VOL. 57 NO. 3 2016 JMSMA

Page 43

TABLE 2. BOWEL PREPARATION ADMINISTRATION INSTRUCTIONS PREPARATION

TRADITIONAL DOSE REGIMEN

Golytely, Colyte, Nulytely, Trilyte, Gavilyte-C,G,N18-24

Mix contents in 4 lt water; flavoring available; can be chilled; drink 240 ml every 10-15 minutes.

YES Take 4 lts on the evening before procedure within 4 hrs.

YES* Take 2-3 lts on the evening before colonoscopy within 2-3 hrs & 1-2 lts on the morning of procedure within 1-2 hrs with last dose at least 2 hrs before colonoscopy.

YES* Take 4 lts on the morning of procedure within 4 hrs with last dose at least 2 hrs before colonoscopy.

Moviprep16

There are 2 A pouches and 2 B pouches; mix 1 pouch A & 1 pouch B in 1 lt water each time; additional clear liquid intake required.

YES On the evening before colonoscopy, take this 1 lt solution over 1 hr (240 ml every 15 minutes) and 2 hrs later, take another 1 lt over 1 hr; take 1 lt clear liquid over after this.

YES Take each 1 lt solution over 1 hr on the evening before procedure and the morning of colonoscopy; drink 500 ml clear liquid over 1 hr after each dose; last fluid intake should be at least 2 hrs before colonoscopy.

YES* Take both doses 2 hrs apart and drink 1 lt clear liquid over 2 hrs after this; last fluid intake should be at least 2 hrs before colonoscopy.

Gavilyte-H25

Mix contents in 2 lt water; flavoring available; can be chilled; take 240 ml every 10-15 minutes.

YES Take 5 mg bisacodyl at noon; after a bowel movement or 6 hrs (whichever is earlier), drink 2 lts within 2 hrs.

YES* Take 5 mg bisacodyl at noon; after a bowel movement or 6 hrs (whichever is earlier), drink 1 lt over 1 hr on the evening before colonoscopy & 1 lt over 1 hr on the morning of procedure with last dose at least 2 hrs before colonoscopy.

YES* Take 5 mg bisacodyl at bedtime; after 6 hrs, drink 2 lts over 2 hrs on the morning of colonoscopy with last dose at least 2 hrs before procedure.

Magnesium citrate (+/-) PEG-ELS/NaP*

Dose varies between 1-3 bottles (each 300 ml); can be taken by itself or combined with PEG-ELS or NaP; additional 1-2 lt fluid intake recommended.

YES On the evening before colonoscopy, take 3 bottles over 1-2 hours & drink 1-2 lt clear liquid.

YES On the evening before colonoscopy, take 1-2 bottles along with 1 lt clear liquid; on the morning of procedure, take 1-2 bottles (or) 2 lt PEG-ELS (or) 12-16 tabs NaP along with last fluid intake 2 hr before colonoscopy.

YES On the morning of procedure, take either 3 bottles along with excess fluid or a combination of 1-3 bottles & 2 lt PEG-ELS with last fluid intake at least 2 hr before procedure.

Gatorade (+) Miralax*

Mix 238 gm or 306 gm of Miralax in 64 ounces of Gatorade

YES Take 2 lts on the evening before procedure within 2 hrs.

YES take 1 lt within 1 hr on the evening of procedure & 1 lt within 1 hr on the morning of colonoscopy with last dose at least 2 hrs before procedure.

YES Take 2 lts within 2 hrs on the morning of colonoscopy with last dose at least 2 hrs before procedure.

AGENT

SPLIT DOSE REGIMEN

MORNING ONLY REGIMEN

* Not FDA approved but used.

JOURNAL MSMA

97


Turn static files into dynamic content formats.

Create a flipbook
Issuu converts static files into: digital portfolios, online yearbooks, online catalogs, digital photo albums and more. Sign up and create your flipbook.