BEFORE YOUR COLONOSCOPY

• If you take a beta blocker, you can take that the day of colonoscopy with a sip of water. For all other medications, please ask your prescribing doctor on what to do.

• If you are on a blood thinner (or you are told to take aspirin by your doctor), this is typically stopped 1 to 7 days before colonoscopy. ASK YOU PRESCRIBING DOCTOR HOW LONG TO HOLD YOUR BLOOD THINNER PRIOR TO YOUR PROCEDURE.

1.  Milk of Magnesia
2. Dulcolax (oral or rectal tablets) - you will need 4 tablets of this
3. MiraLAX - 238g bottle (if doing Option 1 below)

3 Days Before Your Colonoscopy

• Follow a soft diet (see below for more information on a soft diet)
•  At bedtime: Take a dose of Milk of Magnesia

2 Days Before Your Colonoscopy

• Continue the soft diet (see below for more information on a soft diet) 
• At bedtime: Take a dose of Milk of Magnesia        

On the Day Before Your Colonoscopy     

• 10 am: Drink only CLEAR LIQUIDS starting now             
• 3 pm: Start to drink the entire 238g bottle of MiraLAX. Mix the bottle with 64 ounces of liquid (you can use Gatorade). You can mix it all ahead of time or do it as your go along. You can mix and match liquids as you  would like as long as they are clear and not red. You need to finish all of the MiraLAX by 11pm.
• 4 pm: Take 4 tablets of Dulcolax (oral or rectal) 

• This options splits drinking the MiraLAX into half at night and half in the morning. It has been shown to cleanse the bowel better.
• You need to drink the entire bottle of MiraLAX by three hours before the procedure.
• Make sure your doctor approves this preparation option as some facilities will not allow you to continue drinking this close to your procedure time.

 For patients who have difficulty getting clean

3 Days Before Your Colonoscopy

• Follow a soft diet (see below for more information on a soft diet)
• At bedtime: Take a dose of Milk of Magnesia 

2 Days Before Your Colonoscopy 

• 10 am: Drink only CLEAR LIQUIDS starting now
• 5:30 pm: Drink about 1/3 - 1/2 bottle of MiraLAX - 238g bottle. Mix the powder with 34 ounces (1 liter) of your liquid of choice (you can use Gatorade). You can mix it all ahead of time or do it as your go along. You can mix and match liquids as you would like as long as they are clear and not red.   
• 6 pm - 9 pm: Drink 8 ounces of clear liquids every hour      
• 9:30 pm: Take 4 Dulcolax tablets with water by mouth      

The DAY Before Your Colonoscopy        

• Continue on a clear liquid diet (see below for more information on a clear liquid diet) until your colonoscopy
• Continue to drink the entire 238g bottle of MiraLAX. You need to finish all of the MiraLAX by 11 pm.      
• 4 pm: Take 4 tablets of Dulcolax (oral or rectal)
• Nothing to eat or drink after 11 pm except the magnesium citrate. 
• 6 hours before your colonoscopy: drink the 10 ounce bottle Magnesium Citrate Laxative Solution 

3 Days Before Your Colonoscopy

• Follow a soft diet (see below for more information on a soft diet)
• At bedtime: Take a dose of Milk of Magnesia

2 Days Before Your Colonoscopy

• Continue the soft diet (see below for more information on a soft diet)
• At bedtime: Take a dose of Milk of Magnesia

On the Day Before Your Colonoscopy

• 10 am: Drink only CLEAR LIQUIDS starting now
• 4 pm: Take 4 tablets of Dulcolax (oral or rectal)
• 6 pm: 1st Suprep: 

1. Pour one 6-ounce bottle of SUPREP liquid into the mixing container
2. Add cool water to the 16-ounce line on the container and mix
3. Drink all the liquid in the container
4. Drink two more 16-ounce glasses of water over the next hour

• 11 pm: 2nd Suprep: Repeat steps 1-4 as above. Nothing to eat or drink  after this time except a sip of water with medication if instructed to do so. 

CLEAR LIQUIDS include: Water Clear fruit juice without pulp (apple, white grape, white cranberry) Lemonade (without pulp) Clear broth Coffee or tea (without cream) Sports drink (not red, purple or blue); brands include Gatorade, Powerade, All Sport, etc. Carbonated soft drinks (7UP, sprite)   

SOFT DIET Includes: Non-alcoholic beverages, any Soft breads and rolls, crackers, cereals (must not have seeds, nuts, dried fruit, avoid coarse bran cereals). Cakes, pudding, (must not have nuts, seeds, dried fruit, or coconut). Fruit juices, cooked or canned fruit, banana or other ripe soft fruits without seeds. All lean, tender meats, poultry, fish Eggs, mild cheeses. Potatoes, white rice, pasta. Soups made with allowed foods from this list. Hard candy, seedless jams, chocolate, are all allowed   

HELPFUL HINTS: You may add crystal light lemonade to the laxative prep. We recommend adding it one glass at a time. It is better to drink the prep quickly-try using a straw. You may suck on hard candy or chew gum between glasses.   it doesn’t exist. Clearly list and describe the services you offer. Also, be sure to showcase a premium service.