COLONOSCOPY / EUS
GLYCOLAX / GATORADE PREP
*Immediately purchase 4 Dulcolax (Bisacodyl) laxative tablets (non-prescription) in the laxative section of the pharmacy, along
with the 255 gram bottle of Glycolax at your requested pharmacy, and 64 oz of Gatorade (NO red or purple
Heart of Lancaster Regional Medical Center Lancaster Regional Medical Center
(Only those checked apply to you)
___Take all your medications as usual (including blood pressure and cardiac) ___Stop Coumadin___days prior to your procedure. Stop taking on______. ___Stop iron or iron-containing medication for ___days prior to your procedure. Stop taking on _______________. ___No NSAIDs (non-steroidal anti-inflammatory drugs) such as Naproxen (Aleve), Ibuprofen (Motrin or Advil), or similar
medications___days prior to your procedure. Stop taking on________________.
___Special diabetic medications instructions: _________________________________________________________________
___Other instructions: ___________________________________________________________________________________ DAY BEFORE PROCEDURE
: NO SOLID FOODS FOR ENTIRE DAY, ONLY FULL AND CLEAR LIQUIDS FROM LISTS
BELOW-STARTS FROM THE TIME YOU ARISE.
1. Mix bowel preparation of 255 gm/Glycolax with 64 ounces of Gatorade (NO red or purple). Refrigerate.
2. Drink a minimum
of one gallon of fluids throughout the day, drawing from both lists below. Drink more if you can. There is no
limit to how much you can drink. FULL LIQUIDS ALLOWED
Cream, custard, smooth pudding, milk, milkshakes, plain ice cream, plain yogurt, frozen yogurt, sherbert, cream soups
including tomato soup (strain out solids), Slim Fast and/or Ensure. You may have milk in coffee/tea until 6pm.
CLEAR LIQUIDS ALLOWED
Water, coffee or tea without milk, clear fruit juices (apple, white grape, white cranberry), Jell-O without fruit (no red or
),Gatorade, Kool Aid, Hi C, Italian Ice, ice pops, sodas (diet or regular), ginger ale, Sprite, 7-Up and broth.
items must be smooth. Avoid items with seeds or nuts a few days prior. No
red or purple items except for tomato soup. No
3. Take the four Dulcolax tablets at 2 PM. 4. At 6 PM, start drinking the prep. Drink an 8 oz. glass every 15 minutes, until you have taken in half of the mixed prep. Drink
each glass quickly. It will take approximately one hour to complete.
5. After drinking the first half of prep, refrigerate the remaining half of prep solution. Continue drinking CLEAR LIQUIDS ONLY
at this time through the evening. Taking in at least 16 more ounces. Drink more if you can.
DAY OF PRCEDURE:
1. At ______ (4 hours before leaving your home), begin drinking the remaining second half of the prep. Drink an 8 oz glass
every 15 minutes until the container is empty. Once finished with the bowel prep, you are to have nothing else by
mouth. NO water, gum, mints, etc. If you do not follow these instructions, you are at risk for having your procedure
Please call RGAL at 717-544-3400 or visit or websitfor frequently asked questions. Reviewed by: ____________________________________________
2104 HARRISBURG PIKE, SUITE 300
PO BOX 3200
LANCASTER, PA 17604-3200
4140 OREGON PIKE
EPHRATA, PA 17522
FAX (717) 544-3408
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