Sodium picosulfate
Dulcolax Pico, CitraFleet, Picolax
Revisione paritaria di Sid DajaniUltimo aggiornamento di Michael Stewart, MRPharmSUltimo aggiornamento 30 Ago 2022
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Sodium picosulfate should only be used to provide short-term relief from constipation.
See a doctor if you are still constipated after five days of taking sodium picosulfate.
Stimulant laxatives should not be used by children under 12 years of age.
L'uso eccessivo può essere dannoso e non aiuta nella perdita di peso.
Seguire una dieta sana, bere molta acqua e fare esercizio fisico regolare e leggero possono tutti contribuire a mantenere una buona funzione intestinale.
At a glance
Sodium picosulfate is a stimulant laxative used to treat constipation.
It is available as a liquid or powder sachets and usually works within 6-12 hours.
Do not use sodium picosulfate for more than five days without speaking to a doctor.
Stop taking it if you experience loose or watery stools.
Consult a doctor or pharmacist before use if you are pregnant, breastfeeding, or giving it to a child.
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About sodium picosulfate
Tipo di medicinale | Lassativo stimolante |
Utilizzato per | Constipation in adults and in children aged 12 years and over. Before some surgery or medical examinations |
Chiamato anche | For constipation: Dulcolax® Pico Liquid For medical procedures: CitraFleet®; Picolax® |
Disponibile come | Oral solution, sachets of powder |
Costipazione can be caused by a poor diet, not drinking enough water and not going to the toilet as soon as you feel you need to. Pregnancy, a lack of exercise or movement (such as being ill in bed) and some medicines, including some painkillers, can also cause constipation.
Tuttavia, molte persone assumono lassativi quando non ne hanno bisogno perché credono di essere stitiche a meno che non vadano in bagno ogni giorno. Non è così. Una definizione utile di stitichezza è andare in bagno meno frequentemente di quanto sia normale per te e avere feci dure quando ci vai.
Sodium picosulfate works by encouraging the muscles in your bowel to move waste products through your body. This helps you to go to the toilet. It usually has an effect within 6-12 hours. Sodium picosulfate preparations are available to buy without a prescription at pharmacies and other retail outlets.
Preparations containing sodium picosulfate (in combination with another laxative called magnesium citrate) are sometimes used to clear the bowel before some medical examinations. When it is used like this, you will be provided with sachets of powder by your hospital or clinic. You will also be given full instructions for how to use them.
The rest of the information in this leaflet is about sodium picosulfate when it is used for constipation.
Before taking sodium picosulfate
Torna ai contenutiTo make sure this is the right treatment for you, ask for advice from a doctor or pharmacist before you start using sodium picosulfate if any of the following apply to you:
Se sei incinta, stai cercando di avere un bambino o stai allattando. Questo perché, mentre sei in attesa o stai allattando un bambino, dovresti assumere farmaci solo su raccomandazione di un medico.
If it is for a child. This is because laxatives should only be given to children on the advice of a doctor or healthcare professional.
Se hai un forte dolore alla pancia (addome) e ti senti male (nausea).
If you have recently had any bowel or abdominal surgery, or if you have been told you have an inflammatory bowel condition.
If you are lacking in fluid in the body (dehydrated) or taking 'water' tablets (diuretics)
Se stai assumendo altri medicinali. Questo include qualsiasi medicinale che stai assumendo e che è disponibile per l'acquisto senza prescrizione medica, così come i medicinali a base di erbe e complementari.
Se hai mai avuto una reazione allergica a un medicinale.
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How to take sodium picosulfate
Torna ai contenutiBefore you start this treatment, read the manufacturer's printed information leaflet from inside your pack. The leaflet will give you more information about sodium picosulfate and a full list of side-effects which you may experience from taking it.
The dose for adults is 5-10 ml of liquid. Sodium picosulfate takes about 6-12 hours to work; therefore, it is best taken at bedtime.
If sodium picosulfate has been prescribed for your child, follow carefully the instructions you are given, as your doctor will adjust the dose according to your child's age and needs.
Sodium picosulfate should only be used for a short time. This is because your bowel can start to rely on this type of laxative to make it work rather than working on its own. If you are still constipated after taking it for five days, you should speak with your doctor.
Ottenere il massimo dal tuo trattamento
Torna ai contenutiA healthy diet containing fibre (wholegrain breads and cereals, bran, fruit and green leafy vegetables) with six to eight full glasses of water each day and daily exercise are important in maintaining healthy bowel function.
You can read more about how to prevent or treat constipation in the separate leaflets called Costipazione (for adults) and Costipazione nei Bambini.
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Can sodium picosulfate cause problems?
Torna ai contenutiOltre ai loro effetti benefici, la maggior parte dei farmaci può causare effetti collaterali indesiderati, anche se non tutti li sperimentano. Questi di solito migliorano man mano che il tuo corpo si adatta al nuovo farmaco, ma parla con il tuo medico o farmacista se uno dei seguenti effetti collaterali persiste o diventa fastidioso.
