Bowel Cleansers
| BOWEL CLEANSERS | ||||||
|---|---|---|---|---|---|---|
| Generic & Class | Strength | Brand & Company | Formulations* | Usual Dose | Notes | |
| HYPEROSMOTICS | ||||||
| monobasic sodium phosphate | 19g | Fleet Enema
Fleet, C.B., Co. |
OTC | enema | Adults: 1 enema rectally daily; may be used up to 7 days. Results
usually within 1–5min; reevaluate if no relief after 7 days.
Children: Use other forms. |
• Per 118mL • Latex free • Contains sodium 4.4g per enema |
| dibasic sodium phosphate | 7g | |||||
| monobasic sodium phosphate | 19g | Fleet Enema Extra
Fleet, C.B., Co. |
• Per 197mL • Latex free • Contains sodium 4.4g per enema |
|||
| dibasic sodium phosphate | 7g | |||||
| ISOSMOTICS | ||||||
| polyethylene glycol 3350 | 60g | Colyte
Meda |
Rx | pwd for reconstitution | Adults: After fasting for 3–4 hrs, 240mL orally
every 10min or 20–30mL/min by NG tube until fecal discharge is clear. Usual dose
3–4L.
Children: Not recommended |
• Per L of soln • Only clear liquids until exam |
| sodium chloride | 1.46g | |||||
| potassium chloride | 0.745g | |||||
| sodium bicarbonate | 1.68g | |||||
| sodium sulfate | 5.68g | |||||
| polyethylene glycol 3350 | 60g | Colyte w. Flavor Packs
Meda |
pwd for reconstitution (add 1 flavor pack before reconstitution) |
• Per L of soln • Flavor 0.805g/pack • Only clear liquids until exam |
||
| sodium chloride | 1.46g | |||||
| potassium chloride | 0.745g | |||||
| sodium bicarbonate | 1.68g | |||||
| sodium sulfate | 5.68g | |||||
| polyethylene glycol 3350 | 236g | GoLYTELY
Braintree Laboratories |
Rx | pwd for reconstitution | Adults: No solid food for at least 2 hrs, then 240mL
orally every 10min or 20–30mL/min by NG tube until rectal effluent is clear or 4L
consumed. May interrupt if severe GI disturbances occur.
Children: Not recommended |
• Per 4L of soln • Only clear liquids until exam |
| sodium chloride | 5.86g | |||||
| potassium chloride | 2.97g | |||||
| sodium bicarbonate | 6.74g | |||||
| sodium sulfate | 22.74g | |||||
| polyethylene glycol 3350 | 420g | TriLyte w. Flavor Packs
UCB |
Rx | pwd for reconstitution (add 1 flavor pack before reconstitution) | Adults: After fasting for 3–4 hrs, 240mL orally
every 10min or 20–30mL/min by NG tube until rectal discharge is clear or 4L
consumed. May interrupt if severe GI disturbances occur.
Children: <6months: not recommended. ≥6months: No solid food for at least 2 hrs, then 25mL/kg/hr orally or by NG tube until rectal discharge is clear or 4L consumed. May interrupt if severe GI disturbances occur. |
• Per 4L of soln • Flavor 3.22g/pack • Only clear liquids until exam |
| sodium chloride | 11.2g | |||||
| potassium chloride | 1.48g | |||||
| sodium bicarbonate | 5.72g | |||||
| ISOSMOTIC BOWEL CLEANSER + STIMULANT LAXATIVE | ||||||
| polyethylene glycol 3350 | 210g | HalfLytely w. Flavor Packs
Braintree Laboratories |
Rx | pwd for reconstitution (add 1 flavor pack before reconstitution) + bisacodyl (1 e-c delayed-release tab) | Adults: No solid food on day of prep. Take 1 bisacodyl
tab (swallow whole). After 1st bowel movement (up to 6 hrs later) drink 240mL soln
every 10 minutes until 2 liters consumed. May interrupt if severe GI disturbances occur.
