NuLYTELY/Generic Alternative Colonoscopy Prep

1. Complete your health history. Be sure your check your email (and spam folders) for a message with a link to our online patient portal. Follow the instructions in this email to complete your patient health history. This step is essential in order for us to ensure excellent care. If you do not have access to the internet, a nurse will be calling you to go over your health history. Please have the following ready: a list of current medications, your surgical history and family history.

2. Pick-up your Nulytely/generic alternative prep at designated pharmacy.

3. Purchase Miralax or the generic Polyethylene Glycol 3350 in a 8.3oz or larger bottle. This is over the counter and usually available at all pharmacies.

4. If you have a new medical diagnosis or become ill between now and your scheduled procedure, please call us so we can evaluate a possible need to reschedule.

5. If you start antibiotics and will be on them at time of procedure please call to reschedule your appointment. Your procedure will not be able to be performed if you are taking an antibiotic.

Please begin a LOW RESIDUE DIET.

1. Start Miralax or the generic Polyethylene Glycol 3350
   1. Take 1 dose twice a day for 5 days, then stop on the day your prep begins
2. Start a LOW RESIDUE DIET.
3. Drink plenty of fluids including juice, broth, and sports drinks with potassium and other electrolytes to avoid dehydration and electrolyte imbalance

1. You may have a low residue breakfast and lunch.
2. At 1:00 PM, start a CLEAR LIQUID DIET and remain on clear liquids until 2 hours before your procedure.
   1. Avoid red, orange, and purple-colored liquids which can mimic blood
   2. Avoid alcohol for 24 hours before your procedure
   3. Diabetic patients:
      1. If taking oral medications, stop your oral diabetic medications when you change your diet to clear liquids
      2. If taking insulin:
         1. If on long-acting insulin, cut your long-acting insulin in half when changing your diet to clear liquids
         2. If on short-acting insult, use a sliding scale when changing your diet to clear liquids
         3. If using an insulin pump, manage as usual
3. At 5:00 pm mix the gallon jug as directed on the bottle. You may refrigerate after thoroughly mixed. Drink 2 liters (HALF) of the jug, at the rate of one 8 oz. glass every 10-15 minutes. It is very important to drink each glass more rapidly than sipping small amounts at a time.
4. You may use yellow or white hard candy or gum while drinking the prep to help with the taste but stop chewing gum or sucking on candy 2 hours prior to the procedure
5. Continue to drink plenty of fluids including juice, broth, and sports drinks with potassium and other electrolytes to avoid dehydration and electrolyte imbalance. 

PLEASE BRING THE FOLLOWING:

1. Insurance Cards and Photo ID
2. Medication List
3. A DESIGNATED DRIVER: You will need to arrange for a ride home after the procedure from a friend or family member. We do not allow rides from
   public transportation due to concerns for your safety.