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Sodium Sulfate

Published: July 26, 2026Updated: August 25, 2026

Sodium sulfate is a saline laxative used for bowel preparation before colonoscopy or surgery and short-term treatment of constipation by increasing water in the intestines.

Quick summary

Sodium sulfate is a fast-acting saline laxative used to clear the bowels before medical procedures or for short-term constipation relief.

Medically reviewed by WellAlly Editorial TeamLast reviewed August 25, 2026Editorial policy

Key facts at a glance

ATC
A06
RxNorm
unknown
Generic
Sodium Sulfate
Class
atc-a06
Brands
Sutab, Golytely, MoviPrep, GaviLyte-C, Gavilyte-G
Availability
otc
Pregnancy
B
Lactation
unknown
Half-life (h)
0
Onset (min)
0
Duration (h)
3
Routes
oral
Forms
powder for oral solution, oral tablet
Regions
United States, Canada, Europe, Australia
Monitoring
fluid status, electrolyte balance, renal function

This page is for informational purposes only.

Do not use this information to diagnose yourself or to replace a physician's advice. Always consult a qualified healthcare provider before starting, stopping, or changing any medication. If you believe you are experiencing a medical emergency, call your local emergency number immediately.

Dosage and administration

adult (standard)powder for oral solution
Usual dose
240ml (one bottle) twice daily
Maximum
consult physician
Frequency
split dose: evening before and morning of procedure
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
pediatric (standard)powder for oral solution
Usual dose
45ml/kg twice daily
Maximum
consult physician
Frequency
split dose: evening before and morning of procedure
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
geriatric (standard)powder for oral solution
Usual dose
120ml twice daily
Maximum
consult physician
Frequency
split dose: evening before and morning of procedure
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard

Overdose information

Important overdose information
Toxic dose: Single dose that may cause serious toxicity - significantly exceeding therapeutic doses used for bowel preparation
Chronic overdose: Prolonged or repeated high-dose administration leading to chronic diarrhea, dehydration, and electrolyte imbalances
Immediate actions
Discontinue exposure, provide supportive care with fluid and electrolyte replacement, monitor vital signs
Antidote
No specific antidote exists(Supportive care is the primary treatment approach; effectiveness depends on timely intervention)
Poison Control: 1-800-222-1222

Special Populations

7 groups
⚠

pregnancy

general
caution
FDA Category
C
Dose Adjustment

use only if benefits outweigh risks

Key Recommendations

avoid during pregnancy unless colonoscopy is urgently needed; consider alternative bowel preparation methods

Monitor

fetal monitoring if use is essential

Use with caution and monitor for adverse effects.

✓

lactation

general
safe
FDA Category
N
Dose Adjustment

no dosage adjustment needed

Key Recommendations

generally considered compatible with breastfeeding; minimal systemic absorption

Monitor

standard monitoring

⚠

geriatric

65 years and older
caution
FDA Category
N
Dose Adjustment

use with caution; ensure adequate hydration

Key Recommendations

use lower volume preparations; monitor closely for dehydration and electrolyte imbalances; assess cardiovascular and renal function before use

Monitor

electrolyte monitoring, hydration status, vital signs

Use with caution and monitor for adverse effects.

✓

pediatric_age

2 to 18 years
safe
FDA Category
N
Dose Adjustment

weight-based dosing required

Key Recommendations

use pediatric formulations; ensure age-appropriate dosing; maintain hydration

Monitor

hydration status, electrolyte monitoring in young children

⚠

renal_impairment

mild to moderate
caution
FDA Category
N
Dose Adjustment

use with caution; ensure adequate hydration

Key Recommendations

avoid in severe renal impairment; monitor electrolytes; ensure good hydration

Monitor

renal function tests, electrolytes, hydration status

Use with caution and monitor for adverse effects.

✓

hepatic_impairment

mild to moderate
safe
FDA Category
N
Dose Adjustment

no routine dosage adjustment needed

Key Recommendations

generally safe; not significantly metabolized by liver; standard precautions apply

Monitor

standard monitoring

⚠

alcohol_users

chronic use
caution
FDA Category
N
Dose Adjustment

ensure adequate hydration; consider supplemental electrolytes

Key Recommendations

alcohol users may be at higher risk for dehydration; encourage increased fluid intake before and after preparation

Monitor

hydration status, electrolytes

Use with caution and monitor for adverse effects.

Statistics and clinical data

prescribingFDA
2023

Commonly prescribed since

Value:2000s

General prescribing information for bowel preparation agents

drug_classWHO
2023

Drug class

Value:Osmotic Laxative

Drug class information for Sodium Sulfate-based bowel preparations

usageMedical guidelines
2023

Common uses

Value:Bowel preparation for colonoscopy

Common therapeutic uses for Sodium Sulfate products (Sutab, Golytely, MoviPrep, GaviLyte-C, Gavilyte-G)

mechanismFDA
2023

Mechanism of action

Value:Osmotic agent that draws water into colon

Pharmacological mechanism information

Bowel preparation before colonoscopy, radiography, or surgery; short-term treatment of constipation; removal of toxic substances from the gastrointestinal tract.

As an osmotic laxative, sodium sulfate draws water into the intestinal lumen through osmosis, which softens stool, increases intestinal pressure, and stimulates peristalsis to promote rapid bowel evacuation.

Should only be used short-term under medical supervision. Contraindicated in patients with intestinal obstruction, severe renal impairment, or congestive heart failure. May cause electrolyte imbalances (particularly sodium); adequate hydration is essential. Not recommended for long-term use or in elderly patients without physician guidance.

Contraindications

Conditions and patient states where this medication should be avoided or used with caution.

Do not use (1)

ABSOLUTEhypersensitivity

Known allergy to this medication or its components

Use caution (1)

RELATIVEpregnancy

Consult healthcare provider for benefits vs risks assessment

Official drug label

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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 25, 2026. · Read our editorial policy