Colonoscopy MoviPrep Prep Instructions

Please read all instructions at least 7 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 precertification 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 hospital may cancel your appointment. If unable to care for yourself, you may need someone to assist you for 24 hours after the procedure.

PURCHASE AT THE PHARMACY (at least 3 days before procedure): The MoviPrep prescription. It is important to remember to fill the prescription 3 days prior in the event the pharmacy is out of MoviPrep stock. Also, MoviPrep is covered by most insurance plans, but not all plans.

5 DAYS BEFORE THE PROCEDURE:

  1. Stop taking all aspirin, Ibuprofen, and other arthritis medications, Glucosamine, fish oil, as well as multi-vitamins and iron.
  2. Stop taking blood thinners (Coumadin, Plavix, etc.) unless advised otherwise.
  3. You may take only Tylenol, Celebrax, Ultram, and Methotrexate.

ONE DAY BEFORE THE PROCEDURE:

  1. On this day, you may have a light breakfast before 8:00a.m. Start a clear liquid diet (not red) which includes black coffee, tea, clear fruit juices (apple, white grape), broth, bouillon, Jell-O, Popsicles, or pop.
  2. Start the MoviPrep instructions listed below. Complete steps 1-5 today. Do not complete the Second Dosing Regimen (steps 6-8) today. You will complete steps 6-8 tomorrow morning (the morning of your colonoscopy)
  3. If nauseous during prep, stop for 15-30 minutes. May try 1 tsp lemon juice mixed with 4 ounces of water for nausea. Restart prep. Try using a straw to avoid tasting with your tongue.
  4. If diabetic, take half your insulin dose.
  5. Continue drinking other clear liquids until bedtime. (At least 2 more 8oz. glasses). No solid foods until after your colonoscopy.
  6. You should continue the rest of your routine medications as you always take them.

DAY OF PROCEDURE:

  1. Start the Second Dosing Regimen (steps 6-8) of the Colonoscopy Instructions Using MoviPrep instructions listed below. You may have to wake up very early. This is necessary to maximize the cleanliness of your colon. A clean colon is required for a successful procedure and reduces your risk of repeating the procedure.
  2. Do not eat or drink anything at least 3 hours prior to your arrival time for your procedure.
  3. If you take any other medication, you may take it on the morning of the procedure at least 3 hours before the test with a small amount of water. Call the office if you have any questions about the medication instructions.
  4. If diabetic, do not take your morning dose of insulin or your oral diabetic medications.
  5. Bring a current list of your prescribed medications – including the name and dosage of each one- along with a list of any known drug allergies.
  6. Bring all current insurance cards, photo identification or valid driverʼs license.
  7. If you have any questions please contact our phone nurse. See phone numbers below.

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

MoviPrep is a laxative that cleans out your colon before a colonoscopy. The MoviPrep kit contains 2 packages and a mixing container. Each package contains 1 pouch A and 1 pouch B. Following the instructions below, you will use all 4 pouches to complete your prep. You must complete the entire prep to ensure the most effective cleansing.

It is important that you follow your physicianʼs instructions regarding consumption of clear liquids before your colonoscopy.

mixINSTRUCTIONS FOR MIXING MOVIPREP SOLUTION:

  1. Empty 1 pouch A and 1 pouch B into the disposable container.
  2. Add lukewarm drinking water to the top line of the container. Mix to dissolveIf you prefer, the solution can be refrigerated before drinking. The solution should be used within 24 hours.

FIRST DOSING REGIMEN:

  1. The MoviPrep container is divided by 4 marks. Every 15 minutes, drink the solution down to the next mark (approximately 8 ounces), until the full liter is complete. You may start going to the bathroom after only a couple of glasses, but be sure to drink ALL of the solution.
  2. mix2Drink an additional 16 ounces of the acceptable clear liquid of your choice. This is a necessary step to ensure adequate hydration and an effective prep.
  3. Prepare the second container of MoviPrep by repeating steps 1 and 2.

SECOND DOSING REGIMEN:

  1. The MoviPrep container is divided by 4 marks. Every 15 minutes, drink the solution down to the next mark (approximately 8 ounces), until the full liter is complete. You may start going to the bathroom after only a couple of glasses, but be sure to drink ALL of the solution.
  2. mix3Drink an additional 16 ounces of the acceptable clear liquid of your choice. This is a necessary step to ensure adequate hydration and an effective prep.
  3. Make an effort to drink additional clear liquids until instructed time. At that point, it is important that you do not consume anything until after your colonoscopy.

You must complete the entire prep to ensure the most effective cleansing.

SAFETY CONSIDERATIONS

MoviPrep® (PEG-3350, sodium sulfate, sodium chloride, potassium chloride, sodium ascorbate and ascorbic acid for oral solution) is indicated for cleansing of the colon as a preparation for colonoscopy in adults 18 years of age or older. MoviPrep is contraindicated in patients who have had a severe 

hypersensitivity reaction to any of its components. MoviPrep should be used with caution in patients
using concomitant medications that increase the risk of electrolyte abnormalities, in patients with known or suspected hyponatremia, severe ulcerative colitis, ileus, gastrointestinal obstruction or perforation, gastric retention, toxic colitis, toxic megacolon, or glucose-6-phosphate dehydrogenase deficiency. In clinical trials, abdominal distention, anal discomfort, thirst, nausea, and abdominal pain were the most common adverse reactions to MoviPrep administration. MoviPrep contains a maximum of 2.33 mg of phenylalanine per treatment.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.

If you have additional questions, please consult with your physician or refer to the full Prescribing Information at www.salix.com.