Citrafleet (Sodium Picosulfate, Magnesium Oxide, Light, Citric Acid)

Citrafleet is indicated for bowel cleansing in preparation for gastrointestinal examinations and procedures.

• Colonoscopy preparation
• Flexible sigmoidoscopy preparation
• Radiographic imaging of the colon (e.g., barium enema)
• Pre‑operative bowel preparation for colorectal surgery
• Other diagnostic tests requiring a clean colon

The most frequently reported effects of Citrafleet are related to its laxative action, while rare but serious reactions may also occur.

Common

• Abdominal cramping
• Diarrhea
• Nausea
• Flatulence
• Thirst
• Mild electrolyte imbalance

Serious

• Severe dehydration
• Persistent vomiting
• Blood in stool
• Allergic skin rash
• Signs of electrolyte disturbance such as muscle weakness

Before using Citrafleet, certain precautions should be considered to ensure safety and effectiveness.

• Confirm normal kidney function
• Avoid use in patients with severe constipation or bowel obstruction
• Do not use if allergic to any component
• Discuss with a physician if taking other laxatives or diuretics
• Ensure adequate fluid intake during preparation
• Pregnant or breastfeeding women should consult a healthcare professional
• Hold the dose if experiencing severe abdominal pain

Citrafleet may interact with other medicines, influencing its efficacy or safety.

Avoid

• Concomitant use with other strong or stimulant laxatives
• Use with medications that may cause electrolyte disturbances (e.g., digitalis, certain antihypertensives)
• Concurrent use with oral potassium supplements without monitoring

Use with caution

• Diuretics
• Antacids containing magnesium or aluminum
• Certain antibiotics that require optimal intestinal absorption
• Medications with a narrow therapeutic index that are affected by fluid shifts