Liquid magnesium laxative3/7/2024 ![]() It is worth mentioning that bisacodyl, a stimulant laxative, is available as a suppository too, and works quickly, around 15-60 minutes after use.įinally, lactulose is another option, but that is prescription only. When used for occasional constipation, the dose is far less (~17 grams mixed with liquid versus ~240 grams for colonoscopy preparation). ![]() You'll notice polyethylene glycol is listed here, and it was also listed in the section above for colonoscopy preparations. The above options tend to have an onset of action around six to ten hours, but sometimes take longer to work. Other options, that don't work as quickly, but are nonetheless effective, are: Outside of using an enema (e.g., Fleet sodium phosphate), which works almost immediately, magnesium hydroxide products are going to be most similar to magnesium hydroxide in terms of overall effect and onset of action. The most similar alternative to magnesium citrate that is available over the counter is magnesium hydroxide, which is the active ingredient in Milk of Magnesia. However, it does come with its negatives in that it can easily cause cramping, dehydration, and electrolyte disturbances. The onset of action is generally 30 minutes to a few hours after dosing. Magnesium citrate is sometimes an attractive option to treat constipation since it works so quickly compared to other options. Magnesium citrate is classified as a saline laxative, which works by drawing water into the intestines and colon by osmosis, which increases how quickly things move through the gastrointestinal tract. If you occasionally use magnesium citrate for constipation, there are options that will give you a similar effect. Magnesium Citrate Laxative For Constipation Alternatives PEG without electrolytes generally taste better than PEG with electrolytes, but since these laxatives cause fluid and electrolyte loss, they are often recommended to be mixed with Gatorade or a similar drink with electrolytes.Īgain, talk to your doctor about your colonoscopy prep options if magnesium citrate isn't available where you are. Some are available OTC (over the counter) while others are only available via a prescription. ![]() PEG (polyethylene glycol) preparations are the most commonly used. Polyethylene glycol (PEG) with electrolytes: GaviLyte, GoLytely, NuLytely, TriLyte, MoviPrep, Plenvu.Polyethylene glycol (PEG) without electrolytes: Miralax, Clearlax, Gavilax.There are plenty of alternative options for colonoscopy prep, but your doctor may have a preference. Magnesium citrate, although rarely used alone as a colonoscopy preparation (and increasingly not at all based on guidelines from the American Society for Gastrointestinal Endoscopy), is still sometimes utilized for some individuals.įirst and foremost, if your doctor has directed you to take magnesium citrate as part of your bowel preparation for a colonoscopy and you can't find the product anywhere, be sure to reach out to them. Magnesium Citrate Colonoscopy Preparation Alternatives Let's start first with use as a colonoscopy preparation. Magnesium citrate is a laxative, used primarily for two purposes:Īppropriate alternatives will be based on the reason you are using the drug. The first consideration for alternative options is what you are using magnesium citrate for. Unfortunately, there is no estimated date for when it will again be available, which brings us to your question about alternative options. You can find the full FDA announcement here. You are correct that magnesium citrate has had some recent supply issues. Vi-Jon, LLC, the manufacturer of a number of different private label brands of magnesium citrate, recalled all lots of all flavors of 'Magnesium Citrate Saline Laxative Oral Solution' due to testing showing the presence of the bacteria Gluconacetobacter liquefaciens.
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