Sutab is a medication prescribed to cleanse the colon, preparing it for medical procedures like a colonoscopy. This article aims to provide a clear overview of Sutab, its administration, anticipated effects, and important safety considerations.
Understanding Sutab’s Role
Sutab is an osmotic laxative containing sodium sulfate, magnesium sulfate, and potassium chloride, designed to facilitate bowel evacuation. The medication works by drawing water into the colon, which softens the stool and promotes rapid bowel movements. This cleansing action is important because a clear colon allows the medical professional to visualize the lining of the colon without obstruction, improving the accuracy of the examination for detecting polyps or other abnormalities.
The Step-by-Step Preparation
Preparing for a colonoscopy with Sutab involves specific dietary adjustments and a precise dosing regimen. Typically, a low-residue diet is recommended for several days leading up to the procedure, followed by a clear liquid diet the day before the colonoscopy. A clear liquid diet includes items such as water, clear broths, pulp-free fruit juices, black coffee or tea (without cream), clear sodas, and gelatin desserts, but excludes red or purple colored items, milk, and alcohol.
Sutab is administered as a split-dose regimen. Each dose consists of 12 tablets, totaling 24 tablets for the complete preparation. For the first dose, usually taken the evening before the colonoscopy, you will swallow 12 tablets, typically one every 1 to 2 minutes, with 16 ounces of water within a 20-minute timeframe. Approximately one hour after finishing the tablets, you will drink two additional 16-ounce containers of water, each over a 30-minute period.
The second dose is taken on the morning of the colonoscopy, usually 5 to 8 hours before the procedure and no sooner than 4 hours after starting the first dose. This second dose follows the same steps as the first: 12 tablets with 16 ounces of water over 20 minutes, followed by two more 16-ounce containers of water over an hour. It is crucial to complete all tablets and required water at least two hours before the scheduled colonoscopy. Do not take oral medications within one hour of starting each Sutab dose, and certain medications like tetracycline or fluoroquinolone antibiotics, iron, digoxin, chlorpromazine, or penicillamine should be taken at least 2 hours before and not less than 6 hours after each Sutab dose. If symptoms such as nausea, bloating, or cramping occur, it is advisable to pause or slow down the rate of drinking the additional water until these symptoms lessen.
Anticipating the Effects of Sutab
After taking Sutab, individuals can expect to experience frequent bowel movements, typically starting within 1 to 4 hours after the first dose, though it can sometimes take up to 6 hours. These bowel movements will become progressively more watery, leading to diarrhea. The goal of the preparation is for the stool to become clear or yellowish liquid, without any solid matter, resembling urine. It is important to continue with the entire preparation, even if bowel movements appear clear early, to ensure thorough cleansing.
During the preparation process, some common effects include nausea, abdominal distension, bloating, and cramping. Vomiting and upper abdominal pain are also reported by some individuals. These gastrointestinal symptoms are generally expected as the medication works to cleanse the colon. Feelings of chills and lightheadedness can also occur. Remaining near a restroom during this time is advisable due to the urgency and frequency of bowel movements.
Important Safety Information
Sutab can cause severe dehydration and imbalances in body salts (electrolytes), which may lead to serious health issues such as abnormal heart rhythms, seizures, or kidney problems. Symptoms of dehydration include increased thirst, dry mouth, dizziness, headache, decreased urination, and feeling faint or lightheaded. If you experience significant vomiting or any signs of dehydration, it is important to contact your healthcare provider.
Severe abdominal pain or rectal bleeding are signs that should prompt immediate contact with your doctor. Additionally, allergic reactions, which can be serious, may manifest as hives, difficulty breathing, or swelling of the face, lips, tongue, or throat. Seek emergency medical help if these allergic symptoms occur. If the bowel preparation does not appear to be working as expected, such as no bowel movements occurring after several hours or if solid stool persists, you should also contact your healthcare provider for guidance.