SUPREP ® Bowel Prep Kit (sodium sulfate, potassium sulfate and magnesium sulfate) Oral Solution is an osmotic laxative indicated for cleansing of the colon as a preparation for colonoscopy in adults. Most common adverse reactions (>2%) are overall discomfort, abdominal distention, abdominal pain, nausea, vomiting and headache. Use is contraindicated in the following conditions: gastrointestinal (GI) obstruction, bowel perforation, toxic colitis and toxic megacolon, gastric retention, ileus, known allergies to components of the kit. Use caution when prescribing for patients with a history of seizures, arrhythmias, impaired gag reflex, regurgitation or aspiration, severe active ulcerative colitis, impaired renal function or patients taking medications that may affect renal function or electrolytes. Use can cause temporary elevations in uric acid. Uric acid fluctuations in patients with gout may precipitate an acute flare. Administration of osmotic laxative products may produce mucosal aphthous ulcerations, and there have been reports of more serious cases of ischemic colitis requiring hospitalization. Patients with impaired water handling who experience severe vomiting should be closely monitored including measurement of electrolytes. Advise all patients to hydrate adequately before, during, and after use. Each bottle must be diluted with water to a final volume of 16 ounces and ingestion of additional water as recommended is important to patient tolerance.
E Maurin, I am very sorry to hear of your husband’s heart problem. He should continue to take the diuretics, which are essential if his heart condition is causing water retention. In this condition the excess water is in the blood, not the body’s tissues, so it is absolutely correct to prescribe Lasix or a similar product. Water pills can be safely used in this condition. They are not safe for ‘idiopathic oedema’ or water retention of unknown cause, where the excess water is in the tissues, not the blood. There is much that your husband can do to help himself. The most important supplements for congestive heart failure are coenzyme Q10, taurine and carnitine. He can take taurine and magnesium together by purchasing supplements of magnesium taurate. You can perhaps google where to buy these. I know you can get them from but I don’t know about other countries. Carnitine is cheapest if bought as a bulk powder rather than as capsules. You can mix it with juice. Coenzyme Q10 is the most expensive, and he will need to take at least 100 mg per day, in divided doses. I also recommend keeping up potassium levels by drinking unsalted tomato and beet juices and seasoning food with salt that contains potassium (some of the low-sodium brands are rich in potassium). Recent research shows that exercise is very beneficial for CHF, and you can google the recent research showing that beet juice helps make exercise easier for people with CHF.