Preparation for Colonoscopy

Preparation instructions for a colonoscopy can vary depending on your health and other special considerations. If you are unsure as to which procedure is right for you, consult your doctor or call us for more information. Select which tab best applies to you:

No Health Problems

7 Days Prior To The Procedure

– Go to the pharmacy and purchase the following over-the-counter medications:

– 1 bottle of MAGNESIUM CITRATE

– 1 box of PICO-SALAX or PURG-ODAN (contains 2 sachets)

– Stop taking the following over-the-counter medications: IRON, VITAMIN E, GINKO, GINGER and GARLIC

5 Days Prior To The Procedure

Stop taking PLAVIX, TICLID, You must check with the prescribing physician to obtain permission to stop these medications prior to the procedure.

4 Days Prior To The Procedure

Stop taking COUMADIN (Please consult with your doctor for permission to stop)

2 Days Prior To The Procedure

– Stop NSAIDS (Motrin, Advil, Celebrex)
– Stop taking fiber supplements (Metamucil, Fibersure), flaxseeds, fruits with seeds (kiwi), nuts, popcorn, and seeds

Day Before The Procedure

– Stop Xarelto, Pradaxa, Eliquis or any other anticoagulation drug. Please obtain permission from your doctor prior to stopping your medication.

– Your last solid meal is a light breakfast. Remain on a clear liquid diet (have a minimum of 2L of fluid) during the day of preparation

– No red or purple coloured fluids. The following are acceptable:
– Juices (apple, white grape, white cranberry, orange and grapefruit without pulp)
– Water
– Soft drinks
– Tea, coffee without milk or cream
Gatorade (recommended)
– Clear soup/broth – no noodles or rice
– Popsicles (not red/purple coloured)
– Jello

– First sachet at 2pm
– Empty contents of the first packet into a mug or large cup
– Add 150 mls (5ozs) cold water and stir frequently for 2-3 minutes to dissolve the laxative (mixture may heat up)
– Continue stirring as it cools, then drink the mixture
– Drink 4 large glasses (250ml x 4 or 8 ozs x 4) of water/clear liquids within the next hour
– Continue to drink 1 large glass (250ml or 8 oz) of water/clear liquid every hour until bedtime. You may drink until 2 hours prior to the procedure
– You will have an urgency for bowel movements. This may take up to 5 hours to begin

Take the 2nd sachet at 7pm, as directed above (keep drinking clear liquids to prevent dehydration)
– Once bowel movements start, they will be watery. Your last bowel movement should be watery and clear.

Day Of The Procedure

– At 5am, morning of the procedure take a 1/2 bottle of Magnesium Citrate

– Stop drinking fluids 2 hours before your procedure

– Arrive 30 minutes before your appointment

Do not take your high blood pressure medications

– Do not take your usual dose of INSULIN check with your primary care physician on ways to manage diabetes during your preparation for the procedure.

– You must be accompanied by a responsible adult who can take you home after your procedure.To ensure your safe discharge, your accompanying adult must escort you out of the Endovision premises. Taxi or Uber is acceptable. There are no exceptions. Failure to comply with this will result in our inability to perform the procedure under sedation, or we will not perform the procedure at all. If this is the case please reschedule your procedure for a time when you can fulfill this requirement.

– Please bring with you:

– a list of your medications and allergies

– If you have an ostomy, bring your supplies with you, should you need to change

– Contact information for the responsible adult who will be taking you home

– The name and fax number of your referring physician

Chronic Constipation

7 Days Prior To The Procedure

– Go to the pharmacy and purchase the following over-the-counter medications:

– 1 bottle of MAGNESIUM CITRATE

– 2 boxes of PICO-SALAX or PURG-ODAN (contains 2 sachets per box)

– Stop taking the following over-the-counter medications: IRON, VITAMIN E, GINKO, GINGER and GARLIC

5 Days Prior To The Procedure

Stop taking PLAVIX, TICLID, AGGRENOX. You must check with the prescribing physician to obtain permission to stop these medications prior to the procedure.

4 Days Prior To The Procedure

Stop taking COUMADIN (Please consult with your doctor for permission to stop)

2 Days Prior To The Procedure

Stop NSAIDS (Motrin, Advil, Celebrex)
– Stop taking fiber supplements (Metamucil, Fibersure), flaxseeds, fruits with seeds (kiwi), nuts, popcorn, and seeds

– Your last solid meal is lunch 

– First sachet at 2pm

– Second sachet at 7pm

– Empty contents of the first packet into a mug or large cup

– Add 150 mls (5ozs) cold water and stir frequently for 2-3 minutes to dissolve the laxative (mixture may heat up)

– Continue stirring as it cools, then drink the mixture

– Drink 4 large glasses (250ml x4 or 8 ozs x 4) of water/clear liquids within the next hour

– Continue to drink 1 large glass (250ml or 8 oz) of water/clear liquid every hour until bedtime. You may drink until 2 hours prior to the procedure

– You will have an urgency for bowel movements. This may take up to 5 hours to begin

Day Before The Procedure

– Stop Xarelto, Pradaxa, Eliquis or any other anticoagulation drug. Please obtain permission from your doctor prior to stopping your medication.

