AFTERNOON MAGNESIUM CITRATE PREP
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YOU ARE SCHEDULED TO HAVE A COLONOSCOPY ON __________________________
AT_______ WITH DR. _______________________ (Please arrive 1 hour before your procedure)
Telephone number to your Physician (212) _______________________
PURCHASE AT THE PHARMACY:
1. Two (2) 5mg Dulcolax Laxative Tablets (bisacodyl – generic name)
2. Two (2) bottles of Magnesium Citrate
ONE WEEK PRIOR TO COLONOSCOPY:
1. Please inform your physician if you are taking blood-thinner medication such as PLAVIX, COUMADIN,
XARELTO, ELIQUIS, PRADAXA, ARTRIXA, TICLID, EFFIENT, BRILLINTA, PERSANTINE, LOVENOX, FRAGMIN,
INNOHEP. Most likely you will be asked to discontinue these medications 3 to 7 days prior to your
procedure. You may also wish to discuss the risks and benefits of temporarily discontinuing these
medications with your family physician or cardiologist. **DO NOT take any Ibuprofen
(Motrin/Advil/Aleve) for 7 days prior to your procedure
2. If you are on an Aspirin regimen, please continue it prior to the procedure as you usually do unless
otherwise advised by your physician.
THREE DAYS BEFORE COLONOSCOPY:
*NO BEANS OR CORN*
ONE DAY PRIOR TO COLONOSCOPY:
1. You are allowed to eat a low residue meal for breakfast (soft food diet), completed by 10AM
Example: eggs (NO fried), cereals (except whole grain and barley), white or seedless rye toast with
butter or margarine, bananas, applesauce, peaches & pears without skin, juice without pulp,
coffee, tea, etc.
2. Following the soft food diet for breakfast NO SOLID FOOD! ONLY CLEAR LIQUIDS FOR THE REST OF
DAY! (examples of clear liquids: apple juice, white grape juice, broth of any kind, ices (that melt into clear
liquids), coffee/tea (no milk), Jell-o, clear juice/soda (no red/purple), 1 plain yogurt (no fruit/preservatives).
PLEASE AVOID RED/PURPLE COLORS. NO ALCOHOLIC BEVERAGES
3. 05:00 pm – Take 2 Dulcolax tablets with 8 ounces of clear liquid
4. Beginning at
05:00PM
06:00PM
07:00PM, drink 1 bottle of magnesium citrate,
followed by 32 ounces of water. (The recommend method would be 4 glassfuls, each about 8 ounces,
each consumed over about 15-20 minutes).
5. Remain close to toilet facilities.
6. You may not have a bowel movement or many bowel movements after taking the first dose of the Magnesium
citrate and water. This does not mean the preparation is not working.
7. Beginning at
06:00AM
07:00AM
08:00AM, drink the other 1 bottle of magnesium
citrate, followed by 32 ounces of water. (The recommend method would be 4 glassfuls, each about 8
ounces, each consumed over about 15-20 minutes).
8. As a reminder, please continue to ONLY CONSUME CLEAR LIQUIDS (NO SOLID FOODS).
9. You may continue your clear liquid diet until three (3) hours prior to your exam. After this you may not
have anything to eat or drink
10. You can expect to have frequent watery bowel movements for between 90 to 120 minutes after completing the
Magnesium Citrate and water
.
11. The ideal “end result” is to have bowel movements that are clear of all debris and have a yellowish tinge.
OTHER IMPORTANT INFORMATION:
1. If you take medication, please continue to take medication for heart disease, high blood pressure or
seizures on the morning of the procedure with a small sip of water.
2. If you are diabetic, do not take your oral diabetic medicines the morning of the procedure. If you use insulin, give
yourself ½ the units the day before exam. Procedure will be canceled if blood glucose level is over 300. Do not
take insulin on the morning of exam
3. The facility where your procedure will be done will specify the time to arrive; it typically is 60 minutes
prior to the planned time of the colonoscopy.
4. It is important to take all of the Magnesium Citrate and water so that the doctor will be able to see your
entire colon clearly.
5. YOU MUST HAVE AN ESCORT TO TAKE YOU HOME AFTER THE PROCEDURE. IF
YOU DO NOT HAVE AN ESCORT, YOUR PROCEDURE WILL BE CANCELLED.
6. ANY QUESTIONS REGARDING ANESTHESIA INCLUDING THE BILLING PLEASE CALL
7. If for any reason you need to cancel your procedure, you must call at least 48 hours in advance to allow other patients to be
scheduled for procedures. Cancellation fees may apply if you do not call to cancel and do not show for your procedure.
8. PLEASE CALL THE NURSES OFFICE AT ___________IF YOU HAVE ANY QUESTIONS.