Instructions for a MORNING Colonoscopy – MoviPrep

For a successful colonoscopy, it is particularly important that the bowel be totally clean. A totally clean bowel is best achieved by following the White Diet then taking the MoviPrep^® bowel preparation following these instructions. These instructions may be different to those on the box.

The MoviPrep will flush out the large bowel resulting in diarrhoea, which should become clear and watery when the large bowel is clean

If the bowel is not completely clean, then important abnormalities such as polyps could be missed.
You may have to repeat the procedure

Please buy MoviPrep (1 box) from your local pharmacy at least one week in advance. Follow these instructions:

	7 days before your colonoscopy Stop taking anti-diarrhoea medications and iron tablets (4 days before your procedure) if you are on them. Avoid pips, seeds, grains and skins in your diet
	2 days before your colonoscopy Start following the White Diet instructions (on the next page under “What you can eat”) Only eat foods from the White Diet Drink plenty of permitted Clear Fluids (on the next page under “What you can drink”)
	1 day before your colonoscopy Continue eating the White Diet for breakfast and lunch Stop eating any food after 6pm; keep drinking Clear Fluids. You cannot eat again until after your procedure, but you can drink clear fluids only At 6pm, drink the first 1.5 litres of MoviPrep over the next 1-2 hours Drink at least 3 cups of additional Clear Fluids after the MoviPrep
	The day of your colonoscopy Do not eat any food. 4 hours prior your procedure, drink the last 500mL of MoviPrep over the next hour Drink 1-2 cups of additional Clear Fluids after the MoviPrep Once you have finished, continue fasting completely, do not drink anything further To fast means nothing more to drink – no water, chewing gum, lollies, ice, etc You may have your usual medication with a sip of water (unless instructed to withhold)
	Important information about going home It is preferable that a responsible adult escorts you home in a suitable vehicle and stays with you the night of the procedure. We will notify this person by phone when you are ready to be collected. A taxi is acceptable provided that a responsible person remains with you at all times—including during the taxi ride, and you must not drive yourself or use public transport.

White Diet Instructions

	What you can eat Milk (regular, low fat, skim) Regular white bread/toast, rice bubbles, white rice, regular pasta, potatoes (peeled), rice noodles, plain rice crackers, white flour Eggs, Chicken breast (no skin), white fish fillet (no skin) Cheddar, ricotta, fetta, cottage, parmesan, mozzarella or cream cheese, white sauce White yoghurt (no added fruit), mayonnaise, cream, sour cream, butter, margarine, oil Diabetic lollies or sweets; diet lemonade icy pole, diet clear jelly
	What you must not eat Anything not listed above INCLUDING white foods such pears, parsnip, cauliflower, onion, tofu, coconut, porridge, banana, mushrooms, semolina, couscous, popcorn
	What you can drink (clear fluids only) Transparent non-carbonated fluids (i.e. when held up to light can be seen through). They include water, clear cordial/juice (without pulp), tea or coffee without milk, pre-op carbohydrate drinks and clear oral nutrition supplements. This does NOT include sports drinks, jelly, broth, particulate- or milk-based products.

A Sample White Diet Menu

Breakfast	Glass of Milk (regular, low fat, skim) Rice bubbles with milk Scrambled eggs and regular white toast
Morning Tea	Plain rice crackers with cheese
Lunch	White bread sandwich with sliced chicken breast, cream cheese or mayonnaise Diabetic lollies/sweets
Afternoon Tea	Plain vanilla yoghurt Vanilla Sustagen
Dinner	White fish fillet with white rice or mashed potato or Regular pasta with diced chicken breast and parmesan cheese or Chicken soup (clear chicken broth/stock) with rice noodles and sliced chicken breast