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Bowel Prep
The purpose of a bowel prep is to cleanse the bowel of particulate material and
decrease the number of bacteria in the colon. The reason for this is to attempt to
decrease the number of infectious complications of colon surgery. There are many
different regimens in use. The prep Dr. Fusco most commonly prescribes is the fleets
phosphosoda prep listed below. Alternative preps are sometimes used especially in
patients with kidney or liver problems. Be sure to check with Dr. Fusco's office as to
which prep they wish you to undergo.
Fleets Phosphosoda Prep
The day prior to the procedure:
Patients should take only clear liquids by mouth - no
solid food.
12:00 noon - Take 3 tablespoons fleets
phosphosoda (1.5 oz or 45cc) by mouth (mix in 4 oz
water and follow with 8 oz water)
3:00 PM - Take by mouth 500 mg flagyl and 500 mg
neomycin
5:00 PM - Take 3 tablespoons fleets phosphosoda
(1.5 oz or 45cc) by mouth (mix in 4 oz water and
follow with 8 oz water)
5:00 PM - Take by mouth 500 mg flagyl and 500 mg
neomycin
8:00 PM - Take by mouth 500 mg flagyl and 500 mg
neomycin
8:00 PM - Take by mouth 4 dulcolax tablets
12:00 midnight - Nothing to eat or drink after
midnight
Items to Purchase at Pharmacy
Over the counter fleets phosphosoda (3 oz bottle)
Dulcolax tablets
Prescription for Flagyl
Prescription for Neomycin
Prescription for Darvocet or other pain medication
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Golytely prep
The day prior to the procedure:
Patients should take only clear liquids by mouth (water, Jello, clear juices, clear soup,
soda) - no solid food, coffee or tea; NO milk products.
11:00 am - Take Reglan 5mg
12:00 noon - Drink an 8 ounce glass of the (PEG solution)-Colyte, Nulytely or
Golytely every 10 minutes until the entire gallon is consumed. The entire gallon
should be consumed in less than four hours. The PEG solution is most palatable
chilled. It is therefore recommended that you reconstitute the PEG power with cold
water and place the gallon jug in the refrigerator well in advance of the 12 noon start
time. You also can choose one of the available flavored formulations.
3:00 PM - Take by mouth 500 mg flagyl and 500 mg neomycin
5:00 PM - Take by mouth 500 mg flagyl and 500 mg neomycin
8:00 PM - Take by mouth 500 mg flagyl and 500 mg neomycin
12:00 midnight - Nothing to eat or drink after midnight

Items to Purchase at Pharmacy
1 gallon of Colyte (plain or pineapple), or Golytely or Nulytely (plain or cherry)
Reglan (metaclopramide)5 mg tablets
Prescription for Flagyl
Prescription for Neomycin
Prescription for Darvocet or other pain medication

Prep for patients undergoing right colectomy
The day prior to the procedure:
Patients should take only clear liquids by mouth - no solid food.
3:00 PM - Take by mouth 500 mg flagyl and 500 mg neomycin
5:00 PM - Take by mouth 500 mg flagyl and 500 mg neomycin
8:00 PM - Take by mouth 500 mg flagyl and 500 mg neomycin
8:00 PM - Take by mouth 4 dulcolax tablets
12:00 midnight - Nothing to eat or drink after midnight
Items to Purchase at Pharmacy
Prescription for Flagyl
Prescription for Neomycin
Prescription for Darvocet or other pain medication
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Source: http://www.markfuscomd.com/pdf_files/prep.pdf