Le métronidazole (Flagyl) reste la référence dans le traitement des infections anaérobies et des parasitoses comme la giardiase ou l’amibiase. Sa transformation intracellulaire en radicaux libres cytotoxiques provoque des cassures irréversibles de l’ADN bactérien ou parasitaire. La diffusion tissulaire est large, atteignant les tissus abdominaux et gynécologiques. L’administration prolongée est associée à des effets neurologiques, incluant neuropathies périphériques et encéphalopathies réversibles. L’association avec l’alcool déclenche une réaction de type antabuse. Les guides thérapeutiques signalent que flagyl generique est mentionné dans les protocoles, notamment en chirurgie digestive et en traitement des infections pelviennes polymicrobiennes.

Microsoft word - miralax prep (2).docx

COLONOSCOPY-MIRALAX PREP: **TRANSPORTATION REQUIRED**
L.R. MALLAIAH, M.D., F.A.C.P., A.G.A.F.
www.MIDFLGASTRO.com
PH: (407)321-4570 OR (386) 789-5400
PURCHASE AT THE PHARMACY(over the counter):
-4 Dulcolax(bisacodyl) tablets
-238 gram bottle of Miralax (non prescription)
-64 oz bottle of Gatorade or Powerade (clear or light color-No Red, Purple, or Green)
(ANY LIGHT COLORED IS OK, DOESN’T HAVE TO BE GATORADE OR POWERADE)

FIVE DAYS PRIOR TO YOUR PROCEDURE:
-Discontinue any blood thinners such as Aspirin, Coumadin, and Plavix
-Stop all anti-inflammatory medications including ibuprofen, motrin, aleve, naproxyn, naprosyn,
meloxicam(mobic), sulindac(clinoril), piroxicam, feldene, indomethacin, diclofenac, aggrenox,
ultram(tramadol)and voltaren. Tylenol (acetaminophen) is safe to use in place of the above medications.
***ANY SORT OF BLOOD THINNER/ANTI-ARTHRITIC MEDICATION(S) MUST BE HELD 5 DAYS
BEFORE YOUR PROCEDURE***
-PLEASE call our office if you have any questions about which medications you should or should not
take
ONE DAY PRIOR TO YOUR PROCEDURE: *CLEAR LIQUID DIET UPON WAKING*
-If on any Blood pressure or heart medications, please take your normal dose today
-Discontinue alcohol one day prior
-Drink ONLY clear liquids for breakfast, lunch, and dinner the entire day. Clear liquids allowed; Water,
clear fruit juices(apple, strained orange, strained lemonade), sports drinks(Gatorade/powerade) clear
sodas, Bouillon, chicken broth, plain jello, popsicles. You may have plain black coffee, tea. NO SOLID
FOODS. NO MILK OR MILK PRODUCTS ALLOWED, NO RED, PURPLE OR GREEN
COLORS/DYES.
-Consume large amounts of fluids to avoid hunger and dehydration
-At 10:00am take two(2) Dulcolax tablets
-At 3:00pm take another two(2) Dulcolax tablets
-At 5:00pm mix the full bottle of Miralax into 64 ounces of Gatorade or Powerade. Shake until
completely dissolved. Drink an 8-10 ounce glass of mixture every 10-15 minutes until the entire solution
is gone. This will induce stools.
-You can continue the clear liquid diet till midnight, but nothing after midnight
FOR THOSE WHO ARE DIABETIC:
-Do not take insulin/diabetic medication the evening before or the morning of the procedure
THE DAY OF THE PROCEDURE:
*******TRANSPORTATION REQUIRED*********You cannot drive, use a taxi or a bus after the
procedure. You must have someone present to drive you home after the procedure. NO EXCEPTIONS.
-If on any blood pressure or heart medications please take your normal dosage in the early A.M.-1st thing
upon waking up-with a sip of water.
-Only if scheduled after 1:00pm, you may have 8ounces of clear liquids. NO LATER THAN 7:30AM,
OTHERWISE NOTHING TO EAT, DRINK, OR CHEW AFTER MIDNIGHT.
AFTER THE EXAM: YOU WILL BE DROWSY SEVERAL HOURS AFTERWARDS. OUR OFFICE WILL CALL YOU
WITH A FOLLOW-UP VISIT AS NEEDED A FEW DAYS AFTER THE TEST. IF A BIOPSY WAS TAKEN, IT CAN TAKE
UP TO A WEEK BEFORE WE RECEIVE THOSE RESULTS, ONCE WE DO, WE WILL CONTACT YOU. THIS FOLLOW-
UP VISIT IS SEPARATE FROM THE PROCEDURE AND IF YOUR INSURANCE REQUIRES A CO-PAY IT WILL BE
DUE THE DAY OF THE VISIT.

Source: http://www.midflgastro.com/miralax%20prep072013.pdf