Sodium picosulfate side-effects - these affect fewer than 1 in 10 people who take this medicine | Cosa posso fare se sperimento questo? |
Feci molli o acquose (diarrea) | Stop taking the sodium picosulfate. This can be a result of taking sodium picosulfate unnecessarily or for too long |
Tummy cramps or discomfort, feeling dizzy | These should soon pass |
Sensazione di nausea | Attieniti a cibi semplici |
Importante: do not use sodium picosulfate for more than five days without speaking to your doctor or a pharmacist. Overuse of stimulant laxatives is harmful; it leads to loss of fluids and can make you dehydrated. It can also prevent your intestines from working properly. Signs you are dehydrated include feeling thirsty, dark urine, shaky or weak muscles, blurred vision and fainting.
Se si verificano altri sintomi che ritieni possano essere dovuti a questo medicinale, parla con il tuo medico o farmacista.
How to store sodium picosulfate
Torna ai contenutiTenere tutti i medicinali fuori dalla portata e dalla vista dei bambini.
Conservare in un luogo fresco e asciutto, lontano da fonti di calore e luce diretta.
Informazioni importanti su tutti i medicinali
Torna ai contenutiInformazioni importanti su tutti i medicinali
Non assumere mai più della dose prescritta. Se sospetti che tu o qualcun altro possa aver assunto un sovradosaggio di questo medicinale, recati immediatamente al pronto soccorso del tuo ospedale locale. Porta con te il contenitore, anche se è vuoto.
Questo medicinale è per te. Non darlo mai ad altre persone, anche se la loro condizione sembra essere la stessa della tua.
Non conservare mai medicinali scaduti o indesiderati. Portali alla tua farmacia locale che li smaltirà per te.
Se hai domande su questo medicinale, chiedi al tuo farmacista.
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Domande frequenti
What is considered constipation and when should I use sodium picosulfate?
Constipation is defined as going to the toilet less frequently than is normal for you, and passing hard stools (faeces) when you do go. Many people believe they need to go every day, but this is not the case. Sodium picosulfate is used to treat constipation in adults and children aged 12 and over, by encouraging bowel muscles to move waste products through your body.
How quickly does sodium picosulfate work and what is the best time to take it?
Sodium picosulfate usually takes effect within 6 to 12 hours. It is best taken at bedtime so that it can work overnight.
Can I use sodium picosulfate if I am taking other medications, including herbal remedies?
You should ask for advice from a doctor or pharmacist before taking sodium picosulfate if you are taking any other medicines. This includes medicines you can buy without a prescription, as well as herbal and complementary medicines.
What should I do if sodium picosulfate causes loose stools or diarrhoea?
If you experience loose or watery stools (diarrhoea), you should stop taking sodium picosulfate. This can happen if you take the medicine unnecessarily or for too long.
What are the common side-effects of sodium picosulfate and how can I manage them?
Common side-effects, affecting fewer than 1 in 10 people, include loose or watery stools (diarrhoea), tummy cramps or discomfort, feeling dizzy, and feeling sick (nausea). If you experience diarrhoea, stop taking the medicine. Tummy cramps, discomfort, or dizziness should soon pass. If you feel sick, try to stick to simple foods.
Is sodium picosulfate safe for children?
Laxatives, including sodium picosulfate, should only be given to children on the advice of a doctor or healthcare professional. If it's prescribed for your child, carefully follow the instructions given, as the doctor will adjust the dose based on their age and needs.
What lifestyle changes can help prevent constipation alongside taking medication?
Maintaining a healthy diet rich in fibre (like wholegrain breads, cereals, bran, fruit, and green leafy vegetables) is important. You should also drink six to eight full glasses of water each day and get daily exercise to help maintain healthy bowel function.
Ulteriori letture e riferimenti
- Manufacturer's PIL, Dulcolax® Twelve Plus Pico Liquid; Sanofi, The electronic Medicines Compendium. Dated August 2020.
- Medicinali Completi BNF 89ª Edizione; Associazione Medica Britannica e Società Farmaceutica Reale di Gran Bretagna, Londra.
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About the authorView full bio

Michael Stewart, MRPharmS
Medicine Leaflet Review Manager – Contractor, Pharmacist
BPharm (Hons), MRPharmS
Michael is a community pharmacist practicing in the Midlands and South Yorkshire with more than 20 years’ experience advising on medicines and medical conditions. He has a strong background in healthcare training, having produced and delivered training courses for pharmacy teams and staff of residential care settings, including nurses. He has also contributed to pharmacy advisory boards for the management of low acuity conditions in the community.
About the reviewer

Sid Dajani
Sultan Dajani qualified at the London School of Pharmacy in 1994 and became the youngest elected member of the Royal Pharmaceutical Society council since its founding in 1842.
Storia dell'articolo
Le informazioni su questa pagina sono scritte e revisionate da clinici qualificati.
Prossima revisione prevista: 27 Feb 2027
30 Ago 2022 | Ultima versione

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