$35.99 includes delivery
PicoPrep® produces a watery stool or bowel motion which empties and cleanses the bowel before examination or surgery.
Unless your doctor has given you specific instructions, please refer to the enclosed Consumer Medicine Information leaflet for FULL dosage and dietary instructions.
The first bowel motion should occur approximately 2 to 3 hours after commencing dose. Onset may be sooner in individual patients. This action cleanses the bowel before examination. It should be prepared and taken according to the directions on the box or in the Dosage and Administration section.
No food or drink should be taken for at least six (6) hours before the examination.
It is important that the patient follow the recommended dosing schedule and take adequate fluids to ensure hydration.
Approved Clear Fluids
Water, clear salty fluids (eg: strained chicken noodle soup), clear broth/bouillon, clear fruit juices, plain jelly, black tea or coffee (no milk), sports drinks, Gastrolyte™, clear fruit cordials (clear lemon /lime), (no red or purple colourings). (A good combination of these clear fluids, including 2-3 cups of strained chicken noodle soup, will give you a variation in fluid intake).
PicoPrep® produces a watery stool or bowel motion which empties and cleanses the bowel before examination or surgery. It should be prepared and taken according to the following directions unless otherwise directed:
Two days prior to the examination stop eating brown bread, red meat, cereals, vegetables, yellow cheese or anything with seed in it. You may eat boiled or poached eggs, cottage cheese, white bread, low fat plain yoghurt, steamed white fish, boiled chicken, well cooked peeled pumpkin and potato. You may have clear jelly, skim milk and drink plenty of Approved Clear Fluids.
On the day before the examination, no solid foods or milk products are allowed. Drink only Approved Clear Fluids (see above).
Usual Dosage
1. On the day prior to the examination drink Approved Clear Fluids only.
2. Commencing on the day before examination (approx.3pm), dissolve the entire contents of
one sachet of PicoPrep® in a glass of warm water. If preferred chill in refrigerator before
drinking. Drink the contents of the glass followed by a glass of water. Continue drinking
Approved Clear Fluids at least a glass per hour the more the better to ensure adequate body
hydration.
3. In the evening of the same day (at approx. 9pm) repeat the above with another sachet of
PicoPrep®. ie: dissolve in a glass of warm water, chill if preferred, then drink contents
followed by a glass of water. Continue drinking Approved Clear Fluids, at least a glass per hour
until six (6) hours prior to the examination.
No food or drink should be taken for six (6) hours prior to the examination.
The active ingredients are:
• sodium picosulfate has a chemical formula of C18H13NNa2O8S2,H2O, a MW of 499.4 and a CAS
No. 10040-45-6 (anhydrous)
• magnesium oxide – heavy, has a chemical formula of MgO, a MW of 40.3 and a CAS No.
1309-48-4;
• citric acid which has a chemical formula of C6H8O7, a MW of 192.1 and a CAS No. 77-92-9.
Each sachet contains sodium picosulfate 10 mg, magnesium oxide 3.5 g, citric acid anhydrous 12.0 g
and aspartame 36 mg
Contraindications
PicoPrep® should not be used by patients with gastrointestinal obstruction, gastric retention, bowel perforation (frank or suspected), toxic colitis, toxic megacolon and ileus and those with a stoma.
PicoPrep® should not be used in children below the age of 9 years.
Special warnings and precautions for use
Use with caution in patients with severe ulcerative colitis, impaired renal function, pre-existing electrolyte disturbances, congestive heart failure, and in the elderly.
Patients with impaired gag reflex; who are unconscious or semi-unconscious; who are prone to regurgitation or aspiration; should be carefully observed during the administration of PicoPrep®.
Patients with nasogastric intubation must be carefully observed during the administration of PicoPrep®. Proper steps should be taken to ensure hydration by means of gastric tube.
PicoPrep® is likely to cause transient hypovolaemia, hence adequate fluid intake or replacement should be ensured.
Patients with congestive heart failure should be monitored; as should patients using calcium channel blockers; diuretics or other medications which may affect electrolyte levels.
Patients with kidney disease or impaired renal function should also be monitored as should those with pre-existing electrolyte disturbances.
PicoPrep® may cause bloating, distension or abdominal pain, especially if administered by nasogastric tube. If this develops, the rate of administration should be slowed or temporarily ceased until the symptoms abate.
As PicoPrep® contains aspartame, persons suffering from phenylketoneuria need to be advised.
Use in the elderly
Caution should be exercised in the elderly as dehydration and electrolyte depletion may occur. Elderly
patients must receive adequate fluids during administration.
Paediatric use
Only to be used in children aged above 9 years
Follow doctor’s advice or plan if given.
Fluids with red or purple colourings are not allowed.
No food or drink should be taken for at least six (6) hours before the examination.
