3 Day Nulytely Vigorous Preparation Instructions

3-Day vigorous procedure preparation

Colonoscopy examination requires a bowel prep prior to the procedure. It’s very important to have a clean colon, without retained stool, to ensure the best examination results. By the end of your bowel prep your stool should be liquid, either clear or yellow in color. If your stool remains brown at the end of your prep there will be decreased visualization of your colon, and chances are that your exam will need to be rescheduled. Read and follow the instructions below carefully. If instructions are not followed, your physician may not be able to complete your procedure.

Special instructions for patients to which the following applies:

• Heart Defibrillators:

  • Please call our office immediately to inform the office staff if you have a heart defibrillator. If so, your procedure will need to be scheduled at the hospital setting.

• Blood thinners (examples include Coumadin, Plavix, Eliquis, Xarelto, etc.):

  • If you are on blood thinners, you are required to call our office at (208) 489-1887.
  • Your colonoscopy examination may need to be repeated if a large polyp is found while taking blood thinners.

• Diabetes/Weight Loss Medication:

  • If you are taking medications for diabetes, please call your primary care doctor to inform them that you are having a colonoscopy examination. Ask them if your medication doses need to be adjusted and if so, how to adjust them during your colonoscopy preparation and on the day of your procedure.
  • Remember to check your blood sugars frequently throughout the day before your colonoscopy procedure and on the day of your colonoscopy procedure.
  • GLP1(Glucagon-Like Peptide-1) - Weight Loss Medications (Trulicity, Bydureon, Byetta, Saxenda, Victoza, Adlyzin, Ozempic, Wegovy, Rybelsus)
    • If GLP1 dose is daily, DO NOT take on day of procedure.
    • If GLP1 dose is weekly, DO NOT if procedure is within 7 days.

• Peritoneal Dialysis:

  • Your check in time may change if you are receiving peritoneal dialysis. You are required to call our office at (208)489-1887 prior to your appointment.

Instructions:

Bowel Preparation Instructions

3 Day Vigorous Prep - Special Golytely, Nulytely, Trilyte, Gavalyte /Dulcolax Split Dose: Prescription Required

• Three Days before procedure:
  • 1.
    For breakfast, you may have a full liquid meal and as many clear liquids as you can tolerate.
  • 2. After breakfast, you may only consume clear liquids.
  • 3. 7:00 am: Take 2 oz. Milk of Magnesia.
  • 4. 4:00 pm: Take 2 oz. Milk of Magnesia.
  • 5. 7:00 pm: Take 2 Dulcolax (bisacodyl) tablets.
• Two Days before your procedure:
  • 1. 3:00 pm: Take 2 Dulcolax 5mg tablets.
  • 2. 5:00 pm: Mix the ENTIRE bottle of Nulytely/Golytely powder by filling the container to the 4-liter line with purchased Gatorade or any clear liquid of your choice and shake the solution until the powder dissolves.
  • 3. Drink one glass (8 oz.) of the solution every 5-10 minutes until the whole solution is gone. Completing within 1-2 hours. This will start inducing loose stools.
• Day before your procedure:
  • 1.
    3:00 pm: Take 2 Dulcolax 5mg tablets. Mix the prep solution with water per product or pharmacy instructions, refrigerate.
  • 2.
    5:00 pm: Drink one glass (8oz.) every 5-10 minutes until halfof the solution is gone (about 2 liters). Complete within 1-2 hours.
  • 3.
    Place remainder of prep in refrigerator to complete the next morning.
• Day of procedure:
  • 1.
    Starting at least FOURhours prior to your scheduled procedure time, drink one glass (8oz.) every 5-10 minutes until the prep is completed. If you have an early morning procedure, you will need to get up in the middle of the night to complete the required bowl prep.
  • 2.
    Remember, you will need to complete the bowel prep at least TWO hours prior to your scheduled procedure time.
  • 3.
    Absolutely nothing by mout 2 hours prior to your procedure time!