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Supplement × Prescription·Evidence index

Bisacodyl and Magnesium Citrate: what the research found

PubMed indexes 8 records that name Bisacodyl and Magnesium Citrate together, either in the title or in an interaction, co-administration, or pharmacokinetic context. The key findings come first, in the authors’ own words, followed by every study with its design and PubMed link.

A summary of published research, not medical advice. A pharmacist can check any combination against your full list of medicines and supplements.

Key findings

What the studies concluded.

Reviews and human studies first. Each quote is the authors’ own conclusion about their study, not a NutriStack assessment, and a single study is not a consensus.

“Our data indicate that Bowklean is a more effective and better-tolerated bowel cleansing preparation before colonoscopy than Klean-Prep/Dulcolax. Bowklean may therefore increase positive attitudes toward colonoscopies and participation rates.”

Hung et al. · 2020 · Human study · details

“Castor oil/ Bisacodyl regimen is cheap but not consistently associated with adequate bowel preparation for colonoscopy. Expertise of endoscopists and copious lavage are crucial when CaO/B regimen is used for bowel cleansing.”

Ray-Offor et al. · 2020 · Human study · details

“Sodium picosulfate/magnesium citrate proved to be noninferior to ascorbic acid-enriched polyethylene glycol solution plus bisacodyl in efficacy and safety. Timing of the colonoscopy and addition of bisacodyl to sodium picosulfate/magnesium citrate warrants further consideration. See Video Abstract at http://links.lww.com/DCR/A461.”

The research

8 studies naming Bisacodyl and Magnesium Citrate.

Strongest relevance first: papers naming both substances in the title, then human trials and systematic reviews.

A Randomized Trial Comparing the Bowel Cleansing Efficacy of Sodium Picosulfate/Magnesium Citrate and Polyethylene Glycol/Bisacodyl (The Bowklean Study).

Scientific reports · 2020 · PMID 32221332

Clinical Trial, Phase IIIComparative StudyMulticenter StudyRandomized Controlled Trial

“Our data indicate that Bowklean is a more effective and better-tolerated bowel cleansing preparation before colonoscopy than Klean-Prep/Dulcolax. Bowklean may therefore increase positive attitudes toward colonoscopies and participation rates.”

Hung et al. · From the abstract

Names both Bisacodyl and Magnesium Citrate in its title.

Efficacy and Safety of Sodium Picosulfate/Magnesium Citrate for Bowel Preparation in a Physically Disabled Outpatient Population: A Randomized, Endoscopist-Blinded Comparison With Ascorbic Acid-Enriched Polyethylene Glycol Solution Plus Bisacodyl (The PICO-MOVI Study).

Diseases of the colon and rectum · 2018 · PMID 29337780

Comparative StudyRandomized Controlled TrialEquivalence Trial146 participants

“Sodium picosulfate/magnesium citrate proved to be noninferior to ascorbic acid-enriched polyethylene glycol solution plus bisacodyl in efficacy and safety. Timing of the colonoscopy and addition of bisacodyl to sodium picosulfate/magnesium citrate warrants further consideration. See Video Abstract at http://links.lww.com/DCR/A461.”

Mathus-Vliegen et al. · Authors' conclusion

Names both Bisacodyl and Magnesium Citrate in its title.

A comparison of bowel preparations for flexible sigmoidoscopy: oral magnesium citrate combined with oral bisacodyl, one hypertonic phosphate enema, or two hypertonic phosphate enemas.

The American journal of gastroenterology · 1999 · PMID 10445538

Clinical TrialComparative StudyRandomized Controlled Trial

“There was no statistical difference between the quality of the three bowel preparations. Patients considered an oral bisacodyl and magnesium citrate regimen more easily tolerated, though it was associated with more diarrhea.”

Fincher et al. · Authors' conclusion

Names both Bisacodyl and Magnesium Citrate in its title.

Prospective, randomized, controlled comparison of the use of polyethylene glycol electrolyte lavage solution in four-liter versus two-liter volumes and pretreatment with either magnesium citrate or bisacodyl for colonoscopy preparation.

Gastrointestinal endoscopy · 1998 · PMID 9512283

Clinical TrialRandomized Controlled Trial

“Two liters of PEG-ELS plus laxative improved preparation quality and patient satisfaction and reduced preparation time. Magnesium citrate pretreatment had fewer symptoms and was preferred to bisacodyl. PEG-ELS in 2 L quantities could reduce costs, and consideration should be given to making it available commercially.”

Sharma et al. · Authors' conclusion

Names both Bisacodyl and Magnesium Citrate in its title.

Castor Oil and Bisacodyl Versus Sodium Picosulphate Magnesium Citrate for Bowel Cleansing Prior to Colonoscopy in a Limited Resource Setting.

West African journal of medicine · 2020 · PMID 33185262

Human subjects258 participants

“Castor oil/ Bisacodyl regimen is cheap but not consistently associated with adequate bowel preparation for colonoscopy. Expertise of endoscopists and copious lavage are crucial when CaO/B regimen is used for bowel cleansing.”

Ray-Offor et al. · Authors' conclusion

Names both Bisacodyl and Magnesium Citrate in its title.

Timing and frequency of bowel activity in patients ingesting sodium picosulphate/magnesium citrate and adjuvant bisacodyl for colon cleansing before colonoscopy.

Canadian journal of gastroenterology = Journal canadien de gastroenterologie · 2011 · PMID 22175056

Human subjects

“Ces données démontrent que l’ajout de bisacodyl avant l’ingestion de PSLX a un effet significatif sur la fréquence des mouvements intestinaux et est corrélé avec la qualité du nettoyage intestinal. Le moment des mouvements intestinaux qui s’ensuivent a des conséquences pratiques sur le sommeil et la durée du déplacement vers le bloc d’endoscopie.”

Vanner et al. · From the abstract

Names both Bisacodyl and Magnesium Citrate in its title.

Limitations

What this evidence cannot tell you.

Search-based evidence indexes have real limits, and it is worth being explicit about them:

How to read this page

A literature summary, not guidance.

NutriStack

Track what you actually take.

NutriStack is a free iPhone app for organising a supplement routine: what you take, when, and what the published record says about it. Its exploratory interaction checker covers Bisacodyl, Magnesium Citrate, and several hundred other substances.

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