Colonoscopy Preparation Instructions: Miralax Patient InstructionsServices

Very Important

  • Read and familiarize yourself with all the prep instructions.
  • Call the office with any questions or concerns at 814-453-2777.
  • Discuss diabetes and blood thinner medications with the physicians that prescribed them
  • You will need to purchase 238 gm bottle of Miralax , 4 Dulcolax tablets and 64 oz of Gatorade, Powerade, Propel, etc. (all items sold over the counter)  

One week before the colonoscopy

  • Stop all iron-containing supplements and vitamins
  • Stop Plavix medication; if applicable

Five days before the colonoscopy

  • Stop all Aspirin, Coumadin (Warfarin), and Motrin-type (NSAID) drugs
  • Avoid fiber supplements as well as high fiber/multigrain foods

One day before the colonoscopy

  • A very light breakfast is allowed until 8 a.m. (toast, bagel, cereal type of foods) (no fruits or vegetables allowed)
  • Take two Dulcolax tablets after breakfast
  • Unlimited clear liquids are allowed until midnight before the colonoscopy
  • Avoid all mannitol, lactulose, sorbitol and xylose sweeteners until after the procedure
  • At noon, or as soon as you return home from work, start drinking the miralax solution
  • Miralax should be mixed in clear liquids only (Recommended solutions include 64 oz of Powerade, Powerade Zero, Gatorade, G2 or equivalents.)
  • Mix the entire bottle of Miralax with 64 oz of liquid, 8 oz taken every 15-20 minutes until entirely consumed
  • The clean out process usually takes 4-8 hours
  • If nausea develops, take a one-hour break and then resume the prep
  • Hard candy and lollipops between Miralax doses helps suppress nausea
  • You may continue to take clear liquids after the Miralax is completed
  • Take two additional Dulcolax tablets two hours before the planned bedtime
  • Do not eat or drink anything after midnight or the exam may have to be cancelled  

On the day of the procedure

  • Take your morning medications with a sip of water
  • Wear loose fitting, comfortable clothing
  • Avoid body powders/lotions
  • Bring a list of your current medications and allergies
  • Bring a photo ID and up to date insurance information

Preparación de Miralax para colonoscopía y cirugía