Miralax Prep for Colonoscopy

Instructions

Click for Printable Directions

Items Needed:

Four Dulcolax tablets

Purchase from pharmacy one 255 gram bottle of Miralax or generic equivalent

Purchase one 64oz. bottle of Gatorade.  (NO RED FLAVORS)

One week prior to procedure:

  • Do NOT stop taking your daily Aspirin or NSAIDs. If you are taking a daily Aspirin or NSAIDS we want you to continue to take your medication. On the day of your procedure you can make your gastroenterologist aware of the medication you are taking and the amount you are taking.
  • If you take a medication to thin your blood (such as Coumadin, Plavix, Pradaxa, Lovenox, Xarelto, Eliquis, Brilinta, Effient, Ticlid, Disgren, Pletal…) you must be seen in our office (can be seen by nurse practitioner or physician assistant) prior to your procedure. At the time of your office visit a plan will be made in conjunction with your prescribing physician about use of your blood thinner.

Stop taking iron and vitamins with iron 5 days before the colonoscopy.

Read and familiarize yourself with the preparation instructions below.

Three days prior to Procedure:

Stop taking any anti-inflammatory such as Ibuprofen, Aleve, Motrin and Advil.

Discontinue fiber supplements, such as Metamucil, Citrucel, Benefiber, fiber-con, etc.  You may continue to eat fiber-containing foods.

One day before procedure:

Start on a clear liquid diet all day!  Do not eat solid food of any kind.

Take you usual prescription medications (except iron).  If you have Diabetes:  You should take your diabetic medications at one half the usual dose.  Monitor your blood sugar at your usual times.

Sometime between 12 Noon and 6:00pm take the 2 Dulcolax tablets.  Please keep in mind that the cleansing process will take 4 to 8 hours or longer so plan your schedule accordingly.

Two hours after taking Dulcolax tablets mix the 255 gram bottle of Miralax in 64 oz of Gatorade.  Shake the solution until the Miralax is dissolved.  Drink 8 oz. every 15-30 minutes until the entire solution is gone.  Continue to drink clear liquids until bedtime.  If you become nauseated during the ingestion of the Miralax pre; stop the prep for 45 minutes then resume.

8pm take 2 Dulcolax tablets

Nothing to eat or drink after midnight.

On the day of the procedure:

If you take heart or blood pressure medications, please take it early in the morning of your procedure with a small amount of water.  If you are diabetic, please DO NOT take your diabetic medication on the day of your procedure (and check with your PCP or endocrinologist regarding diabetic medication). You will be sedated for the procedure.You must have someone drive you home after the procedure or it will not be performed. This is for your safety. You may not take a taxi by yourself or ride the bus.

PLEASE NOTE:

  • Attention Patients scheduled in Digestive Healthcare’s Endoscopy Lab: Your driver must check in and wait for you in the Endoscopy waiting room. It generally takes 1 ½ – 2 hours for a procedure to be completed.
  • Bring your insurance cards and picture ID with you.
  • Bring a list of your medications.
  • Leave your car keys and parking ticket with your driver.
  • If you have any special needs please notify the staff prior to your procedure (Pacemaker, internal defibrillator, latex allergy, need interpreter).
  • Wear comfortable clothes to your procedure. Please wear shoes that will remain on your feet (i.e. No flip flops, sandals or backless shoes)*

If you cannot keep your appointment you must call and cancel the appointment 72 hours prior to the appointment to avoid being charged a cancellation or no show fee of $150.00.

When you receive your statement from this procedure, there will be an invoice for the doctor’s fee, an invoice for the endoscopy center (supplies and nursing care), anesthesia invoice for Propofol and you may receive a separate bill from the Pathology laboratory if biopsies are obtained.

If you have any questions regarding insurance or pre-certification, please call our billing office at 404-603-3543.

**If your insurance does not cover this procedure and you have been notified that there is a deductible or Coinsurance that you need to pay, please bring a credit card (VISA, MC or AMEX only) or a check.

***Digestive Healthcare of Georgia Endoscopy Center is Co-Owned by the physicians of Digestive Healthcare and Piedmont Hospital. ***

The physicians at Digestive Healthcare of Georgia are closely monitoring the coronavirus (COVID-19) outbreak. In the interest of everyone’s health and safety we ask all patients and their guests who have a fever (100° or above), symptoms of a respiratory infection, or who may have traveled to a restricted country or may have been exposed to a person with known COVID-19, the flu or any other communicable disease to reschedule their appointments or procedures. You will not be charged for canceling/rescheduling your appointment. We will be following CDC and Georgia Department of Public Health’s recommendations for screening and management of patients. If you are at all concerned you may have a serious infectious disease, your best course of action is to seek care at your primary care physician’s office or local hospital’s emergency department.

We have implemented a telemedicine visit for our patients who are unable to be in the office for their appointment. Please call our office to schedule a telemedicine visit with your provider.