Country: United States
Language: English
Source: NLM (National Library of Medicine)
SODIUM PICOSULFATE (UNII: LR57574HN8) (DEACETYLBISACODYL - UNII:R09078E41Y), MAGNESIUM OXIDE (UNII: 3A3U0GI71G) (MAGNESIUM CATION - UNII:T6V3LHY838), ANHYDROUS CITRIC ACID (UNII: XF417D3PSL) (ANHYDROUS CITRIC ACID - UNII:XF417D3PSL)
ASM Aerosol-Service AG
ORAL
PRESCRIPTION DRUG
CLENPIQ is indicated for cleansing of the colon as a preparation for colonoscopy in adults. CLENPIQ is contraindicated in the following conditions: - Patients with severe renal impairment (creatinine clearance less than 30 mL/minute), which may result in accumulation of magnesium [see Warnings and Precautions (5.3)] - Gastrointestinal obstruction or ileus [see Warnings and Precautions (5.6)] - Bowel perforation [see Warnings and Precautions (5.6)] - Toxic colitis or toxic megacolon - Gastric retention - Hypersensitivity to any of the ingredients in CLENPIQ Risk Summary There are no data with CLENPIQ use in pregnant women to determine a drug-associated risk of adverse developmental outcomes. In animal reproduction studies, no adverse developmental effects were observed in pregnant rats when sodium picosulfate, magnesium oxide, and anhydrous citric acid were administered orally at doses 1.2 times the recommended human dose based on body surface area during organogenesis. The estimated background risk of major
How Supplied CLENPIQ is supplied in a carton containing two bottles, each holding 160 mL of cranberry-flavored, colorless to slightly yellow, clear oral solution, along with an eight-ounce cup for measuring fluids for hydration. Each bottle contains 10 mg sodium picosulfate, 3.5 g magnesium oxide, and 12 g anhydrous citric acid. CLENPIQ Cranberry flavor: NDC# 55566-6700-1. Storage Store CLENPIQ at 25°C (77°F). Excursions permitted at 15°C to 30°C (59°F to 86°F). [See USP Controlled Room Temperature]. Do not refrigerate or freeze.
New Drug Application
ASM Aerosol-Service AG ---------- This Medication Guide has been approved by the U.S. Food and Drug Administration Issued: DATE MEDICATION GUIDE CLENPIQ™ (CLEN-pik) (sodium picosulfate, magnesium oxide, and anhydrous citric acid) oral solution Read and understand these Medication Guide instructions at least 2 days before your colonoscopy and again before you start taking CLENPIQ. What is the most important information I should know about CLENPIQ? CLENPIQ and other bowel preparations can cause serious side effects, including: • Serious loss of body fluid (dehydration) and changes in blood salts (electrolytes) in your blood. These changes can cause: • abnormal heartbeats that can cause death. • seizures. This can happen even if you have never had a seizure. • kidney problems. Your chance of having fluid loss and changes in blood salts with CLENPIQ is higher if you: • have heart problems • have kidney problems • take water pills or non-steroidal anti-inflammatory drugs (NSAIDS) Tell your healthcare provider right away if you have any of these symptoms of a loss of too much body fluid (dehydration) while taking CLENPIQ: • vomiting • urinating less often than normal • dizziness • headache See "What are the possible side effects of CLENPIQ?" for more information about side effects. What is CLENPIQ? CLENPIQ is a prescription medicine used by adults to clean the colon before a colonoscopy. CLENPIQ cleans your colon by causing you to have diarrhea. Cleaning your colon helps your healthcare provider see the inside of your colon more clearly during your colonoscopy. It is not known if CLENPIQ is safe and effective in children. Do not take CLENPIQ if your healthcare provider has told you that you have: • serious kidney problems. • a blockage in your intestine (bowel obstruction). • an opening in the wall of your stomach or intestines (bowel perforation). • a very dilated intestine (toxic megacolon). • problems with the emptying of food and fluid from your stomach (gastric retention). • an Read the complete document
CLENPIQ- SODIUM PICOSULFATE, MAGNESIUM OXIDE, AND ANHYDROUS CITRIC ACID LIQUID ASM AEROSOL-SERVICE AG ---------- HIGHLIGHTS OF PRESCRIBING INFORMATION THESE HIGHLIGHTS DO NOT INCLUDE ALL THE INFORMATION NEEDED TO USE CLENPIQ™ SAFELY AND EFFECTIVELY. SEE FULL PRESCRIBING INFORMATION FOR CLENPIQ. CLENPIQ™ (SODIUM PICOSULFATE, MAGNESIUM OXIDE, AND ANHYDROUS CITRIC ACID) ORAL SOLUTION INITIAL U.S. APPROVAL: 2012 INDICATIONS AND USAGE CLENPIQ™ is a combination of sodium picosulfate, a stimulant laxative, and magnesium oxide and anhydrous citric acid, which form magnesium citrate, an osmotic laxative, indicated for cleansing of the colon as a preparation for colonoscopy in adults. (1) DOSAGE AND ADMINISTRATION Administration: CLENPIQ is ready to drink. It does not need to be diluted prior to administration. One bottle of CLENPIQ is equivalent to one dose. (2.1) Two doses of CLENPIQ are required for a complete preparation for colonoscopy. The preferred method is the "Split- Dose" method. The alternative is the "Day Before" method. (2.1) Additional fluids must be consumed after every dose of CLENPIQ in both dosing regimens. (2.1, 5.1) Do not take oral medications within 1 hour of start of each dose. (2.1, 7.2) If taking tetracycline or fluoroquinolone antibiotics, iron, digoxin, chlorpromazine, or penicillamine, take these medications at least 2 hours before and not less than 6 hours after administration of CLENPIQ. (2.1, 7.3) For complete information on preparation before colonoscopy and administration of the dosage regimen, see full prescribing information. (2.1, 2.2, 2.3) Split-Dose Dosage Regimen (Preferred Method) (2.2) First dose: administer during evening before the colonoscopy Second dose: administer the next day, during the morning prior to the colonoscopy. Day-Before Dosage Regimen (Alternative Method), if Split-Dosing is inappropriate (2.3) First dose: administer during afternoon or early evening before the colonoscopy. Second dose: administer 6 hours later during evening before colonoscopy. DOSAGE FORMS Read the complete document