Dulcolax: A Substitute For Magnesium Citrate?

Dulcolax and magnesium citrate are both laxatives used to prepare for colonoscopies. While some sources suggest taking both together, with a specific schedule to be followed, it is not clear whether one can be taken as a substitute for the other. It is important to follow the instructions provided by a medical professional for the procedure, and to consult them if you are unable to take one of the medications.

Colonoscopy preparation with magnesium citrate and Dulcolax tablets

Colonoscopy preparation typically involves following a clear liquid diet the day before your procedure. Your doctor will advise you on the best preparation method for your colonoscopy.

Three Days Before the Procedure

Stop taking any vitamin E supplements, Motrin, Advil, Aleve, ibuprofen, etc. You may continue taking aspirin. If your physician approves, stop taking any blood thinners (e.g. Coumadin, Warfarin, or Plavix).

One Week Before the Procedure

Stop taking any iron supplements.

Day Before the Procedure

Upon waking, take four Dulcolax tablets with a large glass of water. You must follow a clear liquid diet all day—no red or purple liquids, and no solid foods, milk, or milk products. Approved clear liquids include:

• Apple juice
• Sprite
• Ginger ale
• Fresca
• Tea and coffee (with honey, sugar, or sugar substitutes—no milk)
• Jell-O (no red or purple)
• Popsicles (orange or lemon-lime)
• Vitamin Water or Gatorade (orange or lemon-lime)
• Clear soup or broth (vegetable, beef, or chicken)
• White grape juice
• Hard candy

In the evening, at 6 pm, drink one 10-ounce bottle of magnesium citrate. Follow this with an 8-oz glass of water and continue to follow the clear liquid diet to prevent dehydration.

Day of the Procedure

Five hours before your scheduled arrival time, drink the second 10-ounce bottle of magnesium citrate and another 8-oz glass of water. Do not eat or drink anything else until after your procedure, except for approved medications with a small sip of water.

Additional Transportation Instructions

You must arrange for a friend or family member to drive you to and from the procedure.

Additional Instructions for Afternoon Procedures

For procedures starting after 12 pm, you may drink clear liquids (black coffee or tea without milk or sugar, water, 7UP, ginger ale, or apple juice) up to 6 hours before the procedure start time. Do not eat any solid foods after midnight the night before your procedure.

Procedure Times and Clear Liquid Guidelines

• Procedure at 1 pm: Clear liquids until 7 am
• Procedure at 1:30 pm: Clear liquids until 7:30 am
• Procedure at 2 pm: Clear liquids until 8 am
• Procedure at 2:30 pm: Clear liquids until 8:30 am
• Procedure at 3 pm: Clear liquids until 9 am
• Procedure at 3:30 pm: Clear liquids until 9:30 am

What to eat and drink before a colonoscopy

To prepare for a colonoscopy, your bowel should be as empty as possible. For this reason, your doctor may recommend a low-fiber diet beginning several days before the procedure. This is because foods high in fiber, such as grains, fruits, and vegetables, are not digested by the body and may cover areas of the bowel that the doctor needs to see.

What to Eat Before a Colonoscopy

• White bread, pasta, and rice
• Fruit without skin
• Canned or well-cooked vegetables without skin or seeds
• Tender, well-cooked meat, poultry, or fish
• Eggs

What Not to Eat Before a Colonoscopy

• Any food containing seeds or nuts
• Whole grain bread or pasta
• Raw fruits and vegetables with skin
• Oatmeal, shredded wheat cereal, and granola
• Corn, broccoli, or cabbage
• Meat with gristle or that is difficult to chew

On the day before your colonoscopy, you will need to stop eating solid foods and only consume clear liquids. Here are some examples of clear liquids that you can consume:

• Tea and black coffee without any milk, cream, or lightener
• Flavored water without red or purple dye
• Clear, light-colored juices such as apple, white grape, or lemonade without pulp
• Clear broth including chicken, beef, or vegetable
• Sports drinks such as Gatorade and Propel (light colors only)
• Fat-free broth or bouillon
• Jell-O gelatin (without purple, red, or blue food dyes)

You should avoid the following liquids:

• All red, purple, or blue beverages
• Milk, shakes, smoothies, or dairy products
• Orange, grapefruit, or prune juices
• Any liquids you cannot see through

When to take magnesium citrate and Dulcolax

Magnesium citrate is a saline laxative that works by increasing fluid in the small intestine. It is used to clean stool from the intestines before surgery or certain bowel procedures, and can also be used to relieve constipation. It usually results in a bowel movement within 30 minutes to 3 hours. It is recommended to drink a full glass of water (8 ounces or 240 milliliters) after taking this product to prevent serious side effects such as dehydration.

