Preparing for your colonoscopy with 2 day polyethylene glycol 3350/miralax and bisacodyl/dulcolax | veterans affairs

* Finish this solution WITHIN 1 HOUR by drinking an 8-ounce glass every 10 to 15 minutes until you finish the bottle. * You may drink other clear liquids after you finish the PEG

3350/MiraLAX and Gatorade, up until midnight. TIP: You may want to buy flushable baby wipes and Vaseline to use during your prep for irritated skin. THE DAY BEFORE YOUR COLONOSCOPY * NO

SOLID FOODS TODAY EITHER! * Drink ONLY clear liquids (liquids you can see through) such as Gatorade, soft drinks, clear juices (without pulp), Kool-Aid, Jell-O, popsicles, clear broth, black

coffee or tea. Drink lots of clear liquids to stay hydrated! The prep will work much better if you are. * DO NOT DRINK milk or dairy products, alcohol, beer, or any clear liquid or Jell-O

that is red, orange, or purple in color. These dyes are difficult for the doctor to see through. * AT 3 P.M., swallow FOUR Dulcolax/bisacodyl tablets with at least 16 ounces of a clear

liquid. * AT 5 P.M., mix 1/2 (one half) of the bottle of PEG 3350/MiraLAX (about 119 grams) in one of the bottles of Gatorade. Shake it well to dissolve. * You may drink cold or

room-temperature Gatorade. Some patients find drinking the prep through a straw helpful. * Finish this solution WITHIN 1 HOUR by drinking an 8-ounce glass every 10 to 15 minutes until you

finish the bottle. PEG 3350/MiraLAX is a laxative that gives you diarrhea. It empties your colon, so the doctor will be able to see its walls and spot any abnormal growths (polyps). * You

may drink other clear liquids after you finish the PEG 3350/MiraLAX and Gatorade, up until midnight. * After midnight DON’T drink anything except what we instruct you to further in these

instructions! TIP: You may want to buy flushable baby wipes and Vaseline to use during your prep due to skin irritation. THE DAY OF YOUR COLONOSCOPY * DO NOT EAT ANY SOLID FOOD TODAY, AND

DRINK CLEAR LIQUIDS ONLY AS INSTRUCTED BELOW! * FIVE HOURS BEFORE LEAVING for your colonoscopy, mix the other 1/2 (one half) of the bottle of PEG 3350/MiraLAX (about 119 grams) in the other

bottle of Gatorade and shake it well to dissolve. * Drink an 8-ounce glass of the solution every 10 to 15 minutes until you finish it. * Take any morning medications you need at least FOUR

HOURS BEFORE your colonoscopy, with a few sips of water to swallow any pills, tablets or capsules. * During the FOUR HOURS BEFORE your colonoscopy, for your own safety, there should be

NOTHING IN YOUR MOUTH, not even chewing gum. * If you have ANYTHING in those four hours, even WATER, your colonoscopy will be delayed or canceled. * Your stool should be clear and yellow,

with no solid particles in it. DO YOU HAVE DIABETES? OR TAKE ANY WEIGHT LOSS/DIET MEDICATION? TAKE SPECIAL CARE WHILE ONLY DRINKING CLEAR LIQUIDS! * Monitor your blood sugar every 4 hours

during your prep time before your colonoscopy. * If you have an insulin pump: Maintain pump as usual and bring all pump equipment and supplies as well as continuous glucose monitor on the

day of the procedure. ORAL DIABETIC MEDICATIONS: Please hold all oral diabetic agents the morning of the procedure. METFORMIN: Hold the night before and the day of the procedure. GSLT2I:

(Canagliflozin,Dapagliflozin,Empagliflozin): hold 3 days prior to the procedure. GLP1R: agonists (Ozempic, Wegovy): Hold oral dose the morning of surgery. Hold weekly injections 1 week(7

days) prior to the procedure. INSULIN: Hold all short acting insulin when on the liquid diet (1- or 2-day colon prep). Decrease the long-acting Insulin 50% the days you are doing the

prep/liquid diet. Take 50% of the normal long-acting dose of insulin on the day of the procedure IF YOU TAKE A MORNING DOSE. Do Not Take short acting insulin on the days of prepping/liquid

diet or day of the procedure. Taking any of the following GLP-1 medications for DIABETES, WEIGHT LOSS, OR ANY OTHER REASON? If taking once daily, stop taking 2 days before procedure. If

taking once weekly, stop at least 7 days before procedure: Dulaglutide, Exenatide, Liraglutide, Lixisenatide, Semaglutide, Tirzepatide. Stop taking Phentermine 7 days before procedure.

Please consult your PCP or Endocrinologist if you think your diabetic or weight loss adjustment may be an issue for you. WHY IS FOLLOWING THE DIRECTIONS SO IMPORTANT? GOOD PREP: POLYPS ARE

EASIER TO SEE