A colonoscopy is an examination of the lining of the rectum and colon (the large intestine) through a flexible tube called a colonoscope. This allows a specially trained doctor to directly view this area and identify, biopsy, or remove any abnormalities such as polyps. Removal of polyps helps to prevent colon cancer.
Purchase these preparation materials at Piggly Wiggly Pharmacy
Prescription:
Pick up cleansing prescription: 4 liters of Polyethylene Glycol (PEG) Solution
Over the counter:
MiraLAX®: 1 bottle, 238 grams (if your doctor has advised you to use a different prep than MiraLAX®, you will need a prescription).
Dulcolax® (Bisacodyl): 4 pills, 5 mgs each
Gatorade or Crystal Light Lemonade: 64 ounces (two 32 ounce bottles) recommended: green,yellow or clear only
Gas-X / Simethicone - (4 tablets) Generic brands of Simethicone are acceptable. Reg. (125 mg) or Maximum strength (180)
Blood thinners:
If you take aspirin, do not stop taking your aspirin.
If you take NSAIDs, such as Advil®, Motrin®, Celebrex®, or ibuprofen, you may continue to take them as usual.
If you take medication to thin your blood, such as to treat blood clots or to prevent a heart attack or stroke, ask the doctor who prescribes it for you when to stop taking it.
Some examples of blood thinners are: Coumadin® (warfarin), Plavix® (clopidogrel), Ticlid® (ticlopidine hydrochloride), Xarelto® (Rivaroxaban), Pradaxa® (Dabigatran), Eliquis® (Apixaban), and Effient® (Prasugrel).
Do not stop these medications without the consent of your physician. Some endoscopic procedures may be performed while on these medications, others may not.
Iron Supplements:
Ferrous sulfate, gluconate: stop for 7 days prior to your procedure
GLP-1 agonists or SGLT-2 inhibitors:
You will need to stop taking them before your procedure or there is a small risk you could experience a serious reaction.
These medications should be held per the duration of the dosing schedule.
For example, if the patient takes the medication weekly, the dose should be stopped for a week. There are medication examples listed below.
If you do not stop these medications far enough in advance, your colonoscopy may need to be cancelled or rescheduled.
You can take all other medication the morning of your procedure with a small amount of water. You should take your medication at least three hours before your arrival time
Food
Do not eat any solid food for breakfast, lunch, or dinner.
You may have clear broth or bouillon, Jell-O® and ice pops (yellow, green or clear).
Drink
Drink plenty of clear fluids such as: water (still, sparkling, seltzer), broth, apple juice, white grape juice, and diet/regular ginger ale or Sprite®.
Do not have any red, blue or purple foods and drinks.
Do not drink alcohol.
Coffee and tea are OK, no milk or cream.
Do not eat or drink anything the morning of the procedure
Take medications with small sips of water
Do NOT drink any liquids later than 3 hours before your arrival time