How to take Moviprep
What is Moviprep®?
Moviprep® is a polyethylene glycol (PEG) laxative designed to cleanse your bowel prior to your planned colonoscopy. It does this by causing you to have diarrhoea, or frequent bowel movements. You will start passing brown liquid and this will gradually change into a clear/yellowish liquid.
A clean bowel will allow a clear view of the inner lining, which is important for accurate diagnosis and treatment.
Please ensure you follow the instructions carefully as the colonoscopy may have to be cancelled and repeated at another time if the bowel is not clean enough.
If you think you are not fit enough to go backwards and forwards to the toilet many times to have your bowel open, then do not start to take this medication and get in touch with the doctor or team who referred you for this test for further advice.
Before taking Moviprep®?
You need to follow a low fibre diet for 3 days before taking Moviprep®. Please see the “Low Fibre Diet” leaflet for details of the type of diet you need to follow before taking Moviprep®.
Moviprep® is a two-dose preparation and is lemon or orange flavoured.
both sachets must be taken with the right amount of water according to the timing.
Oral medication should NOT be taken within one hour of taking Moviprep® as it may not be absorbed properly – please see the table overleaf.
| MEDICINE | INSTRUCTION | ADDITIONAL DETAILS |
| Iron Tablets | Stop 7 days prior to taking Moviprep® | |
| Anticoagulants and anti-platelets (Blood thinning medication) Warfarin, Apixaban, Rivaroxiban, Dabigatran, Edoxaban, Aspirin, Dipyridamole, Clopidogrel, Ticagrelor, Cangrelor or Prasugrel | If you take any of this type of medication, please inform the booking team who makes your appointment so they can arrange a pre-assessment consultation and advise you on what to do in preparation for your test. | Booking team: 01296 831210
|
| Insulin controlled diabetes patients | Please see supplementary information sheet and contact your Diabetes Specialist Nurse/ or GP Practice Nurse for further advice if required. | Glucose energy drinks and glucose tablets if sucked can be taken for hypoglycaemia.
You will need to manage a reduction in your normal insulin dose during bowel preparation and until after your procedure. |
| Oral anti-diabetes tablets | Please see supplementary information sheet and contact your Practice Nurse at your GP surgery for further advice if required. | Absorption of tablets may be affected by the Moviprep®. |
| Diet controlled diabetes patients | No action required |
| ALL DIABETIC PATIENTS TO DISCUSS WITH BOOKING COORDINATOR SO AN APPROPIATE APPOINTMENT TIME CAN BE ARRANGED
Booking team: 01296 831210 |
| Anti-epileptics, oral contraceptives, antibiotic and oral anti-diabetic medication | Bowel cleansing may interfere with normal absorption of these drugs. | Contact the Medicines Resource Centre for further advice. |
| Anti-diarrhoeal tablets | Stop 3 days prior to taking Moviprep® |
Important – Do not take Moviprep® if….
- your condition has significantly changed since you were referred for this treatment or if you have developed any of the following symptoms listed below. Instead, you should contact the Endoscopy unit at which you are booked to have your procedure for further advice.
- If it is possible that you are pregnant
- Heart failure
- If you have had a heart attack (within the last 6 weeks)
- Kidney failure
- Difficulty in swallowing
- Severe breathing problems
- If you have been told you have a stomach or bowel blockage
- You have had recent bowel surgery (within the last 6 weeks)
- If you have been told you have active diverticulitis (this means that you will have pain and a doctor may have given you antibiotics)
Making up Moviprep®
Moviprep® may be easier to take if:
- You drink through a straw.
- It has been refrigerated after it has been made up
- It is sipped slowly rather than drinking it quickly
Making up Moviprep® dose 1
You should make up Moviprep® Dose 1 when you need it, based on your dosing schedule (Please see page 5).
Making up Moviprep® dose 2
How to take Moviprep®
The timing of your Moviprep® doses depends on whether you are having a morning (before 12.00 noon), afternoon (after 1pm) appointment. Please follow the relevant row on page 5 depending upon your appointment time.
Stop eating by the shown time on page 5.
Clear fluids may be taken until 2 hours before the procedure.
Suggested fluids include water, cordial, squash (not blackcurrant) or herbal tea of your choice – these need to be taken after each sachet of Moviprep®.
After taking Moviprep®
- Use a barrier cream to prevent a ‘sore bottom’, e.g. petroleum jelly
- Make sure you allow enough time to travel to the hospital for your colonoscopy
- Consider using wet wipes after each bowel movement. Wet wipes that have been refrigerated are particularly soothing.
