Important
Please follow these instructions and NOT the instructions in the box of bowel prep medication that you have been sent
This leaflet contains important information about MOVIPREP®. You have been given MOVIPREP® to cleanse your bowel before you have your colonoscopy. We will need you to fast for your gastroscopy, this information will tell you the time to start fasting.
Please also read any information provided by the manufacturer in the medicine leaflet package but follow these instructions for taking your bowel preparation.
What is MOVIPREP® and how does it work?
MOVIPREP® is a lemon or orange flavoured powder that makes a solution when mixed with water to cleanse your colon. It has a laxative action clearing the bowel so that it is clean and empty. It is very important that you have a cleansed bowel for your colonoscopy so that any abnormalities in your bowel can be seen by the nurse or doctor performing the procedure.
When should MOVIPREP® not be used?
Do not take or use this medicine if you:
- are allergic to any of the ingredients;
- have been diagnosed by your doctor with a blockage of the bowel (this does not include constipation) or perforation (hole) in the bowel;
- have a stomach emptying disorder;
- have toxic mega-colon (a severe complication of colitis);
- have paralysis of the gut called ileus;
- have been told you suffer from Phenylketonuria; and
- have a Glucose-6-phosphate dehydrogenase deficiency.
If you are not sure if you have any of the above conditions, please contact the Endoscopy pre-assessment nurses on the number below for advice.
Pre-assessment nurse
Please ask your doctor or pre-assessment nurse for advice if you have any of the conditions below, or in the manufacturer’s leaflet before you start to take MOVIPREP®.
- You need to thicken fluids in order to swallow them safely.
- A tendency to regurgitate swallowed drink, food or acid from the stomach.
- Kidney disease.
- Heart failure.
- Dehydration.
- Acute flare of inflammatory bowel disease (Crohn’s disease or ulcerative colitis).
How should I take MOVIPREP®?
2 days before your procedure (unless specified)
Please avoid bread and biscuit products that contain seeds before you start to take your bowel preparation. Start having smaller, low-fibre meals (please refer to low fibre food table below).
Low fibre foods
- White meat, skinless chicken, grilled or poached fish.
- Clear soups, tea, coffee.
- Shredless marmalade or jam.
- White bread, white rice, pasta, boiled or mashed
- potatoes.
- Butter / margarine.
- Natural plain yoghurt.
- Cheese, eggs, tofu.
- Ice Cream, custard.
Unless your doctor or nurse tells you differently, start taking MOVIPREP® on the day before your examination.
The day before your examination
From breakfast, you will begin the preparation for your test. Please follow the instructions on what you can eat and drink carefully. After breakfast, you will no longer be able to eat any solid food, milk or other dairy products.
Breakfast – 9 am
- Choose one of the following (list of options below):
– Tea or coffee (with milk and sweetener if required). - Choose one of the following:
– 30 g crisped rice cereal or cornflakes with 100 mls milk.
– 2 slices of white bread / toast with a thin spread of butter / margarine and honey (if desired).
– 1 boiled / poached egg and 1 slice of unseeded white bread / toast with a thin spread of butter / margarine.
– 50 g cottage or cream cheese and 1 slice of unseeded white bread / toast with a thin spread of butter / margarine.
Important
No solid food should be eaten after breakfast.
Below is a list of things that you can have in unlimited quantities until 4 hours before your procedure:
- Water.
- Tea / coffee WITHOUT milk.
- Energy or fizzy drinks.
- Oxo / Bovril.
- Clear soup (make sure you sieve out any vegetables).
- Clear jelly (not red or blackcurrant as this can reduce view of the bowel).
Dose One at 5 pm
jug and stir in 1 litre of water (not chilled) until the powder is completely dissolved and the solution is clear or hazy. You can add cordial to taste (not blackcurrant).
Some patients find it easier to drink if the mixture is chilled or using a straw.
After you drink MOVIPREP®, you will have lots of watery bowel movements so it is advisable to stay near a toilet because you may need to use it urgently.
Response to MOVIPREP® varies considerably with each person. Some people will start to open their bowels within an hour, for others, it may take hours to work. If after taking MOVIPREP® you do not have a bowel motion within 6 hours, please seek medical advice from the Endoscopy pre-assessment nurses. If this is out of normal office hours, please seek advice from your GP or ring NHS helpline on 111.
Bowel movements usually stop soon after you have finished taking the MOVIPREP®.
Dose Two at 6 pm
1 – 2 hours, followed by 500 mls of clear fluids to aid the bowel cleansing and to prevent dehydration.
REMEMBER
You can continue to drink fluids from the list given above, until 4 hours before your procedure. After this time, you need to fast for your procedure.
Water.
Tea / coffee WITHOUT milk.
Energy or fizzy drinks.
Oxo / Bovril.
Clear soup (make sure you sieve out any vegetables).
Clear jelly (not red or blackcurrant as this can reduce view of the bowel).
Are there any side-effects?
Most medicines can cause side-effects. The manufacturers leaflet contains a list of the known side-effects. Everyone reacts differently to medicines. You may have some side-effects or none at all.
If you suffer from any of the following:
- difficulty breathing;
- swelling of your face, lips, tongue or throat; and
- hives (a raised itchy rash).
Stop taking MOVIPREP® and get emergency medical help by calling 999.
Will MOVIPREP® affect any of my other medicines?
If you take any medicines, take them at least 1 hour before taking MOVIPREP® or at least 1 hour afterwards.
Pre-assessment nurses
If you have any questions about medicines, please contact the
pre-assessment nurses.
Oral medications may not be absorbed when taking MOVIPREP®. If you take any other medicines regularly and you have any questions, talk to your doctor, pre-assessment nurse or pharmacist before you take MOVIPREP®.
Can I drink alcohol while I am taking MOVIPREP®?
You should not drink alcohol whilst taking MOVIPREP®.
*If you are a diabetic, a separate instruction leaflet will be sent to you. This will help you understand how to take your diabetic medications during your bowel preparation.
Endoscopy pre-assessment team
Please contact the Endoscopy pre-assessment team if you have any questions about taking your bowel preparation.