Drug General Information (ID: DDIGAS87NU)
Drug Name			Ampicillin		Drug Info		Picosulfuric acid		Drug Info
Drug Type		Small molecule				Small molecule
Therapeutic Class		Antibiotics				Vitamins
Structure

Mechanism of Ampicillin-Picosulfuric acid Interaction (Severity Level: Moderate)
Attenuated pharmacological effects (Unspecific) Click to Show/Hide Mechanism Graph
Drug Name		Ampicillin				Picosulfuric acid
Mechanism		Decrease the laxative effect of Picosulfuric acid by reducing its hydrolysis by colonic bacteria to active metabolites				Picosulfuric acid
Key Mechanism Factor 1
		Factor Name		Pharmacodynamics
		Factor Description		Reduced pharmacological effects leading to insufficient efficacy and/or treatment failure.
Mechanism Description		Attenuated pharmacological effects of  Ampicillin when combined with 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.

References
1	Product Information. Prepopik (citric acid/Mg oxide/Na picosulfate). Ferring Pharmaceuticals Inc, Tarrytown, NY.
2	MHRA. Medicines and Healthcare Regulatory Agency (general site Reference).
3	Product Information. Clenpiq (citric acid/Mg oxide/Na picosulfate). Ferring Pharmaceuticals Inc, Tarrytown, NY.