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Reporting side effects Data sources Disclaimer What it is used for For use as part of a preparation of the colon for X-ray, barium enema, bowel evacuation, IVP, colonic surgery, colonoscopy or other endoscopic examination. People with a sudden expansion of the large intestine seen in advanced ulcerative colitis or Crohn's disease toxic megacolon.
People with abdominal conditions that need urgent surgery, such as appendicitis. People with congestive heart failure. People with severely decreased kidney function.
People who have a high level of magnesium in their blood hypermagnesaemia. People with a condition called rhabdomyolysis, where there is breakdown of muscle fibres. Picolax sachets contain lactose and should not be used by people with rare hereditary problems of galactose intolerance, the Lapp-lactase deficiency or glucose-galactose malabsorption. Who may need extra monitoring while taking Picolax?
Elderly people. Weak or debilitated people. People with heart disease. People who suffer from inflammatory bowel disease such as ulcerative colitis or Crohn's disease.
People who have recently had surgery on the stomach or intestines. People with kidney problems. People taking diuretic medicines, corticosteroids or lithium. People who have disturbances in the normal levels of electrolytes such as sodium and potassium in their blood. People on a controlled potassium diet. People with epilepsy. Can I use Picolax while pregnant or breastfeeding? Picolax should preferably be avoided during pregnancy. Make sure your doctor knows if you are or think you could be pregnant.
Picolax may be used by breastfeeding mothers. It is not expected to have any harmful effects on a nursing infant. What are the possible side effects of Picolax? Common affect between 1 in 10 and 1 in people Headache. Feeling sick.
Pain around the anus proctalgia. Uncommon affect between 1 in and 1 in people Decrease in the level of potassium or sodium in the blood. Abdominal pain. Seizures convulsions. Allergic reactions. Frequency unknown Diarrhoea. Faecal incontinence. Dosage Note:-Timing of sachets and time without food or drink before the examination may be varied by your doctor. Keep drinking approved clear fluids, at least mL per hour, until 6 hours prior to the examination.
For some patients a third sachet may be required to ensure complete bowel emptying. No solid foods, milk products or alcoholic beverages allowed.
It is important for you to take Picolax exactly as prescribed If you forget to take a dose, contact your doctor as soon as possible as the time of the examination may have to be changed.
Immediately telephone your doctor or the Poisons Information Centre telephone 13 11 26 — this number is staffed 24 hrs a day for advice, or go to casualty at your nearest hospital if you think you may have taken too much Picolax even if there are no signs of discomfort or poisoning.
You may need urgent medical attention. Keep telephone numbers for these places handy. If you take too much Picolax you may experience a severe headache and palpitations a rapid or irregular heartbeat. If you are about to be started on any new medicines, tell your doctor or pharmacist that you are to take Picolax. Do not take any other medicines whether they require a prescription or not, without first telling your doctor.
Tell all doctors and pharmacists who are treating you that you are to take Picolax. Tell your doctor if, for any reason, you have not taken your medicine exactly as prescribed. This preparation usually induces frequent, loose bowel movements within two to three hours of taking the first dose. You should remain within easy reach of toilet facilities and not plan any other activities until after the examination.
Oral medication taken within one hour of starting Picolax may be flushed from your gastrointestinal tract and not absorbed.
It is most important that you take adequate fluids to avoid dehydration. Drink approved clear fluids, at least mL every hour, until 6 hours prior to the examination. Picolax may cause fatigue or dizziness, probably as a result of dehydration, and this may have a mild or moderate effect on the ability to drive or use machinery. Loose-fitting clothing is recommended. Consider using a plastic cover sheet as a mattress protector for the bed.
Alcohol-free and fragrance-free wet wipes and soft toilet tissue may minimise the expected irritation from wiping. Frequent application of a protective cream, lanolin, petroleum jelly Vaseline or zinc cream will reduce discomfort. Tell your doctor or pharmacist as soon as possible if you do not feel well while you are taking Picolax.
All medicines can have side effects. Picolax may have unwanted side effects in some people. Sometimes they are serious, most of the time they are not. You may need medical treatment if you get some of the side effects. Tell your doctor if you notice any of the following and they worry you: abdominal pain, abdominal fullness, bloating, nausea, thirst, headache, fatigue or anal discomfort.
Less frequent side-effects are vomiting or dizziness. Side effects usually last for a short time only. Other rare side effects are hyponatraemia low level of sodium in the blood and other electrolyte disturbances. Symptoms relating to electrolyte disturbances include confusion, convulsions, muscle weakness, spasms or cramps.
Orthostatic hypotension low blood pressure upon standing up which may make you feel dizzy or unsteady. If any of the following happen tell your doctor immediately or go to Accident and Emergency at your nearest hospital.
Sudden signs of allergy such as shortness of breath, wheezing or difficulty in breathing; swelling of the face, lips, tongue or any other parts of the body; rash, itching or hives on the skin. Other side effects not listed may also occur in some patients. Do not be alarmed by the list of possible side effects. You may not experience any of them. Tell your doctor if you notice anything else that is making you feel unwell. Do not leave it on a window sill or in the car.
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