Print the following documents and follow the instructions:

Endoscopy Checklist
Common Instructions to all Preps

HalfLytely BOWEL PREP

• Water

• Juice (without pulp) such as apple, white grape or Gatorade

• Soft drinks – such as Coke, Dr. Pepper, Sprite (no red or purple)

• Coffee & Tea – with or without sugar or sugar substitute and non-dairy creamer

• Popsicles & Jell-o (no red or purple)

• Chicken broth & Beef broth

YOU MAY NOT HAVE

• Dairy products

• Red or purple products (all other colors are acceptable)

• Pulp juices such as orange juice or tomato juice

12:00 NOON

• Take all (4) bisacodyl tablets with water.

• Do NOT chew or crush.

• Do not take the bisacodyl tablets within 1 hour of taking an antacid.

1:00 PM

• Add lukewarm drinking water to top of line on the jug of HalfLytely.

• Cap jug and shake to dissolve powder.

• The reconstituted solution will be clear and colorless. Use within 48 hours. Do not add anything else, such as flavorings, to the solution.

WAIT FOR BOWEL MOVEMENT

• After a bowel movement occurs (usually in 1 to 6 hours), begin to drink the solution.

• If bowel movement has not occurred after 6 hours, begin to drink the solution.

AFTER A BOWEL MOVEMENT

• Drink 1 (8oz.) glass of solution every 10 to 15 minutes. Drink each glass quickly rather than drinking small amounts continuously.

• Be sure to drink ALL of the solution.

NOTE

• If you have severe discomfort or distention (bloating), stop drinking the solution for a while or wait longer between drinking each glass until the discomfort goes away.

• Do not take any other medicines within 1 hour of starting to drink the solution.

• Nausea, cramping and abdominal fullness are the most common adverse reactions.