You will need to drink a laxative solution called MoviPrep to clean your colon. You must complete the entire prep to ensure the most effective cleansing.
Prior to your procedure you will need to purchase:
1-MoviPrep Kit
1-Reglan tablet (Metoclopramide) optional
2-Dulcolax (Bisacodyl) Tablets (over the counter; no prescription required)
*Be sure to let the nurse know if you are on coumadin, warfarin, or pradaxa as soon as possible.
**5 Days prior to you procedure: Stop oral iron supplements; please avoid sesame seeds and nuts.

***Diabetic medication adjustment: Day before procedure: take your normal am insulin and or oral medication; take 1/2 of pm insulin dose, no oral diabetic medications. Day of procedure: do not take any diabetic medications until after the procedure.

Day before procedure:
Drink clear liquids only for all snacks and meals. NO SOLID FOODS or milk products.
Clear liquid diet: coffee, tea, soft drinks, Jell-O, clear broth, popsicles, clear fruit juice, Gatorade, water, lemonade, Snapple, powdered fruit drinks. Avoid red and purple liquids.
***Important note: staying well hydrated during this prep is extremely important. Force fluids all day prior to and after beginning the bowel prep.

1. Empty 1 pouch A and 1 pouch B into the disposable container
2. Add lukewarm water to the top line of the container. Mix to dissolve. Refrigerate.
   **You do not have to mix the solution ahead of time if you do not wish to refrigerate prior to drinking.
3. At 2 pm: Take both Dulcolax tablets
4. At 4:30 pm: Take Reglan tablet (optional); the prep may cause nausea
   and sometimes vomiting. Reglan taken in advance of the prep should reduce nausea and vomiting.
5. At 5 pm: The MoviPrep container is divided by four marks. Every 15 minutes, drink the solution down to the next mark (approximately 8 ounces), until the full liter is complete.
6. Drink 16 ounces of the clear liquid of your choice.
7. Prepare the second container of MoviPrep and refrigerate.
   *Do not plan to go out anywhere after you have started drinking the prep. The prep will cause diarrhea to cleanse your bowel for the procedure. You may start going to the bathroom after only a couple of glasses, but be sure to drink ALL of the solution.
   * You may wish to use baby wipes or vaseline rather than toilet tissue to protect your rectum from irritation.
8. At 8 pm: Repeat steps 5 and 6 above. You may continue to drink fluids until midnight.

Nothing to eat or drink after midnight.