Formulary
Citric acid with magnesium carbonate: Indications, Dosing, Side Effects and Interactions
For citric acid with magnesium carbonate Formulated as a bowel cleansing preparation
MedNext Academy | 3 min read
Citric acid with magnesium carbonate: Indications, Dosing, Side Effects and Interactions
For citric acid with magnesium carbonate Formulated as a bowel cleansing preparation
Drug action
For citric acid with magnesium carbonate Formulated as a bowel cleansing preparation
Indications and dose
**Bowel evacuation**
- **Child** (By Mouth): 10-17 years 0.5-1 sachet, given at 8 a.m. the day before the procedure and 0.5-1 sachet, given between 2 and 4 p.m. the day before the procedure.
- **Adult** (By Mouth): 1 sachet, given 8 a.m. the day before the procedure and 1 sachet, given between 2 and 4 p.m. the day before the procedure, use half the dose in frail elderly patients.
**Bowel evacuation for surgery, colonoscopy or radiological examination for citric acid with magnesium carbonate**
- **Child 5-9 years** (By mouth): One-third of a sachet to be given at 8 a.m. the day before the procedure and, one-third of a sachet to be given between 2 and 4 p.m. the day before the procedure.
- **Child 10-17 years** (By mouth): 0.5-1 sachet, given at 8 a.m. the day before the procedure and 0.5-1 sachet, given between 2 and 4 p.m. the day before the procedure.
Cautions
For citric acid with magnesium carbonate Debilitated; elderly (in adults); hypovolaemia (should be corrected before administration of bowel cleansing preparations); patients with fluid and electrolyte disturbances Cautions, further information Adequate hydration should be maintained during treatment.
Contraindications
For citric acid with magnesium carbonate Acute intestinal or gastric ulceration; acute severe colitis; gastric retention; gastro-intestinal obstruction; gastro-intestinal perforation; toxic megacolon
Side effects
For citric acid with magnesium carbonate Common or very common Gastrointestinal discomfort; nausea; vomiting Uncommon Dehydration; dizziness; electrolyte imbalance; headache Side-effects, further information Abdominal pain is usually transient and can be reduced by taking preparation more slowly.
Pregnancy
For citric acid with magnesium carbonate Use with caution.
Breast feeding
For citric acid with magnesium carbonate Use with caution.
Renal impairment
For citric acid with magnesium carbonate Caution in mild to moderate impairment; avoid in severe impairment (risk of hypermagnesaemia). M
Medicinal forms
Clinical governance
**Author:** MedNext Clinical Team. **Clinical reviewer:** Dr Shameer Deen, MBBS, MS, MRCS. **Sources:** BNF, Indian Pharmacopoeia, CIMS India. **Correction:** Report errors at support@mednext.academy.
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