Colonoscopy with miralax mag citrate & dulcolax pm hp

Digestive Health Physicians
Gastroenterology Gastrointestinal Endoscopy Hepatology
(239) 939-9939

You have been scheduled to undergo Colonoscopy. In order for the examination to be successful, your colon must be
completely cleared of stool. For this reason, you must take a laxative preparation the day before the procedure. Please
follow these instructions
carefully. If your colon is not completely clear, it may interfere with the ability to diagnose
your problem and could even require that the test be repeated. This preparation is safe in all patients, including those
with a history of congestive heart failure or kidney failure.
Your procedure is scheduled on:__________________________________________
The Facility you are to report to: Health Park Hospital, Outpatient Surgery
Please arrive for the procedure at: One Hour prior to you scheduled procedure time
You must have someone drive you home. You will be unable to drive for 24 hours.

On the day before your procedure, please mix the entire bottle of Miralax powder with the half gallon bottle
of Gatorade in a large separate container. Allow the powder to dissolve completely. Label this bottle so no
one else accidentally drinks it. For the entire day before the procedure you may have clear liquids only:
no solid foods or milk products. Clear liquids are coffee, tea, soda, water, apple/ white grape juice, broth,
Jell-O, Gatorade, and popsicles. NO RED LIQUIDS. Take only clear liquids all day until you go to bed.
Make sure you drink plenty of fluids so you do not become dehydrated.
Take One (1) 10 ounce bottle of Magnesium Citrate at 5:00 pm
Around 7:30 P.M. take 4 tablets of Dulcolax, and begin drinking the Miralax/Gatorade mixture, drinking an
8 ounce glass every 30 minutes until half of the solution is gone. If you become nauseated, stop for 30
minutes and then resume drinking. You have until midnight to complete the solution. Cap the bottle and put
the remaining solution and refrigerate for the next day.
On the day of your procedure at 7:30 am drink the rest of the Miralax/Gatorade solution. Drink one 8 ounce
glass every 15 until the solution is gone. DO NOT HAVE ANYTHING BY MOUTH AFTER 9:00 am

If you are diabetic, take blood thinners or aspirin, heart, or blood pressure medications, please refer to special
instructions given to you. Please refrain from smoking the day of the procedure. If you are asthmatic, please bring your
inhalers. If you are diabetic, please bring your insulin.

Shopping List:

Clear liquids (listed above)
Gatorade ½ gallon (flavor of your choice)
Miralax 238 gram bottle or Generic Brand - Glycolax
4 tablets of Dulcolax (Laxative, Brand only) available over the counter
One (1) 10 ounce bottle of Magnesium Citrate

Please call our office if you have any questions about these instructions 239-939-9939 press 4


Pii: s0140-6736(98)04058-6

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