TRILYTE WITH BISACODYL TABLETS PREP INSTRUCTIONS
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Please be
aware that if you do not prep as directed your procedure will
be cancelled.
THE MORNING OF THE PROCEDURE:
Do
NOT Eat or Drink ANYTHING the Day of the Test,
EXCEPT:
1.)
Your second
dose of the bowel prep, or:
2.)
Your morning
medicines with a small sip of water at least 4 hours before
the exam. DO NOT
CHEW GUM, HARD CANDY, or SMOKE Unless given other
instructions.
This also includes inhalers.
Bring a
current list of medicines and doses with you.
HMO insured patients may require a referral or
precertification.
You will need to bring your insurance cards, referral, and
co-pay at the time of the visit.
THE
TEST WILL BE CANCELLED IF:
1) You have no one to drive you home (A bus or taxi is not
acceptable),
2) IF you eat any food the day of the test,
3) IF you drink any fluids less than 4 hours before the test.
7 DAYS PRIOR TO YOUR EXAM:
Stop taking all aspirin and aspirin products (see attached
list). Tylenol is permitted before the test. Discontinue any
other medications only if directed by the office. Specific
Instructions for special situations such as diabetes are
given on the Medicine Instruction Sheet.
The WHOLE DAY BEFORE THE EXAM:
Clear Liquids ONLY for breakfast, lunch and dinner.
NO Solid Foods or Alcoholic Beverages.
NO red or purple colored drinks, please. You may have
Gatorade, Water Ice, Popsicles, Ginger Ale, 7-Up, Sprite,
Coke, Pepsi, or Any soda, Jello (yellow or green) and
chicken or beef broth. You may have black coffee and tea.
You may use sugar/sweetener.
Milk and cream are NOT allowed in the coffee or tea.
You may continue to drink clear liquids up until midnight of
the day before the colonoscopy.
The MORNING OF THE PROCEDURE:
Do NOT Eat or Drink ANYTHING the day of the test,
EXCEPT:
1.) Your second dose of the bowel prep, or
2.) Your morning medicines with a small sip of water at
least 4 hours before the exam.
DO NOT CHEW GUM, HARD CANDY, or SMOKE UNTIL AFTER YOUR
PROCEDURE.
If the test is scheduled after 1 PM then you may have small
sips of water up to 8 AM, then nothing more afterwards.
Your Procedure is scheduled on__________________at______am/pm
YOUR
PROCEDURE WILL BE CANCELLED IF YOU DO NOT FOLLOW THE PREP AS
ABOVE.
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TRILYTE WITH BISACODYL TABLETS PREP INSTRUCTIONS
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HOW TO PREPARE THE SOLUTION:
The solution can be used with or without Flavor Packs.
The Flavor Packs are designed to make the solution taste
better. Prepare the solution as follows:
1) To add flavor, tear open one flavor pack at the
indicated marking and pour contents into the bottle BEFORE
adding water. Discard unused Flavor Packs.
2) SHAKE WELL to incorporate flavoring
into the powder.
3) Add LUKEWARM tap water to the top of the FILL line
marked 4 liters.
4) Replace cap tightly and SHAKE WELL until all
ingredients have dissolved,
and place in the refrigerator.
5) No additional flavorings should be added to the
solution.
The DAY BEFORE THE COLONOSCOPY-
Reminder: Clear liquids ONLY for breakfast,
lunch and dinner. NO Solid Foods or Alcoholic Beverages.
FIRST DOSE (1/2 of the Solution) - Please begin at the
time checked below:
___ Begin after Work, but no later than 7 PM the night
before the colonoscopy.
Take 4 Bisacodyl by 4 PM or when you get home, then drink ˝
of the Solution.
Drink 8 ounces every 10-15 minutes till finished ˝ the
solution.
Mix in the morning of the day you use (as detailed above).
___ Or Begin the day before the colonoscopy at ____am/pm.
Take 4 Bisacodyl 2 hours before beginning to drink the
Trilyte solution.
Mix the night before (as shown below) and place in the
refrigerator.
SECOND DOSE (Remaining 1/2 Solution) – Please begin as
directed below:
Drink 8 ounces every 10-15 minutes till finished and if
the bowels are not clear in 2 hours after finishing call the
office for further instructions.
___ Begin the second dose the evening before the
colonoscopy at ___pm.
___ Begin the second dose the morning of the colonoscopy
starting by ___am
THE SECOND DOSE MUST BE FINISHED 4 HOURS BEFORE ARRIVAL AT
THE CENTER FOR YOUR PROCEDURE
Note: Pour the Trilyte over ice to make it taste
better if it is not cold enough. Drinking through a straw
will also decrease the taste of the Trilyte.
The MORNING OF THE PROCEDURE:
Do NOT Eat or Drink ANYTHING the day of the test,
EXCEPT:
1.) Your second dose of the bowel prep, or
2.) Your morning medicines with a small sip of water at
least 4 hours before the exam.
DO NOT CHEW GUM, HARD CANDY, or SMOKE UNTIL AFTER YOUR
PROCEDURE.
If the test is scheduled after 1 PM then you may have
small sips of water up to 8 AM, then nothing more afterwards.
What are the side effects of TriLyte™ with Flavor Packs?
Common side effects include Nausea, abdominal fullness,
and bloating in up to 50% of patients. Abdominal cramps,
vomiting and anal irritation occur less frequently. Side
effects are temporary and usually subside quickly.
QUESTIONS
ABOUT THE PROCEDURE CALL 609-265-1700
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