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Karenwoodsmd.com

Karen L. Woods, MD PA
6560 Fannin, Scurlock Tower Suite 2000
Houston, TX 77030
713-383-7800
www.karenwoodsmd.com

Colyte® or Nulytely® Preparation for: [ ] Colonoscopy
Patient_______________________________________________ Physician
__________________________________
Day_____________Date_______________Procedure Time_______________ Arrival Time
______________________
Please Note: Your arrival time is earlier than your procedure time. This allows for our staff to prepare
you for your
procedure. You MUST have a responsible adult DRIVER to take you home from the procedure. If you do
not have a driver present, your procedure will be cancelled.
You are unable to drive
safely after the sedation medication you will receive for your procedure.
[ ] Medical Center Endoscopy
Scurlock Tower Suite 600
6560 Fannin, Houston TX 77030 Phone 713-796-0500
[ ] Other:______________________________________________________
________ days before your procedure
: _________________________________
_________________________
Day

1. STOP: Blood thinners such as: Heparin®, Lovenox®, Pletal® (cilostazol), Jantoven®,Plavix®,Ticlid®,
Coumadin®, Warfarin® and Persantine®.
Iron Supplements or Multivitamins with Iron. Herbal and Homeopathic supplements. 2. CONTINUE: All other medications that you normally take including Tylenol®, Celebrex®, and Mobic®.
It is important
to continue your medications for your heart, blood pressure, asthma, or other chronic medical conditions
unless otherwise instructed by your physician.
The day before your procedure______________________________ _____________________
1. Patients with Diabetes:
Oral diabetic: Take half your normal dose.
Insulin-dependent diabetic: Take half your normal dose.
2. Drink only clear liquids at breakfast, lunch, and dinner: water, apple juice, popsicles, Jello-
O®, broth,
black coffee, Gatorade®, tea, and soft drinks (no red or purple). You may use only lime,
lemon, banana,
pineapple or peach Jell-O® and popsicles.
3. No solid foods or milk products may be consumed.
4. Drink one bottle of lemon-lime flavored Magnesium Citrate at about 4pm
5. Mix the Colyte® or NuLytley® according to the directions on the container and chill it well.
6. At 5 pm, begin drinking 1 glass (8oz.) of solution every 10-15 minutes until you drink ½ gallon
(64oz). It is
important to drink the entire ½ gallon of Colyte®. Save the remaining ½ gallon for a second dose
tomorrow. You
may drink clear liquids until 2 hours before your procedure. No solid food.

The day of your procedure___________________________________
1. Patients with Diabetes: DO NOT take your diabetic medicine. You may bring them with you.
2. At _____, 5 hours before you leave home to arrive at our office, begin drinking the remaining ½
gallon (64oz)
Karen L. Woods, MD PA
6560 Fannin, Scurlock Tower Suite 2000
Houston, TX 77030
713-383-7800
www.karenwoodsmd.com
of Colyte®. Drink 1 glass (8oz) of solution every 10-15 minutes until you drink the entire remaining
amount of
Colyte®. It is important to drink the entire ½ gallon to ensure a thorough exam. You may drink clear
liquids until
2 hours before you procedure.
3. DO NOT have anything by mouth 2 hours before your procedure.
4. You should take your morning medications, with the exception of those listed above, with a sip of
water at least 2
hours before your procedure, unless otherwise instructed by your physician.
Colyte or Nulytely Prep for Colon EGD

Source: http://www.karenwoodsmd.com/docs/Colonoscopy%20Colyte%20prep%20MCE.pdf

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