Colonoscopy Preparation with Miralax

 

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COLONOSCOPY PREPARATION WITH MIRALAX (for 100 pounds and over)

To ensure a successful colonoscopy, it is very important that you read these instructions well in advance and follow them completely.

  1. Before your procedure, you will need to thoroughly clean out your colon. For most patients, this is harder than the test itself, but it is critical for the procedure’s success. Stool remaining in the colon can hide polyps or other abnormalities. So, if your colon is not well-prepared before the colonoscopy, you may need to reschedule the procedure

  2. Go to the pharmacy or drugstore of your choice to purchase the following items. You do not need a prescription.

    1. 1.Generic for MiraLAX (Polyethylene glycol3350 powder):One 8.3 oz. (238 gram) bottle

    2. 2.Generic for Dulcolax (Bisacodyl 5mg laxative tablets):One box

    3. 3.Magnesium Citrate:One10oz.bottle.

    4. 4.Gatorade(yellow or green only):Two 32oz.bottles.Please
      purchase from your local grocery store.

  3. Due to regulatory requirements and your safety, you must arrange for someone to drive you home after the procedure. Be sure to have a driver who is prepared to remain at the facility during your procedure, which will take between 2 to 3 hours. If you do not have a driver, your appointment will be rescheduled.



  4. ONE DAY BEFORE your procedure

NO SOLID FOODS
Drink CLEAR FLUID all day.
Water (plain or flavored), light/clear tea, broth, Gatorade (yellow or

green only), apple or white grape juice, Sprite, 7- up, Ginger-ale, jello

(yellow or green only), popsicles (non-pulp). No red, purple, or orange.

  1. No alcohol

  2. Avoid: milk, shakes, smoothies, juices that are red or purple, orange
    juice. No red colored fluids. (These may mimic blood.)

  3. Confirm that you have a driver who will bring you to your appointment
    and stay in the facility during your procedure.

  4. Take your regular medications the day before your procedure unless
    otherwise directed by your doctor.

  5. If you have diabetes, see the back for additional instructions.
    Diet Instructions

Mix 1⁄2 of the generic MiraLAX into EACH 32 oz. Gatorade bottle until dissolved and keep cold in the refrigerator.
1 p.m. – Take _1-2 tabs__ of the 5 mg bisacodyl laxative tablets with water. Continue clear liquids.

2 p.m. – Drink __32__ ounces of the Gatorade/generic MiraLAX solution 8 oz. at a time. Drink 8 oz. (or a large glass) every 15 to 30 minutes. This should take 1 to 2 hours.

    4 p.m. – Drink __32__ ounces of the Gatorade/generic MiraLAX solution 8 oz. at a time. Drink 8 oz. (or a large glass) every 15 to 30 minutes. This should take 1 to 2 hours.

     6 p.m -Drink ____ounces of the magnesium citrate and finish in 1 hour.

DAY OF PROCEDURE

You can drink clear liquids up to 4 hours before your appointment. No gum, candy, or breath mints.

You may take your medications with sips of water. (Take them 1 hour
before drinking your Gatorade/generic MiraLAX solution so that the medicines have time to be absorbed.)


Bowel Preparation Important Reminders

  1. Confirm that you have a driver who will bring you to your appointment and stay in the facility during your procedure.

  2. Take your regular medications the day before your procedure unless otherwise directed by your doctor.

If you have diabetes, see the back for additional instructions. DO NOT wear contact lenses.
DO NOT wear any jewelry or bring valuables.

DO NOT apply lotion or cream to your skin. Wear comfortable, loose fitting clothes. Wear flat shoes or sneakers.

Gastroenterology Department

MEDICATION INSTRUCTIONS

These medications may be continued as usual:

Acetaminophen (Tylenol): It is okay to continue taking acetaminophen (also known as Tylenol). Aspirin: It is okay to continue taking your daily low dose (81mg) aspirin treatment. Do not take high dose Aspirin 325 mg within 7 days of procedure.
Blood pressure medications such as atenolol, metoprolol, carvedilol, or lisinopril may be continued, including the day before and the day of your procedure.

Please contact your physician as directed to see if it is safe to

stop the following medications:

Dabigatran (Pradaxa):

Contact your cardiologist or primary care physician to make sure it is safe to stop taking this medication 2 days before the procedure, as well as the day of your procedure (3 days total).
Diuretics (Water Pills):

DO NOT take your diuretic the day before your procedure. You can resume taking your diuretic after your procedure, that same day. Diuretics include furosemide (generic for Lasix), hydrochlorothiazide, and triamterence/hydrochlorothiazide (generic for Maxzide).

Clopidogrel (generic for Plavix), aspirin/dipyridamole (Aggrenox), or other blood thinners:
Contact your cardiologist or primary care physician to make sure it is safe to stop taking these medications 7 days before the procedure.

Iron supplements:
STOP
taking your iron supplements 7 days before your procedure.


Nonsteroidal Anti-inflammatories (NSAIDs):
STOP
taking your nonsteroidal anti-inflammatory medications, such as ibuprofen (also known as Advil or Motrin), or naprosyn (also known as Aleve) 7 days before the procedure. Check with your primary care doctor before your procedure if you have any questions.
Warfarin (generic for Coumadin):
Contact your primary care doctor or the Anticoagulation Clinic to make sure it is safe to stop taking Warfarin 5 days before the procedure.
Gastroenterology Department
ADDITIONAL INSTRUCTIONS FOR PATIENTS WITH DIABETES (Unless otherwise instructed by your primary care doctor or Endocrinologist)

  1. Take 1⁄2 of the usual dose of your diabetes medications, including both insulin and oral medications, in the morning before your clear liquids.

  2. Check your blood sugars at least twice (in the morning before beginning your clear liquids and at bedtime).

DO NOT take any oral diabetes medications, such as glipizide (generic for Glucotrol) or pioglitazone (generic for Actos).

  1. 1  You may continue metformin (generic for Glucophage).

  2. 2  Check your blood sugar in the morning before your arrival time.
    Type 1 Diabetes

  3. 3  Contact your Endocrinologist or Diabetic Care Provider.

  4. 4  If you take any long-acting insulin, take half the dose.

  5. 5  DO NOT take any short-acting insulin (Insulin Regular, Aspart, Lispro) unless you are using a sliding scale.

Check your blood sugar in the morning before your arrival time.



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