Charles E. McBride, M.D. 

Colonoscopy MoviPrep

Preparation for a Colonoscopy

Please go to your local pharmacy to fill your MoviPrep prescription.  It is not sold over the counter.

You will receive IV sedation for your procedure, so it is necessary to arrange for a responsible adult to transport you home.  The Surgery Center will not release you to a non-medical transportation service, such as a bus or taxi.  You can anticipate being at the Surgery Center for approximately 3 hours.  

Restrictions:
Aspirin:  Stop taking aspirin 7 days prior to your procedure, unless directed otherwise.  Also try to avoid Advil, Motrin, or other arthritis medications for 1 week prior to your procedure. If this is not feasible, try to stop for a minimum of 3 days.  Tylenol is permitted.
Coumadin/Plavix:   Stop coumadin/plavix for 3 days prior to your procedure, unless otherwise directed.  
Blood pressure Medicine:  Continue blood pressure medications, including the day of your procedure.  You may take it with a small amount of water.  
Diabetes Medications:  All oral medications (pills to control your diabetes) should be taken on the day preceding the procedure, but should not be taken the day of your procedure.  

3 Days Prior to the Exam:  
Do not eat beans, collard greens, corn, dried fruit, kale, nuts, popcorn, raisins, seeds, or spinach.  You may eat canned fruit, or fruits without a peel.  Fiber supplements and iron preparations should be avoided during this time.  

Items Needed for Laxative Prep:
1.  Moviprep Kit (the kit contains 4 pouches (2 "A" pouches/2 "B" pouches), and a  disposable container for mixing.

Day Prior to the Exam:
This is the day you prepare for your procedure.  Upon waking, drink only clear liquids all day -  no solid food allowed.  Clear liquids may include water, coffee, carbonated beverages (Coke,Diet Coke, Ginger Ale, 7-Up, Sprite, etc.), Jell-O gelatin without food additives, ice, popsicles, clear fruit juices, broth, bouillon, Gatorade, or Powerade.  Try to avoid any red-colored liquids, as these may cause and appearance of redness and inflammation during examination.  Milk or vanilla milkshakes may be enjoyed the day prior to your procedure.   No yogurt is recommended.

Step 1:  
Mix the first portion of the Moviprep solution in the morning, the day prior to your procedure.
Empty 1 pouch "A" and 1 pouch "B" into the disposable container.  
Add lukewarm drinking water to the top fill line of the container.
Mix to dissolve.
Refrigerate the solution in the morning, so it will be cold by the time you start drinking, around 6:00 pm.  
You may add a tea bag to enhance the taste, if desired.  

Step 2:  
At 6:00 p.m. the evening prior to your procedure, begin drinking the first portion of the solution.  The Moviprep container has four marks, dividing the solution into quarters.  Every 15 minutes, drink the solution down to the next mark (approximately 8 ounces), until the full liter has been consumed (approximately 7:00 p.m.).
Next, drink 16 ounces of a clear liquid of your choice (excluding milk/shakes).  You may continue to drink clear liquids until bedtime.

Step 3:
At 7:00 p.m., mix the second portion of the Moviprep solution.
Empty 1 pouch "A" and 1 pouch "B" into the disposable container.
Add lukewarm drinking water to the top fill line of the container.
Mix to dissolve.
Refrigerate the solution, so it is cold by the time you start drinking, around 10:00 p.m.  
You may add a tea bag to enhance the taste, if desired.

Step 4:
At 10:00 p.m. the evening prior to your procedure, begin drinking the second portion of the solution.
The Moviprep container has four marks, dividing the solution into quarters.  Every 15 minutes, drink the solution down to the next mark (approximately 8 ounces), until the full liter has been consumed (approximately 11:00 p.m.).
Next, drink 16 ounces of a clear liquid of your choice (excluding milk/shakes).  

It is very important that your colon be as clean as possible, and that you do your very best to drink the entire prep.

Morning procedures:  Do not eat or drink after midnight.  You may take blood pressure medications with a small amount of water, the morning of your procedure.

Afternoon procedures:  If your arrival time is scheduled for 11:00 a.m. or later, you may drink clear liquids (excluding milk/shakes) until 9:00 a.m.  You may take blood pressure medications with a small amount of water, the morning of your procedure.

Due to the necessity of staffing requirements for outpatient procedures, cancellations for any unforeseen circumstance require a mandatory 3-day notice prior to your scheduled procedure time.  Failure to do so may result in a cancellation fee that your insurance will not cover.
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