Children: Not recommended |
• Per 2L of soln |
| sodium chloride | 5.6g | |||||
| potassium chloride | 0.74g | |||||
| sodium bicarbonate | 2.86g | |||||
| bisacodyl | 5mg | |||||
| OSMOTICS | ||||||
| polyethylene glycol | 200g | MoviPrep
Salix |
Rx | pwd for reconstitution | ≥18yrs: No solid food from start of prep. For both
regimens start the evening before colonoscopy. Split-dose regimen: drink 240mL every 15min
over 1hr until 1L consumed, then 0.5L of clear liquid; in the AM, drink 2nd liter
over 1hr, then 0.5L of clear liquid at least 1hr before colonoscopy; or, Evening-only regimen:
start at 6pm, drink 240mL every 15min over 1hr until 1L consumed, then drink 2nd
liter 1.5hrs later over 1hr; in addition, drink 1L of clear liquid.
<18yrs: not recommended. |
• Per 2L of soln • Contains phenylalanine 2.33mg |
| sodium sulfate | 15g | |||||
| sodium chloride | 5.38g | |||||
| potassium chloride | 2.03g | |||||
| ascorbic acid | 9.4g | |||||
| sodium ascorbate | 11.8g | |||||
| polyethylene glycol 3350 | 420g | NuLYTELY
Braintree Laboratories |
Rx | pwd for reconstitution | Adults: No solid food for at least 2 hrs, then
240mL orally every 10min or 20–30mL/min by NG tube until rectal effluent is clear or
4L consumed. May interrupt if severe GI disturbances occur.
Children: <6months: not recommended. ≥6months: No solid food for at least 2 hrs, then 25mL/kg per hour orally or by NG tube until rectal effluent is clear or 4L consumed. May interrupt if severe GI disturbances occur. |
• Per 4L of soln • Only clear liquids until exam |
| sodium bicarbonate | 5.72g | |||||
| sodium chloride | 11.2g | |||||
| potassium chloride | 1.48g | |||||
| sodium phosphate (as monobasic monohydrate and dibasic anhydrous) | 1.5g | Osmoprep
Salix |
Rx | tabs | ≥18yrs: Evening before colonoscopy: 4 tabs with 8oz of clear
liq every 15 mins for a total of 20 tabs; repeat on day of colonoscopy 3–5 hrs
before procedure for a total of 12 tabs. Wait 7 days before retreating.
<18yrs: not recommended. |
|
| sodium sulfate | 17.5g | Suprep
Braintree Laboratories |
Rx | soln for dilution | Adults: Start the evening before colonoscopy. Dilute
1 bottle to 16oz with water and drink entire amount. Drink 32oz of water over the next hour.
Next morning: repeat using the second bottle. Complete prep at least 1 hour before colonoscopy.
Children: Not recommended |
• Per 6oz of soln |
| potassium sulfate | 3.13g | |||||
| magnesium sulfate | 1.6g | |||||
| sodium phosphate (as monobasic monohydrate and dibasic anhydrous | 1.5g | Visicol
Salix |
Rx | tabs | ≥18yrs: Evening before colonoscopy: 3 tabs with 8oz of
clear liq every 15 mins (last dose is 2 tabs) for a total of 20 tabs; repeat
on day of colonoscopy 3–5 hrs before procedure. Wait 7 days before retreating.
<18yrs: not recommended. |
• Gluten-free |
| STIMULANT + OSMOTIC LAXATIVE | ||||||
| sodium picosulfate | 10mg | Prepopik | Rx | pwd for reconstitution | Adults: Split-Dose regimen (preferred): Take 1st dose evening before
colonoscopy followed by five 8oz drinks of clear liquids before bed. Consume clear liquids within 5hrs. Take 2nd
dose, the next day approximately 5hrs before colonoscopy followed by at least three 8oz drinks of clear liquids.
Day-Before regimen (alternative): Take 1st dose in the afternoon or early evening before colonoscopy followed by five 8oz drinks of clear liquids before the next dose. Take 2nd dose approximately 6hrs later in the late evening, the night before colonoscopy followed by three 8oz drinks of clear liquids before bed. Children: Not established. |
• Per packet • Split-Dose regimen: Consume clear liquids within 5hrs up until 2hrs before procedure. • Day-Before regimen: Consume clear liquids within 5hrs. |
| magnesium oxide | 3.5g | |||||
| anhydrous citric acid | 12g | |||||
| NOTES | ||||||
|
*supp = suppository; e-c = enteric-coated; tabs = tablets; pwd = powder (Rev. 2/2013) |
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