Colonoscopy MiraLax Prep Instructions

Please read all instructions at least 14 days before your procedure.

(Click on the Print link to the right to print a copy of these instructions.  You can also click on the Email link to email them to yourself or a friend.)

CHECK WITH YOUR INSURANCE COMPANY:
Ensure we are a participating provider, that your procedure is covered, and what your out of pocket cost will be. You may be required to get pre-certification and/or pre-authorization. Be sure to ask about any fees charged by the facility and anesthesiologist. Procedure code range is CPT 45378 through 45385, G0105 and G0121.

NO DRIVING:
You cannot drive, use a taxi, or a bus after the procedure. You must be accompanied by an adult during your entire stay. If you fail to do so, the medical facility may cancel your appointment. You need someone to assist you for the 24 hours after the procedure. 

PURCHASE AT THE PHARMACY: 4 Dulcolax laxative tablets,1 MiraLax (polyethylene glycolax) 238 gram bottle, and 64 ounces of a non-red beverage, such as Gatorade or Powerade, 7Up, Sprite or ginger ale (diet or regular), lemonade, or tea.

14 DAYS BEFORE THE PROCEDURE:

  1. Stop taking all diet aids such as Phentermine, Hydroxycut, Slimquick or any natural diet supplement.

DIETARY INSTRUCTION:

  1. Seven (7) days before procedure stop eating salads, popcorn, corn, black beans, nuts, seeds and oatmeal.

MEDICATION INSTRUCTIONS:

  1. Stop taking all blood thinners (Asipirin 325mg, Coumadin, Plavix, Pradaxa, Effient, etc.). We will contact prescribing physician to obtain clearance. We will inform you of the instructions.
  2. Five (5) days before procedure stop taking all ibuprofen, Mortin, Glucosamine, fish oil, flax seed oil, Lovaza, iron, vitamin E, vitamin C, arthritis medications as well as multi-vitamins.
  3. You may take Tylenol, Celebrex, Ultram, Methotrexate and Aspirini 81mg, if you are already taking this.

ONE DAY BEFORE THE PROCEDURE:

  1. On this day, you may have breakfast before 9:00 a.m. Start clear liquid diet which includes black coffee or tea, clear fruit juices (apple or white grape), broth or bouillon, Jello, Popsicles and pop that does not contain red coloring.
  2. 3:00pm: Take 4 Dulcolax tablets.
  3. 5:00pm: Mix 238 grams MiraLax with 64 oz of non-red beverage until dissolved. Drink 8 oz every 10-15 minutes, until solution is gone. May be chilled if preferred.
  4. If nauseous during prep, stop for ½ hour. May try 1 teaspoon lemon juice mixed with 4 oz of water to help with symptoms. Restart prep after ½ hour.
  5. If diabetic, take half of your insulin dose.
  6. Continue drinking clear liquids until bedtime.

DAY OF PROCEDURE:

  1. If you are diabetic, do not take your morning dose of insulin or your oral diabetic medications. 
  2. Nothing to eat or drink 8 hours prior to procedure. However, if you take any other medication, you may take it on the morning of the procedure 3 hours before your arrival for procedure with a small amount of water. Please take blood pressure and heart medications such as beta blockers. Call the office if you have any questions about the medication instructions.
  3. Please leave all jewelry and valuables at home.
  4. Bring all current insurance cards, a photo identification or valid driver's license. Also bring a current list of your over the counter medications, including vitamins and prscribed medication - including the name and dosage of each one - along with a list of any known drug allergies.
  5. No driving after your procedure. You cannot drive, use a taxi or ride a bus after the procedure. You must be accompanied by an adult during your entire stay. If this procedure is not followed, your procedure may be cancelled.

Please provide 72 business hours notice to avoid a late cancellation fee of $75.