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Preparation for Colonoscopy with MoviPrep

SEVEN DAYS BEFORE THE PROCEDURE

Medication restriction

1.     Diabetics taking insulin will need dose adjustment the day before the exam. Please get advice from your physician. For diabetics only taking diabetic pills, simply stop the pills one day before the procedure (see below).

2.     Coumadin should be held for three days before the procedure if possible. This needs approval from the doctor who is responsible for prescribing the Coumadin.

3.     Aspirin (or aspirin-containing pills) and/or Plavix should be stopped for seven days. Do not stop these medicines if you have had a heart attack, angina, heart stent, or stroke. If you have had a heart attack, angina, heart stent or stroke, do not take aspirin the day before the procedure. All arthritis medication, Tylenol, and other prescription medications are okay to take.

Items to Purchase

1.     Fill the prescription for MoviPrep (check for discount coupon). MoviPrep contains NutraSweet/aspartame; if this is a problem call us before filling the prescription.

2.    Any hemorrhoid ointment for anal discomfort (if needed). This does not require a prescription.

 
THREE DAYS BEFORE THE PROCEDURE
1.     No seeds, nuts, popcorn or peels from fruits and vegetables.
 
ONE DAY BEFORE THE PROCEDURE
  1. Have 2 eggs or 1 yogurt (any kind), or 1 ensure for breakfast and lunch, then clear liquids only for the remainder of the day. 
  2. You cannot have milk or orange juice for the entire day. 
  3. Drink as much as you can to prevent dehydration. You may have bouillon, broth, black coffee (sugar is okay), tea, juice (apple is best), Gatorade, lemonade, soda, water, Popsicles and Jell-O. No red, purple, or orange colored Jell-O, juice or soda. These colors may turn the colon red and appear as blood. Your procedure may be cancelled if you take red, purple or orange colored liquids. 
  4. You may have clear candy (such as Lifesavers, Jolly Ranchers). 
  5. Do not take oral diabetic pills.

Timing for preparation (Day before the colonoscopy). 
This is a 2 liter prep divided into two 1 liter sessions

Beginning at 5:00 p.m. (first liter)

1.     Empty 1 Pouch A and 1 Pouch B into the disposable container. Add water to the top line of the container and a squeeze of lemon and sugar (to taste). Mix to dissolve. You may mix the solution in the morning and refrigerate for better taste.

2.     The MoviPrep container is divided by 4 marks. Every 15 minutes, drink the solution down to the next mark (approximately 8 oz), until the container is empty.

3.     Drink 16 oz of the clear liquid of your choice.

Beginning at 9:00 p.m.  (second liter)

1.     Repeat steps 1, 2 and 3. 

2.     If the procedure is scheduled after noon, take the second liter of MoviPrep at 6:00 a.m.the morning of the procedure and not at 9 pm.

 
**To view MoviPrep’s simple dosing and easy to follow patient instruction video go to:
     1. www.salix.com
     2. click on products, click on MoviPrep,

     3. scroll down and click on Patient Instruction Video

DAY OF PROCEDURE

1.     Have nothing to drink 6 hours before the procedure, including water.

2.     You should take your medication on the morning of the procedure with sips of water.

3.     Arrive at your scheduled appointment time.

4.     Bring a list of your medications, insurance cards and photo ID.

5.     After the procedure you must have a responsible adult drive you home.

6.     It is best if your driver waits for you at the endoscopy center. You may be dropped off and picked up by a responsible person approximately one and a half hours later.

7.     You may not drive or work until the next day. Taking a cab home is not an option. 

QUESTIONS OR PROBLEMS 

1.     Daytime phone number is (314) 997-0554.

2.     After hours number is (314) 388-6578.

3.     Internet website address is www.Gidoctor.net

IMPORTANT INFORMATION ABOUT SEDATION

Intravenous sedatives used for endoscopic procedures include Fentanyl and Propofol. These medications provide amnesia and pain relief. You are breathing on your own. It is not considered general anesthesia. The only reason not to receive Propofol are pregnancy, egg allergy and soy allergy.