afternoon: the contents of the first sachet are taken in the evening (at 17-21 hours) on the day preceding the study, with at least 5 glasses (250 ml each) of water or clear liquid.

Take the contents of the second sachet in the morning (5-9 hours before the test) with at least 3 glasses (250 ml each) of water or clear liquid.

The last glass can be drunk no later than 1 hour before the study (if the study is performed without anesthesia).

5. Laxatives based on saline solutions

INN Sodium picosulfate

INN Magnesium (magnesia) citrate, INN Magnesia sulfate.

The average dosage is 125-200 ml of a 15-25% magnesium salt aqueous solution. The laxative effect occurs 4-6 hours after taking the drug.

ADDITIONAL AND RESERVE MEDICINES FOR COLON CLEANSING BEFORE COLONOSCOPY

INN Sennosides A and B 0 hours from the moment of its reception.

INN Bisacodyl

The dosage of the drug is 10-20 mg (2-4 tablets in the evening orally and in the morning – 10 mg (1 suppository) rectally. The laxative effect develops a few hours after its administration. The effect occurs on average after 6 hours when taken orally daytime, 8–12 hours later when taken orally at bedtime, and within the first hour when administered rectally.

Castor oil (castor oil)

The dosage is 1 g of castor oil per 1 kg of body weight, but not more than 70 g per dose. The laxative effect with normal pancreatic function usually occurs 4-6 hours after ingestion.

Defoamers:

INN Simethicone

INN Metoclapramide

Enemas:

Enemas can be used to prepare the patient for rectosigmoscopy with insufficient preparedness of the distal colon, one or two additional cleansing enemas.

Enemas are effective in distal colon cleansing in patients with a proximal colostomy or non-functioning distal colon (eg, after a Hartmann operation).

Recommendations. The use of enemas may be recommended in patients with insufficient preparation of the distal colon for colonoscopy, as well as in patients with a non-functioning distal colon. Their use as part of reserve training is justified only in situations where patients cannot tolerate antegrade lavage agents or they are not available. It is also possible to use enemas in the presence of contraindications to the appointment of PEG electrolyte solutions. Technique of preparation of the colon in a reserve way

A slag-free diet is required for 2-3 days prior to the study.

Clear liquids are recommended the day before the examination. The last intake of clear liquids is at 13-14 hours on the eve of the study. 2 hours after the last intake of clear liquids, that is, at 15–16 hours, it is necessary to take 30–45 ml (no more than 70 ml) of castor oil.

Patients with cholelithiasis and chronic pancreatitis should not take castor oil, in which case 25% magnesium sulfate aqueous solution (200 ml) or bisacodyl (20-30 mg) tablets can be used.

In the evening, after independent stools, 2 cleansing enemas, 1.5–2 liters each, should be performed. On the morning of the study, 2 more cleansing enemas, 1–2 liters each, with an interval of 1 hour, should be performed (the end result should be the appearance of almost clean rinsing water).

The last enema is given no later than 2 hours before the examination. The study is carried out after the complete emptying of the colon.

CYSTOSCOPY

Mandatory list of documents for examination

Referral (form No. 057 / y) and extract from the MKAB (form No. 27 / y) –

if the study will be carried out in another building of the clinic or another MO.

Data from previous studies/hospital care, if available.

Ultrasound, MRI, CT data – if available.

New low-volume bowel preparation scheme for colonoscopy and capsule endoscopy – Dr. Ekaterina Ivanova’s website

When we talk about bowel preparation, we always start with the basic rules that will ensure high-quality preparation.

To understand what is necessary for good preparation, you need to know a few rules:

1. Follow a slag-free diet 3 days, and preferably 4 days before the examination
2. liquids (preferably exclude lunch and dinner)
3. Know the time of your colonoscopy
4. Divide the dose of your chosen prep into two doses (usually evening, early morning)!
5. The last dose of the drug should be completed 4-5 hours before the scheduled time of the colonoscopy and should not exceed 8 hours.

Patients have been asking for an easier-to-administer, low-volume bowel preparation for research for a long time.

In 2018, a new low-volume drug Eziklen was registered, and in 2019 appeared in pharmacies. The drug provides guaranteed effective – up to 98.0% preparation: good and excellent quality, compare the standard scheme of preparation with Fortrans.

Eziklen – contains three sulfate salts (sodium sulfate, magnesium sulfate and potassium sulfate), and does not contain unsafe phosphates!

Up to 70% of sulfates are not absorbed from the colon , remaining in the lumen, and when interacting with water (1-1.5 l) they have a laxative effect necessary for colon cleansing. It is this mechanism that ensures the safety of taking the drug Eziklen.

Of course, there are contraindications to taking the drug (as to any other laxative), they can be found in the instructions for use, available in the package.

So, the main and most effective scheme for preparing for colonoscopy using Eziklen is a separate scheme.

On the evening before the day of colonoscopy

18:00-19:00 1 bottle (176g) Esiclene is poured into a measuring cup, then water is added up to the mark on the glass. The resulting solution – 500 ml of the solution is cooled and drunk for 1 hour, fractionally, you can drink through a straw.

19:00-20:00 In addition, be sure to drink 1-1.5 liters of clean, uncolored liquid! It can be water, green tea, clear juice, low-fat clear broth.

After this step you can drink water. At 10 p.m., it is recommended to take 15 ml of liquid antifoam (drugs Sab Simplex, Bobotic, Espumizan, it is possible with the inscription children’s drops).

On the morning of the colonoscopy

05:30-06:30 1 vial (176gr) Esiclene is poured into a measuring cup, then water is added up to the mark on the glass. The resulting solution – 500 ml of the solution is cooled and drunk for 1 hour, fractionally, you can drink through a straw.

06:30-07:30 In addition, be sure to drink 1-1.5 liters of clean, uncolored liquid! It can be water, green tea. In the same time period, it is recommended to take 15 ml of a liquid defoamer (preparations, Sab Simplex, Bobotic, Espumizan, you can label children’s drops).