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

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