Dulcolax, on the other hand, is a stimulant laxative that works by stimulating and drawing water into the intestines to produce a bowel movement. It is used to provide relief from constipation and is typically taken at night to reactivate the natural gut rhythm. It can be taken by adults and children aged 12 years and above, with a dosage of 1 to 3 tablets in a single daily dose for up to 7 days. It is recommended to take Dulcolax 30 to 60 minutes before bedtime to produce a bowel movement the next morning.

Both magnesium citrate and Dulcolax are effective in relieving constipation, but they have different mechanisms of action and recommended usage. Magnesium citrate is often used as a cleaner for the intestines before surgery or specific bowel procedures, while Dulcolax is commonly taken to relieve constipation and restore the natural gut rhythm.

Magnesium citrate is generally well-tolerated, but it is important to follow the directions on the product package and consult a doctor if any side effects occur. Similarly, Dulcolax may cause side effects such as stomach discomfort, faintness, and cramps, and it is important to start with a lower dose and increase gradually if needed.

In summary, when to take magnesium citrate and Dulcolax depends on the individual's needs and medical condition. Magnesium citrate is often used before medical procedures, while Dulcolax is typically taken to relieve constipation and restore regular bowel movements. It is important to consult a healthcare professional before taking either of these medications to ensure proper usage and avoid potential side effects.

Where to buy magnesium citrate

Magnesium citrate is available at many major retailers, including Amazon, Walgreens, and CVS.

Amazon offers a variety of magnesium citrate products, including capsules and softgels, with various brands such as NOW, Nutricost, Naturelo, and Double Wood Supplements. Prices range from $14.95 to $22.40, with some offering free shipping for orders over $35.

Walgreens also provides a wide range of options, including their own branded products. They offer magnesium citrate in liquid form with flavors like lemon, cherry, and grape, as well as softgels and gummies. Walgreens provides various deals and discounts, such as buy-one-get-one-free offers.

CVS carries Nature Made Magnesium Citrate softgels and gummies, with similar deals like buy-one-get-one-for-$1.00. They also offer Freskaro Magnesium Citrate Oral Saline Laxative.

When purchasing magnesium citrate, it is always recommended to consult a healthcare professional to ensure it is suitable for your individual needs.

How to prepare for a colonoscopy

Colonoscopies is one of the best ways to spot or help prevent colon cancer. However, many people avoid it due to the preparation process. To ensure a successful colonoscopy, your colon needs to be empty. This calls for a change in your diet and strong laxatives beforehand. Here is a step-by-step guide on how to prepare for a colonoscopy:

Step 1: Plan Your Prep

Your doctor will provide you with instructions on how to prepare for your colonoscopy. Make sure to read these well in advance and ask any questions you may have. Clear your schedule for the day of the colonoscopy and the evening before, and arrange for someone to accompany you on the day of the procedure. Shop for any supplies you may need, such as a prescribed or over-the-counter laxative, sports drinks, juices, and broths.

Step 2: Tweak Your Diet

Start preparing your diet three days before your colonoscopy. During this time, eat light, low-fiber foods that are easy to digest. Avoid seeds, nuts, corn, popcorn, and any foods with red, blue, or purple dyes. Stop taking vitamins, supplements, and any over-the-counter anti-inflammatory or blood-thinning medications. If you are taking prescription medications, ask your doctor whether and when you should stop taking them.

The Day Before the Procedure

On the day before your colonoscopy, consume only clear liquids and avoid solid foods and drinks with colour. Staying hydrated is important, so drink clear liquids such as sports drinks, clear juices (like apple or white grape juice), and clear broth. Soda, coffee, and tea (without cream) are also allowed. You can also have gelatin and ice pops, but avoid red, blue, or purple dyes as they can discolour the colon lining. Do not consume alcohol or opaque drinks like milk or orange juice.

Two to Four Hours Before the Procedure

Stop consuming all liquids, including clear ones, two to four hours before the procedure.

The Evening Before the Procedure

Drink half of a prescription laxative drink to clean out your colon. Finish the rest of the drink in the morning, about four to five hours before you leave for your appointment.

On the Day of the Procedure

Make sure you have someone to drive you home after the colonoscopy and stay with you for at least two hours. Do not consume any alcohol, marijuana, or other substances that could impair your thought process.

Remember, it is important to follow your doctor's instructions and ask any questions you may have to ensure a smooth and successful colonoscopy experience.

Frequently asked questions