425 W. Bannock • Boise, Idaho 83702
208.343.6458 phone • 208.343.5031 fax
2235 Gala • Meridian, Idaho 83642
208.887.3724 phone • 208.887.1682 fax
MIRALAX/GATORADE SPLIT DOSE
EXTENDED PREPARATION FOR COLONOSCOPY
Please read these instructions carefully and call the office if you have any questions.
PURCHASE AT THE PHARMACY:
 2 Dulcolax (bisacodyl) 5mg tablets
 238 gram bottle and 119 gram bottle of Miralax (non-prescription)
 96 ounces of Gatorade (three 32 oz. bottles), any flavor except red ones (e.g. x-factor)
FIVE DAYS PRIOR TO YOUR PROCEDURE:
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All aspirin and anti-inflammatory medications including ibuprofen, Motrin, Aleve, naproxen, Naprosyn,
sulindac, piroxicam, Feldene, indomethacin, diclofenac, and Voltaren are to be continued. Tylenol
(acetaminophen) is also safe to continue.
If you are taking Coumadin (warfarin), Plavix (clopidrogrel), Pradaxa (dabigatran), Xarelto (rivaroxaban),
Eliquis (Apixaban) or other blood thinners, please contact our office to determine if an office visit may be
required prior to your procedure to discuss if and when these anticoagulants need to be stopped.
Stop all fiber supplements including Metamucil, Citrucel, Benefiber, FiberChoice and flax seeds. If you
are taking these to treat constipation, take 17g of Miralax daily starting five days prior to your procedure in
place of the fiber. (This will require you to purchase more Miralax than stated above).
If you are diabetic and use insulin, please contact our office for insulin instructions.
Please call our office if you have any questions about which medications you should or should not take.
Avoid nuts and seeds.
ONE DAY PRIOR TO YOUR EXAM:
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Take only clear liquids by mouth. This includes clear juices (apple, grape, strained orange, strained
lemonade), tea, coffee (no creamer or milk), soft drinks, Gatorade/Powerade, clear broth or bouillon, JellO, and popsicles. Do not eat any solid food.
Avoid red drinks, red Jell-O, and dairy products.
Consume large amounts of fluids to avoid hunger or dehydration and assist in cleansing the bowel.
At 10:00 am, take one (1) Dulcolax tablet-you may experience cramps and stools after ingestion.
At 3:00 pm, take another (1) Dulcolax tablet-you may experience cramps and stools after ingestion.
At 5:00 pm, mix the full bottle of Miralax (238 g) into 64 ounces of Gatorade. Shake until completely
dissolved.
Drink one 8 ounce glass every 10-15 minutes until you’ve finished the 64 ounces. This will induce stools.
If no stools occur within 2 hours of completing, please repeat this step. This will require you to purchase
more Miralax and Gatorade.
If you feel nauseous at any time while taking your prep try to drink more slowly, using a straw can
help. If vomiting occurs, please call one of our numbers below for instructions.
Paul H. Baehr, M.D. • Mark J. Dell’Aglio, M.D. • Akshay K. Gupta, M.D. • Christopher W. Hammerle M.D. • Philip D. Jensen, M.D.
Matthew R. Sericati, M.D. • Brian T. Story, M.D. • Bonnie Kim Waite, M.D. • John T. Witte, M.D. • David W. Wood, M.D.
Regina M. Theisen, N.P.-C • Cory A. Shuler, N.P.-C • Jennifer M. Brown, N.P.-C • Renee M. Wilson, P.A.-C • Christine M. Paynter, P.A.-C
425 W. Bannock • Boise, Idaho 83702
208.343.6458 phone • 208.343.5031 fax
2235 Gala • Meridian, Idaho 83642
208.887.3724 phone • 208.887.1682 fax
THE DAY OF THE PROCEDURE:
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Mix the remaining 119 g of Miralax with the remaining 32 ounces of Gatorade. Shake until
completely dissolved. Drink the mixture starting 6 hours before your scheduled appointment time
(i.e. if your appointment is at 10 am, you should start at 4 am. If it is at 1 pm, you should start at 7 am).
Drink 8 ounces every 10-15 minutes. You must finish within 2 hours so that your stomach is empty for
your exam. Other clear liquids in addition to the bowel preparation are encouraged during this time.
DO NOT take anything by mouth for 4 hours prior to your procedure.
After completing the bowel preparation, your stools should be watery and fairly clear. Please contact
our endoscopy department if your stools are not watery or you are concerned with the results of the
preparation.
Meridian Endoscopy Center 208-695-2100 • Boise Endoscopy Center 208-342-7169
After Hours: 208-343-6458
Take your usual prescribed medications with small sips of water. If you are on anti-inflammatory
medications or blood thinners please see instructions above.
Please bring a list of your current medications with the correct dosages to your appointment.
NO DRIVING-Because of the sedatives that you will be given you cannot drive for the remainder of
the day. You may use a taxi after the procedure. You must have someone present to drive you home after
the procedure or we may cancel your exam.
You will be sedated for your procedure. Please plan to avoid making important decisions for the remainder
of the day after your procedure.
We cannot be responsible for your valuables. Please leave them at home.
You are scheduled with Dr.___________________________
Date: ____________________
Check in Time: ____________________
__________Boise Endoscopy Center, 425 W Bannock Street, Boise
__________Meridian Endoscopy Center, 2235 E Gala Street, Meridian
__________St. Luke’s Boise Regional Medical Center, 190 E. Bannock St., Boise-Hospital.
__________St Luke’s Meridian Regional Medical Center, 520 S. Eagle Rd., Meridian-Hospital.
Please check with your insurance company regarding pre-certification. Bring all insurance cards and photo
ID with you. Co-payment is due at the time of service.
Paul H. Baehr, M.D. • Mark J. Dell’Aglio, M.D. • Akshay K. Gupta, M.D. • Christopher W. Hammerle M.D. • Philip D. Jensen, M.D.
Matthew R. Sericati, M.D. • Brian T. Story, M.D. • Bonnie Kim Waite, M.D. • John T. Witte, M.D. • David W. Wood, M.D.
Regina M. Theisen, N.P.-C • Cory A. Shuler, N.P.-C • Jennifer M. Brown, N.P.-C • Renee M. Wilson, P.A.-C • Christine M. Paynter, P.A.-C