– Clear Liquids for breakfast, lunch and supper….No solid food

– Remain on a clear liquid diet (have a minimum of 2L of fluid) during the day of preparation

– First sachet at 2pm

– Second sachet at 7pm (keep drinking clear liquids to prevent dehydration)

– No red or purple coloured fluids. The following are acceptable:
– Juices (apple, white grape, white cranberry, orange and grapefruit without pulp)
– Water
– Soft drinks
– Tea, coffee without milk or cream
Gatorade (recommended)
– Clear soup/broth – no noodles or rice
– Popsicles (not red/purple coloured)
– Jello

Day Of The Procedure

– 1 bottle of Magnesium Citrate at 5am, and keep drinking clear liquids

– Stop drinking fluids 2 hours before your procedure

– Once bowel movements start, they will be watery. Your last bowel movement should be watery and clear.

– Arrive 30 minutes before your appointment

Do not take your high blood pressure medications

– Do not take your usual dose of INSULIN. Check with your primary care physician on ways to manage diabetes during your preparation for the procedure.

– You must be accompanied by a responsible adult who can take you home after your procedure.To ensure your safe discharge, your accompanying adult must escort you out of the Endovision premises. Taxi or Uber is acceptable. There are no exceptions. Failure to comply with this will result in our inability to perform the procedure under sedation, or we will not perform the procedure at all. If this is the case please reschedule your procedure for a time when you can fulfill this requirement.

– Please bring with you:

– a list of your medications and allergies

– If you have an ostomy, bring your supplies with you, should you need to change

– Contact information for the responsible adult who will be taking you home

– The name and fax number of your referring physician

Cardiac or Kidney Problems

7 Days Prior To The Procedure

– Go to the pharmacy and purchase the following over-the-counter medications:

– 1 box of Bi-Peglyte

– Stop taking the following over-the-counter medications: IRON, VITAMIN E, GINKO, GINGER and GARLIC

5 Days Prior To The Procedure

Stop taking PLAVIX, TICLID, AGGRENOX. You must check with the prescribing physician to obtain permission to stop these medications prior to the procedure.

4 Days Prior To The Procedure

Stop taking COUMADIN (Please consult with your doctor for permission to stop)

– Stop eating nuts and seeds (includes flaxseeds, fruits

– with seeds (kiwi) and popcorn)

2 Days Prior To The Procedure

Stop NSAIDS (Motrin, Advil, Celebrex)
– Stop taking fiber supplements (Metamucil, Fibersure)

Stop taking Pradaxa, Eliquis or Xarelto or any other anticoagulant medication. Please obtain permission to stop these drugs from your prescribing physician

– Your last solid meal is a light dinner

Day Before The Procedure

– Remain on a clear liquid diet (have a minimum of 2L of fluid) during the day of preparation

– No red or purple coloured fluids. The following are acceptable:
– Clear, pulp-free fruit juices (apple, white grape, white cranberry, lemonade)
– Water
– Ginger Ale, 7-Up, Sprite, Kool-Aid, iced tea
– Tea, herbal tea, coffee without milk products/substitutes
– Electrolyte Gastro, Gatorade, Powerade (recommended)
– Clear soup/broth – no noodles or rice
– Popsicles (not red/purple coloured)
– Jello

– At 12pm, take 3 bisacodyl tablets (15mg) with water. Do not chew or crush.

Prepare the Bi-Peglyte solution as follows. Dissolve each sachet in 1 litre (32oz) of water and mix rapidly. No additional ingredients should be added to the solution (flavouring). Refrigerate the solution as chilling improves the taste. You are taking 2 litres or 64 oz of fluid.

– At 6pm, with or without bowel movement, begin to drink the Bi-Peglyte solution as follows.

– 240ml or 8oz every 10 minutes until the 2 litres (64oz) are finished.

– You must consume all 2 litres of the solution.

Day Of The Procedure

Do not drink coffee or black tea on the morning of your procedure

– Stop drinking fluids 2 hours before your procedure

– Arrive 30 minutes before your appointment

Do not take your high blood pressure medications

– Do not take your usual dose of INSULIN. Check with your primary care physician on ways to manage diabetes during your preparation for the procedure.

– You must be accompanied by a responsible adult who can take you home after your procedure.To ensure your safe discharge, your accompanying adult must escort you out of the Endovision premises. Taxi or Uber is acceptable. There are no exceptions. Failure to comply with this will result in our inability to perform the procedure under sedation, or we will not perform the procedure at all. If this is the case please reschedule your procedure for a time when you can fulfill this requirement.

– Please bring with you:

– a list of your medications and allergies

– If you have an ostomy, bring your supplies with you, should you need to change

– Contact information for the responsible adult who will be taking you home

– The name and fax number of your referring physician