Colonoscopy Miralax/Gatorade Prep

FIVE DAYS PRIOR TO THE PROCEDURE:

STOP taking only the following medications 5 days prior, if agreed by your primary care physician, cardiologist or neurologist:

  • All nonsteroidal and anti-inflammatory products (Advil, Aleve, ibuprofen, etc.)
  • All aspirin and aspirin containing products, unless a cardiac stent is present or advised by your physician.
  • Blood-thinning medications (i.e. Aggrenox, Coumadin, Persantine, Plavix, Ginkoba, Xarelto, Eliquis, fish oil etc.) if acceptable with the prescribing physician.
  • TYLENOL IS ACCEPTABLE.
  • Vitamin C, E & multivitamins.
  • If you use insulin contact your endocrinologist for coverage instructions.

TWO DAYS PRIOR TO THE PROCEDURE:

  • Purchase 10 ounces citrate of magnesia, (1) 238 gram bottle of Miralax (you may find this over-the-counter as a "14-day" bottle), (2) Dulcolax tablets, and (1) 64-oz (2-quart) bottle of Gatorade (Not red or purple) or other electrolyte-containing solution (G-2, propel, etc.)

ONE DAY PRIOR TO THE PROCEDURE:

  • Refrigerate the Gatorade or electrolyte solution of your choice
  • Do not eat any solid food. Drink only clear liquids from the list provided. Try to drink at least 8-10 glasses of this fluid throughout the day.
  • At 3PM take the Dulcolax (Bisacodyl) tablets with 8 oz of clear liquid. Timing of laxative results is not always predictable; however, in general, efforts should be made to have access to a bathroom within one hour.
  • At 6PM mix the entire bottle of Miralax in the 64-oz bottle of Gatorade or other electrolyte containing solution. Make sure the powder is well dissolved.
  • Drink one 8 oz glass of Miralax solution every 10-15 minutes until it is finished.
  • Continue to drink as much clear liquid as possible until bedtime.

THE MORNING OF THE PROCEDURE:

  • You may have clear liquids the day of the exam provided that you finish all liquids, including water, four hours prior to your scheduled procedure time, IF NOT, YOUR PROCEDURE MAY BE CANCELLED.
  • Arrive with your escort, 10 minutes before procedure if scheduled at the office and 45 minutes before procedure for the hospital. Please make arrangements for transportation home from the procedure. You cannot drive yourself home or take a taxi.
  • Take usual medications the morning of the procedure, unless otherwise indicated by your physician (i.e. heart or blood pressure medication, with a sip of water).
  • If you use inhalers, please take them with you to the procedure.
  • Take 10 ounces citrate of magnesia 4-6 hours prior to the exam or an additional 32 ounces of Miralax/Gotorade mixture.

CLEAR LIQUID DIET:

  • Clear Sodas (Ginger Ale, Cola, 7-Up, Setlzer)
  • Clear Juices Without Pulp (Apple, Cranberry, White)
  • Coffee or Tea (Without Milk or Cream)
  • Jello (Not Red or Purple)
  • Gatorade or Kool-Aid (Not Red or Purple)
  • Ice Pops (Not Red or Purple)
  • Clear Broths and Bouillons
  • Iced Tea
  • Water

PLEASE DO NOT SMOKE AT ALL ON THE DAY OF YOUR PROCEDURE!