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Sutab
Sutab is an oral medication used to prepare the bowel before a colonoscopy. It works as an osmotic laxative by drawing water into the colon to stimulate bowel movements and clear the colon of stool, ensuring a clear view for the procedure. Sutab is a combination of sodium sulfate, magnesium sulfate, and potassium chloride in tablet form, making it an alternative to traditional liquid bowel preparations.
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Frequently Asked Questions
How long does it take for Sutab to start working?
Sutab typically starts working within 1 to 3 hours of taking the first dose, but individual responses can vary.
Can I take Sutab if I have kidney disease?
If you have mild kidney disease, you may still be able to take Sutab under the supervision of your healthcare provider. However, patients with severe kidney disease should avoid this medication due to the risk of electrolyte imbalances and kidney injury.
Is Sutab safe to take with other medications?
You should consult your healthcare provider about any other medications you're taking, as Sutab can interact with certain drugs, especially those that affect kidney function or electrolyte balance.
Can I eat while taking Sutab?
You should follow a clear liquid diet the day before your colonoscopy and avoid solid foods during the bowel preparation process.
What should I do if I miss a dose of Sutab?
If you miss a dose of Sutab, contact your healthcare provider immediately. It is important to complete the bowel prep as instructed for the colonoscopy to be effective.
How should I store Sutab?
Store Sutab at room temperature, away from excessive heat and moisture.
Comprehensive Drug Guide
How Does Sutab Work?
Sutab works by increasing the amount of water in the colon, which softens stool and promotes bowel movements. This osmotic effect results in the evacuation of the colon, which is necessary for a successful and clear colonoscopy.
Common Dosages
- Dose 1: 12 tablets taken with 16 ounces (480 mL) of water.
- Dose 2: 12 tablets taken with 16 ounces (480 mL) of water, approximately 4 to 6 hours after the first dose.
Typical Dosing
- The typical dosing schedule involves two sets of 12 tablets, with each set taken with 16 ounces of water. The second dose is taken 4 to 6 hours after the first dose.
- The day before the colonoscopy: You will begin the first dose in the evening and take the second dose the morning of the procedure.
Typical Dosing
FDA Approved Indications
- Bowel preparation before a colonoscopy in adults.
Who Shouldn't Take Sutab?
- Gastrointestinal obstruction, bowel perforation, or severe inflammatory bowel disease.
- Severe kidney disease or severe electrolyte imbalances.
- Known hypersensitivity to any of the components in Sutab.
Advice From The Pharmacist
- Take Sutab exactly as prescribed by your healthcare provider to ensure an effective bowel cleanse before your colonoscopy.
- Drink plenty of fluids: Each dose of 12 tablets should be followed by 16 ounces of water, and you should continue drinking additional clear fluids throughout the day to stay hydrated and avoid dehydration.
- Avoid solid foods the day before your procedure and stick to clear liquids as instructed by your healthcare provider.
- Stay near a bathroom after taking Sutab, as it will cause frequent bowel movements and diarrhea as the colon is cleared.
Side Effects of Sutab
Common Side Effects
- Nausea
- Vomiting
- Abdominal pain
- Bloating
- Dehydration
- Headache
Uncommon/Severe Side Effects
- Severe dehydration: This can lead to dizziness, fainting, and electrolyte imbalances.
- Electrolyte imbalances, including hypokalemia (low potassium), hyponatremia (low sodium), or hypermagnesemia (high magnesium).
- Kidney problems: Rarely, osmotic laxatives can affect kidney function, especially in patients with pre-existing kidney conditions.
Risks and Warnings of Sutab
- Dehydration: Sutab can cause significant fluid loss due to frequent bowel movements. It is crucial to drink plenty of fluids throughout the bowel preparation process to avoid dehydration and maintain proper electrolyte balance.
- Electrolyte Imbalances: Patients with conditions like heart disease, kidney disease, or electrolyte abnormalities should be monitored carefully while using Sutab, as it can cause changes in potassium, sodium, and magnesium levels.
- Kidney Injury: Rarely, bowel prep medications can lead to acute kidney injury. Patients with a history of kidney disease should discuss this with their healthcare provider before starting Sutab.
Interactions with Sutab
Common Drug Interactions
- Diuretics: Using Sutab alongside diuretics (e.g., furosemide) can increase the risk of dehydration and electrolyte imbalances.
- ACE inhibitors or ARBs: Medications such as lisinopril or losartan may increase the risk of kidney injury when taken with bowel preparation solutions.
- NSAIDs: Drugs like ibuprofen or naproxen can also increase the risk of kidney issues, especially when combined with bowel preparations.
Alternatives to Sutab
- GoLYTELY (Polyethylene Glycol 3350): A liquid solution used for bowel cleansing before a colonoscopy.
- MoviPrep: A liquid preparation for colon cleansing that combines electrolytes with polyethylene glycol.
- Suprep Bowel Prep Kit: A two-dose liquid preparation for colonoscopy.
- Clenpiq: A flavored liquid bowel preparation solution.
