Fleet Phospho-Soda Colonoscopy Preparation (For Procedures Scheduled Before 9:30 AM)

Two (2) days before examination: 

Obtain (2) two 1½-fl. oz. bottles of Fleet Phospho-soda (Ginger-Lemon Flavor or
Unflavored) at any pharmacy. Fleet Phospho-soda is also available in a 3-fl. oz.
size. If larger size purchased, do not exceed the recommended dosage given
in the instructions, as serious side effects may occur.

Note: Individual responses to laxatives do vary: this prep may cause multiple
bowel movements. Often it will work within 30 minutes, but may take as
long as 3 hours. Please remain within easy reach of toilet facilities.

The day before the procedure:

1. Drink only clear liquids for breakfast, lunch, and dinner. Solid
   foods, milk or milk products are not allowed. 

   Clear liquids include:

   • Stained fruit juices without pulp
     (apple, white grape, lemonade)
   • Water
   • Clear broth or bouillon
   • Coffee or tea (without milk or nondairy creamer)
     
     
   All of the following that are not colored red or purple:
   • Gatorade
   • Carbonated and non-carbonated soft drinks
   • Kool-aid (or other fruit flavored drinks)
   • Plain Jell-O (without added fruits or toppings)
   • Ice Popsicle
     
     
2. At 2:00 P.M., mix 15 mL (1 TBSP) Fleet Phospho-soda with 8 oz. of clear chilled
   ginger ale or non-red Gatorade and drink it. Repeat at 2:10 P.M. and 2:20 P.M.
3. At 7:00 P.M.(or at least 3 hours prior to procedure), mix 15 mL (1 TBSP) Fleet
   Phospho-soda with 8 oz. of clear chilled ginger ale or non-red Gatorade and drink it.
   Repeat at 7:10 P.M. and 7:20 P.M.
   
   
   

The day of the procedure: Do not eat anything until after your examination. A friend or relative must accompany you to assist and/or drive you home. You may take your usual medications unless instructed otherwise. However, DO NOT TAKE ANY ASPIRIN, ASPIRIN CONTAINING PRODUCTS, ARTHRITIS MEDICATION OR VITAMIN E ONE WEEK PRIOR TO THIS PROCEDURE. (i.e., Ibuprofen, Motrin, Indocin, Ginkgo, Voltaren, Naprosyn, Anaprox.) Please inform the doctor immediately if you are taking any of these medications.  Name:    Date:    Time:    Place: