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Drug interactions

Deflazacort + Sodium picosulfate / magnesium oxide / anhydrous citric acid

Severity: Moderate

Deflazacort and Sodium picosulfate / magnesium oxide / anhydrous citric acid: moderate interaction.

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For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.

Summary

This bowel preparation causes diarrhea with fluid and electrolyte loss, which may include hypokalemia and hyponatremia. Deflazacort adds renal potassium loss, increasing the chance of significant electrolyte disturbance.

What this interaction means in plain words

Deflazacort and Sodium picosulfate / magnesium oxide / anhydrous citric acid can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Evidence level: Low

Why it happens

Additive potassium depletion from gastrointestinal losses and corticosteroid-induced renal potassium excretion.

What to do

Encourage adequate fluid intake and check electrolytes in at-risk patients, such as those with cardiac or renal disease, before and after the preparation.

What to ask your pharmacist

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Frequently asked questions

Can I take Deflazacort with Sodium picosulfate / magnesium oxide / anhydrous citric acid?

MediHelp rates the interaction as moderate. Deflazacort and Sodium picosulfate / magnesium oxide / anhydrous citric acid can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. This bowel preparation causes diarrhea with fluid and electrolyte loss, which may include hypokalemia and hyponatremia. Deflazacort adds renal potassium loss, increasing the chance of significant electrolyte disturbance.

How serious is the interaction between Deflazacort and Sodium picosulfate / magnesium oxide / anhydrous citric acid?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Encourage adequate fluid intake and check electrolytes in at-risk patients, such as those with cardiac or renal disease, before and after the preparation.

What other medicines interact with Deflazacort?

MediHelp also lists interactions of Deflazacort with, for example, Adenovirus types 4 and 7 live, Bcg vaccine live, Influenza virus vaccine quadrivalent intranasal. The full list is on the Deflazacort page.

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