MIRALAX for Procedures Before 11:15 am

It is important to follow all of the instructions in this prep.  If you do not, your procedure will be delayed or rescheduled.

Medications

You may stay on all of your regular medications, vitamins and/or herbal supplements except Diabetes Medication, Iron and Blood Thinning Medications.  You do not need to stop Aspirin

Blood Thinning Medications:
Stop Eliquis, Xarelto, Pradaxa and Brillinta.  You will be instructed how long to stop these medications by your Gastroenterologist or the provider who manages these       medications.
Stop Plavix (clopidogrel) 7 days prior to your procedure unless otherwise instructed by your Gastroenterologist or the provider who manages this medication. 
Stop Coumadin (warfarin) 4 days prior to your procedure unless otherwise instructed by your Gastroenterologist or the provider who manages this medication.

Diabetes Medications: Do not take your diabetes medication on the morning of your procedure unless instructed by your Gastroenterologist or the provider who               manages these medications.

Iron:  Stop Iron pills 5 days prior to your procedure.

Four Days Before Your Colonoscopy

Purchase MIRALAX 238 gram bottle and Dulcolax laxative pills or Milk of Magnesia
Eat a low-fiber diet.  Avoid eating raw vegetables, nuts and seeds.  Avoid alcohol.

Two Days Before Your Colonoscopy

Take 2 tablespoons of Milk of Magnesia after dinner OR 2 Dulcolax tablets at bedtime.

The Day Before Your Colonoscopy

You must be on a clear liquid diet the entire day before your colonoscopy.  Drink only clear liquids and eat no solid food.
In the morning, mix the entire bottle of MIRALAX with either 64 ounces (8 cups) of Crystal Light Lemonade or Gatorade (not red or purple) and refrigerate.

At 2 pm - Take 2 Dulcolax tablets or 2 Tablespoons on Milk of Magnesia.  Continue drinking clear liquids.
At 4 pm - Drink 64 ounces of the prepared MIRALAX.  Drink about 8 ounces every 20 - 30 minutes.  Continue drinking clear liquids.

Diarrhea is normal and will last a few hours after you have finished drinking the MIRALAX but everyone's body is different, so times will vary.  Your bowel is "clean" when your bowel movements are translucent yellow/green and there is no brown stool.

The Day of Your Colonoscopy

You may drink clear liquids until 4 hours before your procedure.  Do not drink vanilla boost on the day of your procedure.

Morning medications, except those listed below, may be taken up to 4 hours before your procedure with a small sip of clear liquid.

Do not take the following medications on the morning of your procedure:
     ACE Inhibitors:  Lotensin (benazepril), Vasotec (enalapril), Prinivil/Zestril (lisinopril), Univasc (moexipril), Aceon (perindopril). Accupril (quinapril), Altace (ramipril),
          Mavik (trandolapril), captopril, fosinopril
     Angiotensin II Receptor Antagonists:  Edarbi (azilsartin), Atacand (candesartan), Teveten (eprosartan), Avapro (irbesartan), Cozaar (losartan), Benicar (olmesartan),
          Micardis (telmisartan), Diovan (valsartan)

You will be given a something to drink and a snack when you are awake and alert after your procedure.  You may return to your normal diet after your procedure unless otherwise instructed upon discharge.