Colonoscopic Preparation - Detailed Instructions Packet 2 - Follow Medication and Diet Guidelines

Sep 27, 2026

This document provides detailed colonoscopy preparation instructions, including appointment logistics, required transport by a responsible adult, and consequences for missed or late cancellations. It lists the specific laxative and solution items to purchase (bisacodyl tablets and polyethylene glycol mixed with an approved sports drink), plus anti-nausea medication options. It also outlines a step-by-step diet plan beginning several days before the procedure, hydration targets, clear liquid restrictions (no red or purple), and exact timing for dosing. Comprehensive medication stop schedules are given for multiple days prior, including diabetes, anticoagulant, and common pain relievers, with guidance on what may be taken closer to the procedure.

LanguageEnglish

CategoryHealthcare

FormatPDF

Pages6

Reading Time15 min

AccessFree to download

Colonoscopy Prep Overview

Appointment and Arrival Requirements

What to Purchase

Medications to Stop (7, 5, 4, 2, and 1 Day Before)

How to Prep (3 Days Before Low Fiber)

How to Prep (2 Days Before Hydration and Light Meal)

How to Prep (Day Before: Option A and Option B)

Morning of Colonoscopy Timing and Allowed Medications

Examples of Clear Liquids and Low Fiber Diet

Chris Stuart, MD Greg Frane, MD Joel Sagedahl, MD Jonathan Tallman, MD Appt. Date Appt. Time Office Location: Crystal office Rogers office Plymouth office 5700 Bottineau Blvd Suite 100 21395 John Milless Dr Suite 100 1495 County Rd. 101 N Crystal, MN 55429 Rogers, MN 55374 Plymouth, MN 55447 Please arrive 15-20 minutes before your appointment. This time is used to prepare you for the procedure. ***you must arrange for a responsible adult to drive you to the appointment and to bring you home. If you do not have a vehicle, you may take a taxi or uber if a responsible adult is present during the ride. If no responsible adult is present, the procedure will be rescheduled, or no medication will be given*** Missed or late cancelled appointments: Colonoscopies must be cancelled at least 7 days in advance or a charge of $300 may be charged for the late cancelled appointment. A procedure nurse will call you 2 weeks before your appointment to review the colonoscopy prep, your health history, medications, and answer any questions you have regarding the procedure. COLONOSCOPY PREP What you will need to purchase: • 4-Bisacodyl tablets (Dulcolax® laxative NOT Dulcolax® stool softener) each tablet contains 5 mg ofbisacodyl. • 1-8.3-ounce bottle of Polyethylene Glycol (PEG) 3350 Powder (MiraLAX, SmoothLAX, ClearLAX or generic equivalent) • 64 oz. Gatorade® /Powerade® (NO red-or purple-colored flavors) Regular Gatorade®, Gatorade G2®, Powerade®, Powerade Zero®, Pedialyte or Propel® . All other colors (yellow, green, orange, blue) are okay. • Ondansetron (Zofran) (anti-nausea) medication will be sent to your pharmacy. MEDICATIONS TO STOP 7 Days Before the Procedure • Phentermine • Dulaglutide (Trulicity®) • Exenatide (Byetta®) • Exenatide extended release (Bydureon®) • Liraglutide (Victoza®) • Lixisenatide (Adlyxin®) • Semaglutide injection (Ozempic®) (Wegovy) • Semaglutide tablets (Rybelsus®) • Mounjaro (Tirzepatide®) (Zepbound®) 5 Days Before the Procedure • Plavix (Clopidogrel) • Coumadin/Warfarin • Ibuprofen, Aleve, Naproxen, Meloxicam, Celebrex, Advil • All Vitamins and Herbal Supplements 4 Days Before the Procedure o Invokana o Farxiga o Jardiance o Steglatro 2 Days Before the Procedure o Arixtra®/Fondaparinux o Pradaxa®/Dabigatran o Xarelto®/Rivaroxaban 1 Day Before the Procedure • Metformin • Savaysa®/Edoxaban • Lovenox®/Enoxaparin • Eliquis®/Apixaban How to prep foryour Colonoscopy 3 Days before your Colonoscopy: *Begin a low fiber diet. NO raw fruit or vegetables (cooked fruits or vegetables are ok). NO whole wheat or high fiber foods. No nuts, popcorn, bran, or bulking agents. *Drink at least 8 – 8-ounce glasses of water throughout the day. 2 Days before your Colonoscopy: *Drink at least 8-8-ounce glasses of water throughout the day. Eat a light evening meal. *NO SOLID FOODS AFTER MIDNIGHT The day before your Colonoscopy: -Two options available Option A – Entire prep completed the evening before your procedure *Begin a clear liquid diet. NO RED or PURPLE liquids. Water, clear broth or bouillon, coffee or tea without creamer or milk, Gatorade, Pedialyte, clear carbonated drinks, Kool-Aid, jello, clear fruit juices, popsicles and hard candy is ok to have if they are NOT RED or PURPLE. *Around 12:00pm take the four (4) Bisacodyl 5mg (Dulcolax) tablets with 8oz of water. Do NOT chew or crush the pills. *Mix the whole bottle of Miralax with the 64 ounces of Gatorade and place in the refrigerator * Consider taking Ondansetron (anti-nausea medication) before starting Miralax/Gatorade prep. *Between 4:00 and 6:00 pm begin drinking 8-ounce glasses of this mix every 10-15 minutes until it is gone. If you become nauseous you may take a break until the nausea improves. Then continue drinking the Gatorade/Miralax mix until it is gone. *After completely drinking the Gatorade/Miralax mix you should try to drink an additional

FAQs

Why must a responsible adult drive you and bring you home after the procedure?

You are required to arrange for a responsible adult to drive you to the appointment and bring you home. If no responsible adult is present, the procedure may be rescheduled or no medication may be given.

What laxatives and solutions are required for colonoscopy prep?

You will need 4 bisacodyl 5 mg tablets (Dulcolax) and a full bottle of polyethylene glycol (PEG 3350) 3350 powder to mix with 64 oz of Gatorade/Powerade or approved alternatives. Ondansetron (Zofran) anti-nausea medication will be sent to the pharmacy.

What diet and liquid restrictions apply during the days leading up to the colonoscopy?

Start with a low fiber diet 3 days before, avoiding raw fruits/vegetables and high-fiber foods. On the day before, follow a clear liquid diet and avoid any red or purple liquids; no solid foods after midnight.

Sep 27, 2026

Uploaded by Riley West