Miralax AM Prep

Please read through all the following information.  Contact the office if you have any questions.

It is important that you contact the office at least two weeks ahead of your colonoscopy and let us know if you take Coumadin, Warfarin, Plavix, Eliquis, Xarelto or Pradaxa.  You will be given specific instructions regarding blood work and medication dosages in preparation for your colonosocpy.

If you are diabetic, you may need to adjust your insulin or oral medication.  Prior to your colonoscopoy please consult with the MD who cares for your diabetes for any temporary changes to your dosing and schedule.

Because of the sedation, you must have someone drive or accompany you home, no exceptions. If you plan to take a taxi, you must have a person ride home with you. You cannot drive, operate machinery, nor should you sign any legal documents the day of your procedure. 

Check with your insurance company prior to your procedure to assure that you understand your insurance benefits and coverage.  Your colonoscopy is considered to be a screening or routine if have you have no GI symptoms.  If you are experiencing GI symptoms (i.e. abdominal pain, bleeding, diarrhea, constipation, anemia) your colonoscopy is considered to be diagnostic.   If a polyp or tissue is removed during the procedure your colonoscopy may no longer be considered a screening but a surgical procedure.    Information on insurance claims adheres to your medical record.

Purchase at your pharmacy prior to your procedure:

-Miralax powder 8.3 oz (238g)  or the generic equivalent (ask your pharmacist to be sure)

-Plenty of clear liquids that include:  coffee or tea without dairy/non-dairy creamers; all carbonated beverages and non carbonated beverages such as Gatorade or vitamin water, fruit juices without pulp, broths, jello, popsicles and Italian ice.  Avoid any clear liquid that is red or purple in color such as cranberry or grape juice.

- (Optional): Aloe baby wipes, Desitin ointment for perirectal irritation, straws.  Drinking yur prep solution using a straw sometimes is helpful.

 Miralax or the generic solution are laxatives.   The medicines will cause multiple bowel movements.  They may cause cramps, gas or nausea.  It may start to work in as little as 30 minutes, but it can several hours.  You should stay within close reach of toilet facilities.  You must take the whole mixture of the Miralax or generic solution to complete the prep.

The day before your colonoscopy:  take all your medications as scheduled.    Mix the bottle of Miralax powder in 64 oz of a clear liquid, mix until dissolved, refrigerate

DO NOT CONSUME ANY SOLID FOOD OR MILK.  You are to drink 64 oz of clear liquid over the day, at least 8-12 oz of clear liquids each hour. Some of these should contain sugar, even if you are a diabetic. You may have  gum and hard candies.  It is  best to avoid alcoholic beverages as these are dehydrating liquids.

6:00- PMDrink  or sip through a straw 8oz of the Miralax or generic solution every 10-15 minutes until half (32 oz) of the solution is gone. Continue to drink 8-12oz of a clear liquid until bedtime.  Anytime  you get up during the night to go to the bathroom, have a drink of clear liquid.

5 hours before your colonoscopy:  Drink  or sip 8oz of the Miralax or generic  solution every 10-15 minutes until the remaining 32 oz of  the solution is gone.  You must drink it all.

Nothing  to drink for the four hours before the exam your colonoscopy.  You can take all necessary medications the morning of your colonoscopy with a sip of water except for diuretics such as Lasix, hydrochlorothiazide or any medication ending in HCT.  You can take those specific medications after your procedure.


Please plan three hours from drop off to discharge though this estimate may vary from patient to patient.  Every attempt is made to adhere to the schedule though there are occasions when unavoidably the schedule may run behind.  Your patience and understanding are appreciated.

***Your colonoscopy brings together an endoscopy team that provides you the best possible care available.  If you are not able to keep your procedure appointment we request at least a 72 hour notice.   Less than 72 hours may result in a $50 cancellation fee.***