A/Prof Stephen Bell
PhD, MBBS, FRACS
Colorectal Surgeon
Stephen Bell Colorectal Surgeon Malvern | Colorectalsurgeon | Victoria
INSTRUCTIONS FOR COLONOSCOPY PREPARATION WITH PREPKIT C / PREPKIT ORANGE:
You will need to purchase 1 Glycoprep-C 70g sachet and 2 Picoprep 15.5g sachets from the pharmacy (no prescription required). The success of your examination depends on the bowel being as clear as possible; therefore it is necessary to follow the instructions carefully to avoid having to repeat the examination.
If you take anticoagulants (eg. Warfarin) or regular Aspirin, Fish Oil or Iron, we need to know before you start the bowel preparation as these may need to be modified. If you are diabetic we need to also discuss your treatment. Continue with all other regular medications.
Individual responses to laxatives do vary.
This preparation usually induces frequent, loose bowel movements within 2 – 3 hours of taking a dose. Please remain within easy reach of toilet facilities. It is important to make sure you have plenty of fluid to avoid dehydration.
TWO DAYS PRIOR TO PROCEDURE
Stop eating red meat, brown bread, cereals, fruit and vegetables. Do not have anything with seeds in it. Do not eat yellow cheese. You may eat boiled or poached egg, cottage cheese, low fat plain yoghurt, white bread, steamed white fish, boiled chicken, well cooked peeled pumpkin and potato. You may have clear jelly, skim milk and drink plentiful *approved clear liquids.
DAY PRIOR TO PROCEDURE
Breakfast can be eaten as normal. You may drink clear liquids only from 10 am until 12 midnight. At 4 pm the bowel preparation begins. Once you commence the bowel preparation, drink only *approved clear liquids and do not have any solid foods. Milk or milk products are not allowed.
Prior to commencing Prepkit C add entire contents of ONE sachet of Picoprep in a glass of warm water (approx. 250 ml) and stir until dissolved. Place in refrigerator to chill. The SECOND sachet of Picoprep can then be added to a glass of warm water and stirred until dissolved and placed in refrigerator to chill. Dilute entire pack of Glycoprep-C 70g in a litre of warm water and stir until dissolved. This can be made up in the morning or earlier in afternoon and also placed in the refrigerator to chill.
Morning Colonoscopy:
First dose: 4.00pm
Drink one glass of Picoprep mixture slowly but completely. Follow with as many glasses of *approved clear liquids over the next hour.
Second dose : 5.00 pm
You should drink a glass of the Glycoprep every 15 minutes. Total intake time should take 1 hour in duration. If you start to feel nauseated whilst drinking the preparation, slow down the rate of intake. A drinking staw can often be helpful.
Third dose: 6.00 pm
You should now drink the second glass of Picoprep. This should be followed by at least two glasses of water or approved clear fluids over the next hour.
You are to stop fluids at midnight.
Afternoon Colonoscopy:
First dose: 6.00pm
Drink one glass of Picoprep mixture slowly but completely. Follow with as many glasses of *approved clear liquids over the next hour.
Second dose : 8.00 pm
You should drink a glass of the Glycoprep every 15 minutes. Total intake time should take 1 hour in duration. If you start to feel nauseated whilst drinking the preparation, slow down the rate of intake. A drinking staw can often be helpful.
Third dose: 6.30 am (to finish by 7:30 am)You should now drink the second glass of Picoprep. This should be followed by at least two glasses of water or approved clear fluids over the next hour.You are to stop fluids at 7:30 am
*Approved clear liquids: Water, clear fruit juices (not red or purple), black tea or coffee (no milk), Bonox, clear soups or broth, jelly, clear fruit cordial (not red), soft drinks, Gatorade, Gastrolyte.