Drug General Information (ID: DDI5N9ZUSY)
  Drug Name Clofazimine Drug Info Picosulfuric acid Drug Info
  Drug Type Small molecule Small molecule
  Therapeutic Class Antiinflammatory Agents Vitamins
  Structure

 Mechanism of Clofazimine-Picosulfuric acid Interaction (Severity Level: Moderate)
     Altered intestinal flora Click to Show/Hide Mechanism Graph
Could Not Find 2D Structure
      Drug Name Clofazimine Picosulfuric acid
      Mechanism 1 Alters GI flora Affected by alters GI flora
      Key Mechanism Factor 1
Factor Name Intestinal flora
Factor Description The intestinal flora has multiple effects on human health, and altering the intestinal microbiota can affect the absorption of drugs and alter their pharmacological effects.
      Mechanism Description
  • Altered absorption of Picosulfuric acid due to GI flora changes caused by Clofazimine 
     Increased risk of ventricular arrhythmias Click to Show/Hide Mechanism Graph
Could Not Find 2D Structure
      Drug Name Clofazimine Picosulfuric acid
      Mechanism 2 Prolong QT interval Electrolyte disturbances
      Key Mechanism Factor 2
Factor Name Ventricular arrhythmias
Factor Description Ventricular arrhythmias are abnormal heart rhythms that cause your heart's lower chambers to pump blood instead of pumping it. This can limit or stop your heart from supplying blood to your body. While some of these arrhythmias are harmless and do not cause symptoms, others can have serious, even fatal, effects on your body.
      Mechanism Description
  • Increased risk of ventricular arrhythmias by the combination of Clofazimine and Picosulfuric acid 

Recommended Action
      Management Consider use of an alternate laxative in patients who have recently taken or are currently taking an antibiotic. If concomitant use is required, additional bowel cleansing and colonoscopy may be required. The recommended dosage and duration of treatment with sodium picosulfate should not be exceeded. In addition, patients should be advised to seek prompt medical attention if they experience symptoms that could indicate the occurrence of torsade de pointes such as dizziness, lightheadedness, fainting, palpitation, irregular heart rhythm, shortness of breath, or syncope.

References
1 Cerner Multum, Inc. "Canadian Product Information.".
2 Muller-Lissner SA "Adverse effects of laxatives: fact and fiction." Pharmacology 47 (1993): 138-45. [PMID: 8234421]
3 Schaefer DC, Cheskin LJ "Constipation in the elderly." Am Fam Physician 58 (1998): 907-14. [PMID: 9767726]